Surgical medical social security reimbursement how much

The standard of hospitalization reimbursement is related to the level of the hospital where the participant lives, such as living in a tertiary hospital, from the starting standard to 30,000 yuan of expenses, the employee pays 15%, or 85% reimbursement.

1, hospitalization reimbursement standards are related to the level of hospitals where the participants live, such as living in a tertiary hospital, from the starting standard to 30,000 yuan of costs, the employee pays 15%, which is 85% reimbursement;

2, 30,000 yuan to 40,000 yuan of costs, the employee pays 10%, reimbursement of 90%;

3, more than 40,000 yuan to the maximum payment limit part of the expenses , then 95 percent are reimbursed and the employee pays only 5 percent.

4. Retirees pay 60% of what active (that is, the aforementioned) employees pay individually, but anything below the threshold is paid by the individual.

What is the method of reimbursement

The method of reimbursement is very simple, bring your ID card and health insurance card to the local designated hospitals, pay a deposit, and then when you are discharged from the hospital to settle the bill, what you have to pay for yourself will be deducted from the deposit or the health insurance card, and more will be refunded than compensated for; and what will be reimbursed by the health insurance will be settled by the health insurance and the hospitals, and the participant won't be required to pay for the bill by himself.

I hope the above can help you, if you have other questions please consult a professional lawyer.

Legal basis:

The People's Republic of China Social Insurance Law

Article 2 of the State establishes a social insurance system of basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance systems, to safeguard the citizens' right to obtain material assistance from the State and society in old age, illness, industrial injury, unemployment and maternity, in accordance with the law.

Article 3 The social insurance system adheres to the policy of broad coverage, basic protection, multi-level and sustainability, and the level of social insurance shall be commensurate with the level of economic and social development.

Article 4 Employers and individuals within the territory of the People's Republic of China*** and the State shall pay social insurance premiums in accordance with the law, and shall have the right to inquire about the records of contributions and individual rights and interests, and to request social insurance agencies to provide social insurance counseling and other related services.