Suzhou employee health insurance hospitalization reimbursement ratio is how much

I. Employee social security hospitalization reimbursement ratio 1, first-class hospitals, above the starting standard to the maximum payment limit of the portion of the payment of 90%; 2, second-class hospitals, the starting standard to 10,000 yuan (including) part of the payment of 85%, more than 10,000 yuan to the maximum payment limit of the portion of the payment of 90%; 3, third-class hospitals, the starting standard to For tertiary hospitals, 80% of the portion from the starting payment standard to RMB 5,000 (inclusive), 85% of the portion from RMB 5,000 to RMB 10,000, and 90% of the portion from RMB 10,000 or above to the maximum payment limit; 4. Retirees will be given a 5% increase in addition to the above payment rates. The scope of reimbursement for hospitalization under the Employees' Health Insurance is as follows: 1. Expenses incurred during the period when the newly enrolled social security card is not issued; 2. Expenses incurred during the period when the social security card is lost and replaced; 3. Expenses incurred during the period when the card is not held in the emergency room of the designated medical institution; 4. Expenses incurred during the period of arrears of payment; 5. Expenses incurred during the period of manual reimbursement; 6. Expenses incurred when seeking medical treatment in an outlying port which are in line with the conditions of payment of the city's medical insurance fund; 7. Expenses incurred during the period when the card is not held; 8. Expenses incurred while seeking medical treatment; 7. Expenses for the current year must be declared by January 20 of the following year.

The reimbursement ratio of urban workers' medical insurance for hospitalization 1, first-class hospitals, 90% of the portion of the starting standard to the maximum payment limit; 2, second-class hospitals, 85% of the portion of the starting standard to 10,000 yuan (inclusive), 90% of the portion of the starting standard to 10,000 yuan (inclusive), and 90% of the portion of the starting standard to the maximum payment limit; 3, third-class hospitals, the starting standard to 5,000 yuan (inclusive), and 90% of the starting standard to 5,000 yuan (inclusive). For tertiary hospitals, 80% of the portion of the starting payment standard up to and including 5,000 yuan, 85% of the portion of the standard from 5,000 yuan to 10,000 yuan, and 90% of the portion of the standard above 10,000 yuan up to the maximum payment limit.4 For retired staff, a 5% increase is added to the above payment rates. The scope of reimbursement for hospitalization under the Employees' Health Insurance is as follows: 1) Expenses incurred during the period when the newly enrolled social security card is not issued; 2) Expenses incurred during the period when the social security card is lost and replaced; 3) Expenses incurred during the period when the card is not held for emergency treatment in designated medical institutions; 4) Expenses incurred during the period of arrears of payment; 5) Expenses incurred during the period of manual reimbursement; 6) Expenses incurred during the period when the medical treatment is provided in a foreign country that meets the conditions for payment by the city's medical insurance fund; 7) Expenses incurred during the current year's medical treatment. Expenses incurred during the current year must be declared before January 20 of the following year. Legal basis "Chinese people *** and the State Social Insurance Law" Article 28: in line with the basic medical insurance drug list, diagnostic and treatment items, medical service facilities standards, as well as emergency, rescue medical expenses, in accordance with state regulations from the basic medical insurance fund.