Proportion of hospitalization reimbursement of medical insurance for employees in Changsha in 2023

Up to now, the reimbursement rate of employees' medical insurance hospitalization in Changsha is 60%, which can reach 80% according to the policy. There are also some differences in different hospital grades, treatment items and drugs. It is recommended to check the local medical insurance policy before hospitalization to understand the specific reimbursement ratio.

The proportion of medical insurance reimbursement for employees in Changsha refers to the proportion paid by the medical insurance fund during the hospitalization of employees who participate in the basic medical insurance in Changsha. At present, the reimbursement rate of medical insurance for employees in Changsha is 60%, which is relatively stable. However, according to the policy, there are certain differences in different hospital grades, treatment items and drugs, and the highest proportion can reach 80%. It should be noted that in the process of enjoying hospitalization reimbursement, other regulations need to be met, such as choosing designated hospitals and doctors and treating according to doctor's advice. In addition, we must abide by the relevant regulations and procedures of the medical insurance management department, such as providing the corresponding hospitalization certificate and expense list, and submitting the application within the specified time. Therefore, it is recommended to check the local medical insurance policy before hospitalization, and know the level of your hospital and the specific reimbursement ratio of treatment items and drugs. If there is any uncertainty, you can consult the medical insurance department of the hospital or the local social security bureau and other relevant departments.

Under what circumstances can I enjoy the highest reimbursement rate of 80%? According to the policy, employees can enjoy a maximum reimbursement rate of 80% as long as they meet the relevant regulations. Generally speaking, the following requirements need to be met: 1. See a doctor in a designated hospital; 2. Accept the treatment items and drugs that meet the medical insurance catalogue; 3. According to the doctor's advice for treatment, and abide by the relevant regulations and procedures; 4. Provide the hospitalization certificate and expense list that meet the requirements; 5. Submit the application materials within the specified time.

The proportion of medical insurance reimbursement for employees in Changsha is an important medical insurance policy, which can provide certain protection for the insured. Insured personnel should abide by relevant regulations and procedures when enjoying reimbursement treatment, and pay attention to the differences of different hospital grades, projects and drugs. You can consult the medical insurance department of the hospital or the local social security bureau and other relevant departments if you encounter problems.

Legal basis:

Article 27 of the Social Insurance Law of People's Republic of China (PRC), if an individual who participates in the basic medical insurance for employees reaches the statutory retirement age and the accumulated payment reaches the fixed number of years stipulated by the state, he will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.