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What is the proportion of employee social security reimbursement?
According to the level of hospitalization expenses, the reimbursement rate of medical insurance for employees is 85% between 1300 yuan and 30,000 yuan, 90% between 30,000 yuan and 40,000 yuan, 95% between 40,000 yuan and10000 yuan, and 85% between10000 yuan and 300,000 yuan.
The scope of hospitalization reimbursement of employee medical insurance:
1, the expenses incurred during the period when the new insured fails to issue the social security card;
2 social security card loss, social security card replacement (replacement) card during the cost of medical treatment;
3, in the designated medical institutions without card emergency medical expenses;
4. Medical expenses during the default period;
5. Expenses incurred during the period of manual reimbursement for medical treatment;
6, in line with the conditions of the city's medical insurance fund payment in the field of medical expenses;
7. The annual expenses shall be declared before June 20th of the following year.
I hope the above content can help you. Please consult a professional lawyer if you have any other questions.
Legal basis: Article 29 of the Social Insurance Law of People's Republic of China (PRC).
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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