How to reimburse social security in Guangzhou hospitalization ratio is how much money

1, active employees: first-class hospitals, 90% reimbursement from the integrated fund, individual out-of-pocket payment of 10%; second-class hospitals, 85% reimbursement from the integrated fund, individual out-of-pocket payment of 15%; tertiary hospitals, 80% reimbursement from the integrated fund, individual out-of-pocket payment of 20%

2, retired persons: first-class hospitals, 93% reimbursement from the integrated fund, individual out-of-pocket payment of 7%; second-class hospitals, 89.5% reimbursement from the integrated fund, individual out-of-pocket payment of 10.5%; tertiary hospitals, 86% reimbursement from the integrated fund, individual out-of-pocket payment of 14%. 89.5%, individual out-of-pocket 10.5%; Grade 3A hospitals, 86% reimbursed by the integrated fund, individual out-of-pocket 14%.

3, foreign workers (foreign household registration to buy Guangzhou migrant workers' medical insurance): first-class hospitals, 72% reimbursement from the integrated fund, 28% out-of-pocket payment from individuals; second-class hospitals, 68% reimbursement from the integrated fund, 32% out-of-pocket payment from individuals; third-class hospitals, 64% reimbursement from the integrated fund, 36% out-of-pocket payment from individuals.

Remarks: (1) Active employees refer to those who have purchased social security for Guangzhou workers.

(2) Level 1 hospitals refer to community hospitals and relatively low-level hospitals. Tertiary hospitals refer to national third-class hospitals, such as Guangdong Provincial People's Hospital, Zhongsan First Hospital and so on.

(3) The starting standard of the coordinated fund means: when the cost of hospitalization exceeds the above standard, only the exceeding part can be reimbursed.

(For example: a Guangzhou household member is sick and hospitalized in Guangdong Provincial People's Hospital (a tertiary hospital), with a total **** cost of 3,000 RMB. The minimum hospitalization starting line of the tertiary hospital is 1600 RMB, then the cost over the starting line is 1400 RMB, which is directly reimbursed 80% by the coordinated fund, i.e. 1120 RMB, and the personal payment is 1600 RMB plus 280 RMB, i.e. the total cost is only 1880 RMB.)

Guangzhou outpatient reimbursement ratio (in Guangzhou to see a doctor, health insurance reimbursement ratio):

General outpatient treatment:

1 active employees (purchased the Guangzhou employee social security personnel) and retirees, community hospitals reimbursement of 65%, and other medical institutions reimbursement of 50%.

2Flexible employment (meaning: people with Guangzhou household registration who go to the Social Security Bureau to buy social security by themselves) and foreign workers (those who have purchased medical insurance for foreign workers), community hospitals will reimburse 55%, and other medical institutions will reimburse 40%.

Note: The maximum reimbursement per month is 300 RMB per person, valid for the same month, no rollover and no accumulation.

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