How much can Qingdao employee social security be reimbursed?

The reimbursement ratio of Qingdao employees with medical insurance cards is as follows:

① Outpatient reimbursement: 60% of employees go to designated outlets for medical treatment with medical insurance cards.

(2) Reimbursement for hospitalization: If the expenses of employees during hospitalization reach less than 40,000 yuan, the proportion of reimbursement for hospitalization in first-,second-and third-class hospitals is 90%, 88% and 86% respectively; If the hospitalization expenses reach more than 40,000, the reimbursement ratio is 95%; If the expenses of retired employees during hospitalization reach less than 40,000 yuan, the reimbursement rates for hospitalization in first-,second-and third-level hospitals are 95%, 94% and 93% respectively; If the hospitalization expenses reach more than 40,000, the reimbursement rate is 97%. The medical insurance reimbursement limit for employees is 200,000 yuan.

Extended content:

If the hospital cannot swipe the social security card or directly reimburse for other reasons, the cash reimbursement process is as follows:

Prepare to carry materials

① Resident ID card;

② Social security card;

(3) Copies of outpatient medical records or inpatient medical records (including admission records, doctor's orders, relevant inspection reports, operation and anesthesia records, radiotherapy records, etc.). );

4 valid bills;

⑤ Detailed list of expenses.

Treatment process

1. Bring the above materials to Qingdao Social Security Bureau to apply;

(Shinan District, Shibei District and Licang District are insured to the Municipal Social Security Bureau; Insured persons in other districts shall go to local social insurance agencies for handling. )

2. Can the staff handle the reply after accepting it?

3. Issue a business acceptance receipt that meets the requirements; Inform the required information and related matters with incomplete information; The basis and reasons for not accepting the unqualified notice;

4 agencies audit fees, within 30 working days to bring relevant materials to receive reimbursement of medical expenses.

Matters needing attention in handling cash reimbursement:

① Cash reimbursement requires all amounts to be paid in advance.

(2) All documents should be kept for cash reimbursement in hospital.