How much is the starting line for hospitalization in Beijing medical insurance?

Beijing medical insurance hospitalization reimbursement starting standard for the previous year of the city's average salary of employees about 10% determined.

According to Article 32 of the Provisions of Beijing Municipal Basic Medical Insurance, the starting standard for the payment of the basic medical insurance co-ordination fund is determined at about 10% of the average salary of the workers in the city in the previous year. For the second and subsequent hospitalization of an individual within a year, the starting standard for payment by the basic medical insurance co-ordination fund is determined at about 5% of the average salary of the workers in the city in the previous year.

/iknow-pic.cdn.bcebos.com/08f790529822720e2003d21f75cb0a46f31fab01 "target="_blank "title=""class="ikqb_img_alink">/iknow- pic.cdn.bcebos.com/08f790529822720e2003d21f75cb0a46f31fab01?x-bce-process=image%2Fresize%2Cm_lfit%2Cw_600%2Ch_800%2Climit_1% 2Fquality%2Cq_85%2Fformat%2Cf_auto "esrc="/08f790529822720e2003d21f75cb0a46f31fab01"/>

(1) For medical expenses incurred in a tertiary hospital:

1. For the portion of the starting standard up to 30,000 yuan, the co-ordination fund shall pay 85%, and the employee shall pay 15%;

2. For the portion of the expenses exceeding 30,000 yuan up to 40,000 yuan, the co-ordination fund shall pay 90%, and the employee shall pay 10%;

3. p>

3. For the portion exceeding 40,000 yuan, the co-ordinated fund pays 95% and the employee pays 5%.

(2) Medical expenses incurred in secondary hospitals:

1. For the portion of the starting standard up to 30,000 yuan, the coordinated fund pays 87%, and the employee pays 13%;

2. For the portion of the amount exceeding 30,000 yuan up to 40,000 yuan, the coordinated fund pays 92%, and the employee pays 8%;

3. For the portion of the amount exceeding 40,000 yuan, the coordinated fund pays 97%, and the employee pays 3%.

(3) Medical expenses incurred in first-class hospitals as well as home beds:

1. For the portion of the starting standard up to 30,000 yuan, the coordinated fund pays 90%, and the employee pays 10%;

2. For the portion of the amount exceeding 30,000 yuan and up to 40,000 yuan, the coordinated fund pays 95%, and the employee pays 5%;

3. For the portion of the amount exceeding 40,000 yuan, the coordinated fund pays 97% and the employee pays 3%.

(4) The individual payment ratio for retirees is 60% of the employee's payment ratio.

But the maximum amount to be paid by the Basic Medical Insurance Coordination Fund according to the proportion shall not exceed the maximum payment limit stipulated in Article 33 of these Regulations. The first paragraph of this article listed in the basic medical insurance fund payment ratio needs to be adjusted, by the municipal labor security administrative department in conjunction with the municipal finance department to put forward an adjustment plan, reported to the municipal people's government for approval after the announcement of the implementation.

/baike.baidu.com/item/%E5%8C%97%E4%BA%AC%E5%B8%82%E5%9F%BA%E6%9C%AC%E5%8C%BB%E7%96%97%E4%BF%9D%E9%99%A9%E8%A7%84%E5%AE%9A/ 3493857?fr=aladdin "target="_blank "title="Baidu Encyclopedia - Beijing Municipal Basic Medical Insurance Provisions">Baidu Encyclopedia - Beijing Municipal Basic Medical Insurance Provisions