What does the medical insurance qifubiaozhun mean?

The hospitalization deductible standard is different in each city. For example, in Beijing, the deductible line for employee medical insurance hospitalization is 1.300 yuan. According to the number of times, for example, the hospitalization for pneumonia is 5,300 yuan, then the social security can be reimbursed by 4,000 yuan (5,300-1300 yuan), and it will be reimbursed according to the corresponding proportion. If it costs 2000 yuan to go to the hospital again after a while, the amount that can be reimbursed is 1350 yuan (2000-650 yuan).

The online payment process of medical insurance is as follows:

1. Open the mobile phone WeChat, search Guangdong tax, and enter the official WeChat account.

2. Find the micro tax below and click Enter.

3. Find social security for urban and rural residents, and click Enter.

4. Find the settlement of social security expenses for urban and rural residents, and click Enter.

5. Enter your personal information, and then click Next to complete the payment.

Medical insurance is divided into three grades, the first grade is the best and the third grade is the worst.

The specific differences are as follows:

The personal account of the first insured person is used to pay the medical expenses within the scope of the general outpatient medical insurance catalogue of the insured person. Community health center basic medical expenses personal account to pay 70%, the overall fund to pay 30% in accordance with the provisions.

Second-class insured; Three types of insured persons, belonging to Class A drugs and Class B drugs, are paid by the community outpatient co-ordination fund according to the proportion of 80% and 60% respectively; 90% of the single diagnosis and treatment or medical materials belonging to the medical insurance catalogue shall be paid by the community outpatient co-ordination fund, but the maximum payment amount shall not exceed 120 yuan; The total outpatient medical expenses paid by the community outpatient co-ordination fund to each second-grade and third-grade insured within a medical insurance year shall not exceed 1000 yuan.

legal ground

People's Republic of China (PRC) social insurance law

Twenty-third employees should participate in the basic medical insurance for employees, and the employer and employees should jointly pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.