Proportion of medical expenses reimbursed by Shandong social security

Legal analysis: 1. In the medical insurance for urban residents, the threshold of hospitalization fees for three types of hospitals is 200. The proportion of medical insurance reimbursement is 85%. 2. The threshold of charging standard for secondary hospitals is 400. The proportion of medical insurance reimbursement is 70%. 3. The threshold of charging standard for a class of hospitals is 600. The proportion of medical insurance reimbursement is 60%. 4. First-class hospitals are transferred to the province for medical treatment, and the charging standard threshold is 600. The proportion of medical insurance reimbursement is 60%. 5. The starting point for a class of hospitals to seek medical treatment outside the province is 600. The proportion of medical insurance reimbursement is 55%.

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

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.

Article 33 Employees shall participate in work-related injury insurance, and the employer shall pay the work-related injury insurance premium, while employees shall not pay the work-related injury insurance premium.

Thirty-sixth employees who are injured by accidents or suffer from occupational diseases due to work reasons and are recognized as work-related injuries shall enjoy work-related injury insurance benefits; Among them, those who lose their ability to work after the appraisal of their ability to work enjoy disability treatment.

Work injury identification and labor ability appraisal should be simple and easy.

Article 58 An employing unit shall, within 30 days from the date of employment, apply to the social insurance agency for social insurance registration for its employees. If the social insurance has not been registered, the social insurance agency shall verify the social insurance premium it should pay.

Employees-free individual industrial and commercial households who voluntarily participate in social insurance, part-time employees who do not participate in social insurance in the employing unit and other flexible employees shall apply to the social insurance agency for social insurance registration.

The state establishes a national unified personal social security number. Personal social security number is a citizen's identity number.