What is the inter-annual settlement of medical insurance?

The maximum annual payment limit (hospitalization expenses) of the basic medical insurance pooling fund is currently 70,000 yuan.

1, the standard of hospitalization reimbursement is related to the level of the hospital where the insured person is located. If you live in a tertiary hospital, the employee pays 15%, which is 85% of the reimbursement, from the minimum threshold to 30,000 yuan.

2, 30,000 yuan to 40,000 yuan, the employee's individual contribution 10%, 90% reimbursement;

3, more than 40000 yuan to the maximum payment limit, 95% can be reimbursed, employees only need to pay 5%.

4. The individual contribution ratio of retirees is 60% of the on-the-job (i.e. the above) employees, but all below the threshold is paid by individuals.

Extended data:

At this stage, after the medical insurance card is degaussed and lost, the social security card will be replaced directly according to the regulations. The specific process is as follows:

(1) If it is the same bank before and after card replacement, you should report the loss to the employee medical insurance card service bank with valid documents. The street labor security service center shall handle the social security card with the bank's notice of loss reporting and my valid certificate. The time is 45 working days. After receiving the social security card and injecting capital, the amount in the original medical insurance card will be automatically converted into the social security card without clearing it.

(2) If the cards are not from the same bank, the process of obtaining social security cards is the same. However, the amount in the original medical insurance card will not be automatically converted into a social security card. You need to enter the social security sub-center of the insurance area with a valid certificate and open a notice of employee medical insurance card cancellation. I hold valid certificates and notices to the original employee medical insurance card service bank to clear the medical insurance card.

References:

Baidu encyclopedia-social medical insurance card