Social security deductible line and capping line

The social security deductible and the capping line are different from place to place. Take Beijing as an example. The outpatient deductible line in Beijing is 1.800 yuan for employees and 1.300 yuan for retirees. During the year, the deductible line for the first hospitalization was 1.300 yuan, and then there was a deductible line for each hospitalization in 650 yuan. The expenses incurred below the deductible line shall be borne by the individual in full. Beijing outpatient capped line 20000 yuan, hospitalization capped line 300000 yuan. The expenses above the capping line need to be borne by the individual in full.

legal ground

Article 64 Social insurance funds include basic old-age insurance funds, basic medical insurance funds, industrial injury insurance funds, unemployment insurance funds and maternity insurance funds. In addition to the basic medical insurance fund and maternity insurance fund combined accounting, other social insurance funds are accounted for separately according to social insurance types. Social insurance funds implement a unified accounting system throughout the country. The social insurance fund is earmarked for special purposes, and no organization or individual may occupy or misappropriate it. The basic old-age insurance fund will gradually implement national overall planning, and other social insurance funds will gradually implement provincial overall planning. The specific time and steps shall be stipulated by the State Council.