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How much is the overall cap of social security and medical insurance?
Benefits of paying medical insurance: Personal medical accounts mainly cover users' own expenses, outpatient and emergency expenses. The principal and interest of individual medical accounts are owned by individuals and can be transferred and inherited. The medical insurance pooling fund mainly means that users can get reimbursement according to the payment scope of the pooling fund when they are hospitalized. When the insured suffers from major diseases, such as heart disease, and the annual accumulated basic expenses of specific items of hospitalization and outpatient service exceed the maximum limit line of the overall fund, he can get medical assistance for major diseases with a maximum limit of 6.5438+0.5 million yuan. The specific payment ratio is: when the maximum limit line of the overall fund is 0-654.38+0 million yuan, the individual only needs to pay 654.38+00% for the excess fee and 654.38+ for the excess fee. Inpatient medical expenses deductible line Hospital-level retirees 2.8% (790 yuan) First-level hospitals 4.2% (1 186 yuan) Third-level hospitals 7% (1977 yuan) Outpatient specific items medical expenses deductible line (regardless of hospital level) On-the-job retirees deductible line10. Proportion of individual payment during the co-payment period (including medical expenses for specific items of hospitalization and outpatient service) Proportion of individual payment of retirees' hospital-level pooling fund 93% 7% of first-level hospitals 89.5% 10.5% of third-level hospitals 86% 14% of Medicaid payment for major diseases 0-65,438+10,000 yuan. As can be seen from the above, there are many benefits to medical treatment, but the data may be different because of regional differences. It is recommended to consult the local social security center.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.
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