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What is the reimbursement rate for social security surgery?
The reimbursement rates of different identities are as follows: students and children: within a settlement year, medical expenses below 6.5438+0.8 million yuan that meet the scope of reimbursement occur, and the threshold for tertiary hospitals is 650 yuan, with the reimbursement rate of 50% and the upper limit of 2,000 yuan; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%. At least 70 years of age and above: within a settlement year, medical expenses below RMB 6,543,800+that meet the scope of reimbursement occur, and the threshold for tertiary hospitals is 650 yuan, with the reimbursement ratio of 50% and the upper limit of RMB 2,000; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%. Other urban residents: in a settlement year, medical expenses below RMB 6,543,800+that meet the scope of reimbursement occur, and the threshold for tertiary hospitals is RMB 659, and the reimbursement ratio is 50%, with an upper limit of RMB 2,000; The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.
Legal objectivity:
Article 64 of the Social Insurance Law of People's Republic of China (PRC) includes basic old-age insurance fund, basic medical insurance fund, industrial injury insurance fund, unemployment insurance fund and maternity insurance fund. In addition to the basic medical insurance fund and maternity insurance fund combined accounting, other social insurance funds are accounted for separately according to social insurance types. Social insurance funds implement a unified accounting system throughout the country. The social insurance fund is earmarked for special purposes, and no organization or individual may occupy or misappropriate it.
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