How much is the second-class social security reimbursement for medical treatment?

Article 2 The specific standards for social security medical reimbursement are:

First, belong to class A drugs and class B drugs, respectively, by the community outpatient co-ordination fund according to the proportion of 80% and 60% payment.

Two, belong to the medical insurance directory of individual diagnosis and treatment or medical materials, by the community outpatient co-ordination fund to pay 90%, but the maximum payment amount does not exceed 120 yuan.

The process of how to reimburse medical insurance is:

1. Keep relevant information, including treatment expenses, diagnosis notes, personal medical insurance related information, etc. After the treatment, the handling personnel will submit the reimbursement documents and other materials to the social security agency for acceptance.

2. After receiving the reimbursement application, the accepting department shall review and settle the materials, and pay the corresponding fees if there is no problem in the review.

3. Waiting to be released to the designated account.

Generally speaking, if it is local and treated in a designated hospital or pharmacy, there is no need for additional procedures. When submitting medical insurance information, only the remaining amount after reimbursement will be automatically deducted at checkout.

To sum up, medical insurance advocates "insurance without package", and the medical expenses incurred are reimbursed according to the corresponding proportion. According to the requirements of different regions, the proportion of medical insurance reimbursement is different.

Legal basis:

People's Republic of China (PRC) social insurance law

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The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.