How much can social security medical care be reimbursed?

Legal analysis: medical insurance is divided into employee medical insurance and urban and rural medical insurance, and the reimbursement ratio varies from place to place. Take Beijing employee medical insurance as an example: the maximum reporting limit is 20,000 yuan. On-the-job employees' outpatient and emergency medical expenses can be reimbursed for more than 1800, and the reimbursement ratio is 50%; The outpatient and emergency medical expenses of retirees can be reimbursed for more than 1300, 70% under 70 years old and 80% over 70 years old. For medical insurance in hospitals, in the period from 1.300 yuan to 30,000 yuan, 90% can be reimbursed by first-class hospitals, 87% by second-class hospitals and 85% by third-class hospitals. From 30,000 to 40,000, 95%, 92% and 90% can be reimbursed respectively. 40,000 to 654.38+million can be reimbursed by 97%, 97% and 95% respectively. 65438+ 10,000 to 500,000 can be reimbursed 85%. The reimbursement rate varies from place to place.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.