Job Recruitment Website - Social security inquiry - How much is the social security fixed-point reimbursement?
How much is the social security fixed-point reimbursement?
First, the use of special medical materials or disposable medical materials with a unit price of more than/kloc-0,000 yuan, as well as the installation and replacement of artificial organs, shall be paid by the basic medical insurance pooling fund at 90% of the domestic general price. Second, 90% of the basic medical expenses for outpatient dialysis of chronic renal failure, outpatient anti-rejection drugs after organ transplantation, outpatient chemotherapy, radiotherapy, interventional therapy or radionuclide therapy are paid by the basic medical insurance pooling fund. Third, the cost of outpatient special examination and treatment is paid by the basic medical insurance fund 80%, and the individual pays 20%. Fourth, continuous payment is linked to the reimbursement ratio. After two years of continuous insurance, the reimbursement rate increased to 765,438+0%, and after four years of continuous insurance, the reimbursement rate increased to 72%, and so on.
Legal basis: Interim Measures for the Administration of Designated Medical Institutions of Basic Medical Insurance for Urban Employees Article 15 Social insurance agencies shall strengthen the inspection and audit of the medical expenses of insured persons in designated medical institutions. Designated medical institutions have the obligation to provide all the medical information and account list required for the audit of medical expenses.
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