How to reimburse the old and young?

During the period when the old and young medical insurance reimbursement social security card is not issued, the expenses for seeing a doctor in the hospital should be paid in advance by themselves. After the social security card is issued, you can go to the social security office for manual reimbursement with the hospitalization receipt and social security card. After getting the social security card, every time I go to the hospital for outpatient or hospitalization, I will take the social security card to settle the medical expenses of the hospital in real time. You don't have to go to the social security office to reimburse the baby insured by the social security office, and our bank deducts the medical insurance fee.

The proportion of reimbursement for one old and one small is:

(1) 80% reimbursement for medical institutions of level I and below;

(2) The reimbursement rate of secondary medical institutions is 78%;

(3) The reimbursement rate of tertiary and above medical institutions is 75%, and the highest reimbursement rate of hospitalization is 80%, which is 5 to 10 percentage points higher than the original.

What is the reimbursement ratio of one old and one small insurance clinic?

1, the deductible line of medical institutions at level 1 and below 100 yuan, and the deductible line of medical institutions at level 2 and above in 550 yuan, with an annual reimbursement limit of 3,000 yuan;

2. Reimbursement ratio: the reimbursement ratio of first-class and below medical institutions is 55%, and that of second-class and third-class medical institutions is 50%. After the implementation of the new system, the highest reimbursement rate of outpatient service reached 55%, an increase of 5 percentage points.

I hope the above content can help you. If in doubt, please consult a professional lawyer.

Legal basis:

Article 1 of People's Republic of China (PRC) Social Insurance Law

In order to standardize the social insurance relationship, safeguard the legitimate rights and interests of citizens to participate in social insurance and enjoy social insurance benefits, enable citizens to enjoy the fruits of development and promote social harmony and stability, this Law is formulated in accordance with the Constitution.