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What is the proportion of medical insurance reimbursement for Fuzhou employees?
Medical insurance is one of the basic social security policies in China. The following is the proportion of medical insurance reimbursement in Fuzhou compiled by Bian Xiao. I hope it will help everyone! Reimbursement ratio of urban residents and college students: (1) The reimbursement ratio of general outpatient compensation treatment is 50%: the annual maximum payment limit (400 yuan/person calculated according to the actual reimbursement amount) Note: the annual maximum payment limit of college students (including the minimum payment standard and proportional out-of-pocket expenses): 2,000 yuan/person (2) The reimbursement ratio of outpatient compensation treatment for special diseases is 60%. And the outpatient expenses for serious diseases are less than 60,000 yuan (including more than 60,000 yuan to 6,543.8+0.4 million yuan (including 6,543.8+0.4 million yuan with 40% reimbursement rate). (3) The basic expenses for hospitalization compensation treatment in medical insurance coverage are less than or equal to 60,000 yuan (with 55% to 90% reimbursement rate) of 60,000 yuan.
Legal objectivity:
Notice of the Ministry of Labor and Social Security, the State Development Planning Commission and the State Economic and Trade Commission on Issuing the Interim Measures for the Administration of the Scope of Medication of Basic Medical Insurance for Urban Employees.
Article 8
The expenses incurred by the insured of the basic medical insurance in using the drugs in the Drug List shall be paid according to the following principles. The expenses incurred in using Class A drugs shall be paid in accordance with the provisions of the basic medical insurance. The expenses incurred in the use of "Category B drugs" shall be paid by the insured according to a certain proportion, and then according to the provisions of the basic medical insurance. The specific proportion of individual pays shall be stipulated by the overall planning area and reported to the administrative departments of labor security of provinces, autonomous regions and municipalities directly under the Central Government for the record. The expenses incurred in the use of Chinese herbal pieces shall be paid in accordance with the provisions of the basic medical insurance, except for drugs that are not paid by the basic medical insurance fund.
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