Job Recruitment Website - Social security inquiry - What are the procedures for the second reimbursement of medical insurance?

What are the procedures for the second reimbursement of medical insurance?

Legal Analysis: According to the regulations, the threshold of medical expenses for the second and subsequent hospitalization is determined to be 50%, that is, 650 yuan. The maximum annual payment limit of the basic medical insurance fund is currently 70,000 yuan.

The specific process, first of all, the critical illness insurance is not reimbursed according to the disease type, but according to the total cost of the person's medical treatment within one year. If the expenses exceed a certain amount, no matter what disease the insured suffers from, they can be reimbursed according to the corresponding proportion. Residents who participate in urban residents' medical insurance, after the normal medical insurance reimbursement, the remaining personal out-of-pocket expenses within the scope of medical insurance reimbursement, which exceed the annual per capita disposable income of urban residents in the city last year, can be reimbursed.

Legal basis: Article 26 of the Social Insurance Law of People's Republic of China (PRC), the treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.