The reimbursement ratio and process of serious illness medical insurance for urban residents in Beijing

Recently, on 20 17, the proportion of medical reimbursement for serious illness of urban residents in Beijing was initially adjusted. The main purpose of adjusting the proportion of reimbursement for serious illness among urban residents in Beijing this time is to reduce the burden of medical treatment for insured persons in Beijing and give full play to the role of reimbursement for serious illness. Specifically, we understand its reimbursement ratio and process.

The reimbursement ratio and process of serious illness medical insurance for urban residents in Beijing

Most urban residents in Beijing will buy a serious illness medical insurance, but they don't know much about its reimbursement ratio and process. Let me give you a brief introduction. Details are as follows:

I. Proportion of reimbursement for serious illness medical insurance for urban residents in Beijing

Qifubiaozhun: per capita disposable income of rural residents in this city in the previous year.

Reimbursement ratio:

1. For the part above the Qifubiaozhun where the individual pays less than 50,000 yuan, 60%;

2. The part where the individual pays more than 50,000 yuan above the threshold: 70%.

Second, the reimbursement process of serious illness medical insurance for urban residents in Beijing

When urban residents' serious illness medical insurance patients reimburse medical expenses again, they do not need to declare themselves. As long as the eligible medical expenses are automatically audited and processed by the municipal medical insurance agency through the medical insurance information system, the insured who meets the conditions for reimbursement of serious illness insurance only needs to wait for the notice of the agency. For the strategy of medical insurance reimbursement, I just sorted out the relevant contents, hoping to help you: how to use social security medical insurance? 1. Teach you how to apply for reimbursement!

At the beginning of each year, the medical insurance agencies in all districts and counties automatically screen the personnel who incurred large medical expenses in the previous year through the medical insurance information system. After reviewing the medical expenses incurred, the expenses reimbursed by the serious illness insurance fund will be directly credited to the insured person's insurance payment bank passbook, without personal declaration and running around.

For some insured persons who have no payment passbook, the social security agency will send the reimbursement fee to the social security office where the insured person's household registration is located, and the social security office will inform the insured person to collect it. You should bring your resident identity card or residence booklet and social security card when you receive it.

To sum up, the main purpose of adjusting the proportion and process of serious illness reimbursement for urban residents in Beijing is to reduce the burden of medical treatment for insured persons in Beijing and give full play to the role of serious illness reimbursement. So much for the above introduction. I hope I can help you.

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Payment standard of serious illness medical insurance in Beijing

In order to ensure the medical needs of urban workers for major diseases, a special medical insurance fund, namely Beijing Medical Insurance for Serious and Extraordinary Diseases, has been established. It is used to pay the medical expenses (excluding out-of-pocket expenses) that the insured person has accumulated over the maximum payment limit of basic medical insurance (40,000 yuan) during the year of participating in the basic medical insurance for urban workers. These Provisions shall apply to local enterprises and their employees and retirees in cities, districts and counties within the administrative area of this Municipality.

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