Proportion of medical insurance reimbursement in Qingdao

1. 50% reimbursement for tertiary medical institutions;

2. Reimbursement of 40% by medical institutions of Grade II and below;

2. 5000 yuan to 10000 yuan.

1. Level-III medical institutions will be reimbursed 45%.

2. Reimbursement of 35% by medical institutions of Grade II and below;

Iii. 10000 yuan to 20000 yuan.

1. 40% reimbursement for tertiary medical institutions,

2. Reimbursement of 30% by medical institutions of Grade II and below;

Four, more than 20000 yuan.

Regardless of the level of medical institutions, the unified reimbursement is 30%.

Medical insurance for urban residents mainly provides basic medical security system for urban residents and reimburses a certain proportion of residents' hospitalization medical expenses.

Qifubiaozhun for hospitalization: The deductible lines of the first, second and third level designated medical institutions are 200 yuan, 500 yuan and 800 yuan respectively. From June 5438+ 10, 2020, the deductible lines of six tertiary hospitals, including the Affiliated Hospital of Qingda University, the municipal hospital, the central hospital, Haici Medical Group and Qilu Hospital, were adjusted to 1000 yuan.

If the insured is hospitalized for the first time within one year, the deductible is100%; The second hospitalization, deductible by 50%; For those hospitalized for the third time or more, the deductible line shall be uniformly implemented according to 100 yuan.

First, the proportion of medical insurance payment for urban residents in Qingdao, Shandong Province

1.Employees under the age of 35 shall be counted as 23% of their wages;

2.35-year-old and under 45-year-old employees shall be paid according to 27% of their paid wages;

Employees aged 3.45 and above shall be counted as 35% of their wages;

Retirees are included in 5% of their pension. Among them, the monthly amount under 70 years old is lower than that of 60 yuan, which is included in 60 yuan; Those who are over 70 years old and whose monthly amount is lower than that of 70 yuan are included in 70 yuan.

Two, Shandong Qingdao urban residents medical insurance payment standard

65,438+0. The individual payment standards of adult residents (second grade), children and college students in Qingdao are all higher than those in 20 yuan, that is, the individual payment standards of adult residents, children and college students are 130 yuan, 130 yuan and 130 yuan respectively. Other payment policies remain unchanged.

2. Enjoy the minimum living allowance of family insured, entitled groups and rural five guarantees, fully subsidized by the financial, of which adult residents are subsidized according to the first-class standard; The minimum living security marginal family insured and severely disabled individuals pay part, according to 50% subsidies.

Legal basis:

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

Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should 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.