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How much can hemorrhoids surgery social security reimburse?
The reimbursement rates related to medical insurance are as follows:
1. The medical expenses above 1800 yuan can only be reimbursed after the on-the-job employees see a doctor in the emergency department of the hospital, and the reimbursement rate is 50%.
2. Retirees under the age of 70,1.Expenses above 300 yuan can be reimbursed, and the reimbursement rate is 70%.
3. Retirees over 70 years old,1.Expenses above 300 yuan can be reimbursed by 80%. The maximum payment limit for hospitalization expenses of the basic medical insurance pooling fund within one year is currently 70,000 yuan.
4, more than 40000 yuan to the maximum payment limit, 95% can be reimbursed, employees only need to pay 5%.
5. The proportion of individual contributions of retirees is 60% of the above-mentioned employees, but those below the threshold are paid by individuals.
6, hemodialysis, peritoneal dialysis.
Social insurance refers to a social and economic system that provides income or compensation for people who lose their ability to work, are temporarily unemployed or suffer losses due to health reasons. The main items of social insurance include endowment insurance, medical insurance, unemployment insurance, industrial injury insurance and maternity insurance.
The social insurance plan is organized by the government, forcing a certain group to use part of its income as social insurance tax (fee) to form a social insurance fund. Under certain conditions, the insured can get fixed income or loss compensation from the fund, which is a redistribution system with the goal of ensuring material and labor reproduction and social stability.
legal ground
"People's Republic of China (PRC) social insurance law" thirtieth the following medical expenses are not included in the scope of payment of the basic medical insurance fund:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(3) borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.
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