What is the proportion of social security medical reimbursement?

The proportion of social security medical reimbursement is as follows:

1, outpatient, outpatient use medical insurance card to see a doctor, real-time settlement, no reimbursement;

2. Reimbursement scope: general outpatient and emergency expenses incurred by the insured in designated hospitals or specialized hospitals, traditional Chinese medicine hospitals and tertiary hospitals selected by individuals;

3. Outpatient deductible line: the total emergency expenses of general outpatient service exceed 1.800 yuan in a natural year;

4. Outpatient medical insurance reimbursement ratio:1.70% for the part above 800 yuan, 90% for the community, and the top line: 20,000 yuan.

Proportion of reimbursement for hospitalization medical insurance:

1. Reimbursement scope: hospitalization expenses incurred by the insured in designated medical insurance hospitals or specialized hospitals, traditional Chinese medicine hospitals and tertiary hospitals selected by the individual;

2. Inpatient deductible line: the standard of the first hospitalization deductible line in a natural year is 1.300 yuan, and 650 yuan every time thereafter;

3. 90% of the first-level hospitals, 87% of the second-level hospitals, and 0/00% of the third-level hospitals, with 300,000 inpatients.

Legal basis: Article 24 of People's Republic of China (PRC) Social Insurance Law.

The state establishes and improves the new rural cooperative medical system.

Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.

Article 25

The state establishes and improves the basic medical insurance system for urban residents.

The basic medical insurance for urban residents combines individual contributions with government subsidies.

People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 27

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.