What is the proportion of medical insurance reimbursement for urban workers in Jiangsu Province?

The basic medical insurance for urban workers is one of the components of China's medical insurance, and it is a social insurance system established to compensate employees for economic losses caused by disease risks. By giving certain economic compensation, the economic risks borne by workers due to illness and treatment can be avoided or reduced.

The reimbursement ratio of medical insurance for urban workers in Jiangsu Province is as follows:

A, outpatient reimbursement ratio regulations

After getting medical insurance, if you are an on-the-job employee, you can only reimburse more than 2,000 yuan for medical expenses in the emergency department of the hospital, and the reimbursement rate is 50%. For retirees under the age of 70, the expenses above 1300 yuan can be reimbursed, and the reimbursement rate is 70%. For retirees over 70 years old,180% of the expenses above 300 yuan can be reimbursed. No matter what kind of people, the maximum payment limit for outpatient and emergency medical expenses is 20 thousand yuan. For the strategy of medical insurance reimbursement, I just sorted out the relevant contents, hoping to help you: how to use social security medical insurance? 1. Teach you how to apply for reimbursement!

For example, if you are an on-the-job employee, and the outpatient medical expenses are 2,500 yuan, then 500 yuan can reimburse 50%, that is, 250 yuan.

Second, the proportion of hospitalization reimbursement regulations

At present, when the basic medical insurance is first used within one year, the minimum payment for employees and retirees is 1300 yuan. And the second and subsequent hospitalization medical expenses, Qifubiaozhun is determined by 50%, which is 650 yuan.

The maximum annual payment limit (hospitalization expenses) of the basic medical insurance pooling fund is currently 70,000 yuan. Qifubiaozhun for hospitalization is as follows:

The third level includes hospitals above the third level: hospitalization in 700 yuan for many times within one year, and the deductible line is 500 yuan, 400 yuan and 300 yuan in turn.

Secondary hospitals include secondary specialized hospitals: 600 yuan was hospitalized several times in one year, followed by 400 yuan, 300 yuan and 200 yuan.

The first level includes the following hospitals: hospitalization in 500 yuan for many times within one year, and minimum compensation for 300 yuan and 200 yuan, 100 yuan.

Above the deductible and below the maximum payment limit, 85% of class A and general medical expenses are paid by on-the-job employees.

Retiree payment: 90%; Class B drugs pay 75%; High technology pays 70%.

Medical insurance for employees with chronic diseases, special diseases and major diseases, the annual Qifubiaozhun is 700 yuan. Class A and general diagnosis and treatment 80%, class B 75%, high accuracy 70%.