What is the minimum consumption of social security medical reimbursement?

1, outpatient and emergency medical expenses: the medical expenses that meet the requirements of basic medical insurance in the year (11October1February 31February) exceeded 2,000 yuan.

2. Settlement ratio: 50% of the part of the dispatched personnel above 2,000 yuan will be reimbursed during the contract period, and 50% will be paid by the individual; Within one year, the maximum amount of accumulated reimbursement for outpatient and emergency services of dispatched personnel is 20,000 yuan.

3. The insured shall properly keep the medical documents (including receipts and prescriptions for large amounts) in the outpatient department of the designated hospital. ), as a medical expense reimbursement certificate.

4. Outpatient treatment of three kinds of special diseases: when the insured person needs to take anti-rejection drugs after radiotherapy and chemotherapy for malignant tumor, renal dialysis and renal transplantation, the second-and third-level designated hospitals where the insured person is treated will issue the Certificate of Disease Diagnosis, fill in the Application and Approval Form for Special Diseases of Medical Insurance, and report it to the district medical insurance center for approval and filing.

Extended data

Precautions:

It is very necessary for individuals to participate in social security and get the most basic social security. So what are the precautions for individuals to participate in social security? The following is a detailed introduction to this part of the problem.

1, you can only participate in pension, maternity and medical insurance, but you can't participate in work injury and unemployment insurance.

2, the insured for the first time to pay 6 months after the occurrence of serious illness medical expenses, can enjoy the treatment of serious illness medical insurance. The insured who participates in medical insurance for serious illness must pay the fee continuously without interruption. If it is not paid within three months, it shall be regarded as intermittent payment.

If the payment has been continuous for 5 years before the interruption and the medical expenses for serious illness have not been reimbursed, the time before and after the re-payment will be calculated continuously; If the payment is less than 5 years or over 5 years, but the medical insurance for serious illness is enjoyed, when the payment is made again, the medical expenses for serious illness occurring after 6 months shall enjoy the medical insurance for serious illness according to the provisions of these measures. ?

Moreover, if the one-time hospitalization expenses only exceed 1300 yuan, the outpatient and emergency expenses will not be reimbursed.

3. If you don't use the 18 ID card when handling the "medical insurance debit card" of the bank, please change it at the bank in time and register with the employment agency or talents, otherwise the social security center will not be able to transfer money normally.

4. Ensure that the deposit in the "medical insurance debit card" of the bank is sufficient for deduction, and there is at least a balance of 10 yuan after deduction.

5. Please receive the "Medical Insurance Manual of this Municipality" within 2 months after completing the insurance procedures. If you haven't received the medical manual for more than 6 months, you need to reapply (it takes 1-2 weeks).

6. Every April, the insurance base will change, and the cost will also change. It is suggested that the balance in the bank's "medical insurance debit card" should not be lower than that in 400 yuan before April every year, and you can go to the bank to print the statement at the end of April to understand the payment standard for the new year.

Reference source: Baidu Encyclopedia: Social Security