What is the upper limit of social security reimbursement?

Legal analysis: there is an upper limit on the amount of reimbursement for social security and medical insurance.

1. The maximum payment limit of the overall fund is the so-called "capping line", that is, the maximum amount of medical expenses paid by the overall fund to employees and retirees in an insurance year. Medical expenses exceeding the maximum payment limit shall not be paid by the overall fund.

2, social security medical reimbursement is proportional, up to 90%, and then set an upper limit, which is related to the cumulative payment time of medical insurance. The longer the cumulative payment time, the higher the upper limit, and there is a certain deductible-that is, no compensation.

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

Article 12 The employing unit shall pay the basic old-age insurance premium according to the proportion of the total wages of employees stipulated by the state and record it in the basic old-age insurance pooling fund.

Employees shall pay the basic old-age insurance premium in accordance with the proportion of wages stipulated by the state and record it in their personal accounts.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic old-age insurance in the employing unit and other flexible employees who have participated in the basic old-age insurance shall pay the basic old-age insurance premiums in accordance with state regulations and record them in the basic old-age insurance pooling fund and individual accounts respectively.

Article 60 The employing unit shall declare on its own and pay social insurance premiums in full and on time. Except for legal reasons such as force majeure, the payment shall not be postponed or reduced. The social insurance premiums that employees should pay shall be withheld and remitted by the employer, and the employer shall inform me of the details of paying social insurance premiums on a monthly basis.

Individual industrial and commercial households without employees, part-time employees who have not participated in social insurance in the employing units and other flexible employees can pay social insurance premiums directly to the social insurance premium collection agencies.