Job Recruitment Website - Social security inquiry - How much can I get reimbursed for hospitalization for surgery after paying social security for a year?
How much can I get reimbursed for hospitalization for surgery after paying social security for a year?
The details of reimbursement for hospitalization and surgery are as follows:
1.
Reimbursement: medicine: auxiliary examination: EKG, X-ray fluoroscopy, radiography, laboratory tests, physiotherapy, acupuncture, CT, MR*** vibration and other various examination fees are limited to 200 yuan.
2.
Surgical expenses (with reference to the national standard, reimbursement will be made in the amount of 1000 yuan if it exceeds 1000 yuan).
3.
Elderly people over 60 years old hospitalized in health centers are compensated 10 yuan per day for treatment and nursing care, with a limit of 200 yuan.
4.
Reimbursement rates: town health centers reimburse 60 percent; second-level hospitals reimburse 40 percent; and third-level hospitals reimburse 30 percent.
2. Township health insurance:
1. Students and children
In a billing year, when medical expenses under 180,000 yuan eligible for reimbursement are incurred, the starting standard for third-level hospitals is 650 yuan, the reimbursement rate is 50%, and the upper limit is 2,000 yuan; the starting standard for second-level hospitals is 300 yuan, and the reimbursement rate is 60%; first-level hospitals don't have a starting standard, the The reimbursement rate is 65%.
2. For medical expenses of less than 100,000 RMB incurred within one billing year and eligible for reimbursement, the starting rate for Level 3 hospitals is 650 RMB, the reimbursement rate is 50%, and the upper limit is 2,000 RMB; for Level 2 hospitals, the starting rate is 300 RMB, and the reimbursement rate is 60%; and for Level 1 hospitals, there is no starting rate, and the reimbursement rate is 65%.
3. For other urban residents
In a billing year, for medical expenses of less than 100,000 RMB incurred within the scope of reimbursement, the starting standard for third-level hospitals is 659 RMB, and the reimbursement rate is 50% with an upper limit of 2,000 RMB; for second-level hospitals, the starting standard for inpatient hospitalization is 300 RMB, and the reimbursement rate is 55%; and first-level hospitals do not have any starting standards, and the reimbursement rate is 60%
.Third, urban and rural residents' medical insurance:
On January 12, 2016, the State Council issued the "Opinions on the Integration of the Basic Medical Insurance System for Urban and Rural Residents", which requires the integration of the two systems of basic medical insurance for urban residents (hereinafter referred to as the urban residents' medical insurance) and the new rural cooperative medical care (hereinafter referred to as the New Rural Cooperative Medical Care), and the establishment of a unified basic medical insurance for urban and rural residents (hereinafter referred to as the urban and rural residents' (hereinafter referred to as urban and rural residents' medical insurance) system. The medical insurance reimbursement rates for urban and rural residents in each region are based on the locally published Implementation Measures for Basic Medical Insurance for Urban and Rural Residents.
Fourth, employee health insurance:
Generally speaking, the economic development of different regions is different, so the reimbursement rate is also different, you can go to the local social security institutions to consult.
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