Kunshan social security hospitalization reimbursement ratio

Legal analysis: Kunshan city health insurance in Shanghai to see the doctor back to reimbursement which belongs to the foreign reimbursement. Discharged need to bring a copy of the medical record and invoices, to the medical insurance card card issuance place, you can be reimbursed. Reimbursement is divided into rural residents and urban workers: 1, residents reimbursement ratio: town health center reimbursement of 60%; secondary hospitals reimbursement of 40%; tertiary hospitals reimbursement of 30%. 2, urban residents, in a billing year, incurred in line with the scope of reimbursement of the following 100,000 yuan of medical expenses.

Legal basis: "The Chinese People's **** and the State Social Insurance Law"

Article 27 Individuals who participate in the basic medical insurance for employees and reach the statutory retirement age when the cumulative contribution reaches the state prescribed number of years, will no longer pay the basic medical insurance premiums after retirement, and will enjoy the basic medical insurance benefits in accordance with the state regulations; those who have not reached the state prescribed number of years, can pay the contributions to the state prescribed number of years. The second paragraph of this article is as follows.

Article 28: Medical expenses in accordance with the basic medical insurance drug list, diagnostic and treatment items, standards of medical service facilities, as well as emergency and rescue medical expenses shall be paid out of the basic medical insurance fund in accordance with the state regulations.

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

Article 36 If an employee is injured in an accident or suffers from an occupational disease due to work-related reasons and is recognized as having suffered a work-related injury, he or she shall be entitled to treatment under the work-related injury insurance; among them, if he or she loses the ability to work after labor capacity appraisal, he or she shall be entitled to treatment for disability.

Identification of work-related injuries and labor capacity assessment shall be simple and convenient.

Article 58 An employer shall, within thirty days from the date of employment, apply to a social insurance agency for social insurance registration for its employees. If the employer fails to register for social insurance, the social insurance agency shall approve the social insurance premiums to be paid by the employer.

Individual industrial and commercial households without employees who voluntarily participate in social insurance, part-time employees who do not participate in social insurance with their employers, and other flexibly employed persons shall apply to the social insurance administrative organization for social insurance registration.

The State establishes a nationally unified individual social security number. The individual social security number is a citizen's identity number.