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What is the reimbursement rate of social medical insurance?
Legal analysis: the proportion of medical insurance reimbursement is: 1. The amount of medical insurance reimbursement is: reimbursement amount-total medical expenses-self-expense-self-payment-deductible line) × reimbursement ratio, and the reimbursement ratio is about 85%. Second, if it exceeds the basic limit, then the social security department will reimburse 85% within 0-40 thousand yuan, 90% within 40-80 thousand yuan, and 95% above 80 thousand yuan. "
Legal basis: Article 29 of the Social Insurance Law of People's Republic of China (PRC) stipulates that the medical expenses incurred by the insured shall be paid by the basic medical insurance fund and directly settled by social insurance agencies, medical institutions and pharmaceutical trading units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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