Beijing Supplementary Medical Insurance Upper limit

Beijing's medical insurance is divided into basic medical insurance for urban workers, basic medical insurance for urban residents, and new rural cooperative medical care, etc. I don't know which one you want to know.

The urban workers are mainly for working or retired urban workers, including basic medical insurance and supplementary medical insurance, which includes large amount of mutual aid and retiree supplementary medical insurance.

1, if you are a working urban workers, outpatient emergency medical expenses in line with the social security provisions of the annual (1.1-12.31) more than 1,800 yuan part of the designated non-community medical institutions will be reimbursed in accordance with the proportion of 50%, the community in accordance with the proportion of 70% reimbursement. If you are reimbursed for the first time in the current year, you will be reimbursed for the remaining 2,000 yuan of medical expenses after deducting the social security deductibles and out-of-pocket expenses, of which 1,800 yuan cannot be reimbursed and you have to bear the burden, and 200 yuan multiplied by 50% (non-community) or 70% (community) will be reimbursed to you at a rate of 100 yuan or 140 yuan. Social Security will reimburse you up to $20,000.

2. If you are a retired worker under age 70, Social Security pays 70 percent of the portion of the outpatient emergency room visit of $1,300 or more per year, and Retirement Supplemental Insurance pays 15 percent, (2,000-1,300) x 85 percent = $595.

3. If you are an active employee hospitalized, the first hospitalization is more than 1,300 yuan, and thereafter another hospitalization is more than 650 yuan. medical expenses under 30,000 yuan are reimbursed according to 85% of the rate (tertiary hospitals, the same below), 30,000-40,000 are reimbursed according to 90% of the rate, and more than 40,000 are reimbursed according to 95% of the rate, with a maximum payment of 70,000 yuan. If the maximum payment exceeds 70,000 yuan in a year, it will be reimbursed at 70%, and social security will pay a maximum of 170,000 yuan in a year (excluding outpatient and emergency).

4. If you are a retired employee, if you are hospitalized for the first time for more than 1,300 yuan and for another time for more than 650 yuan, the medical fee for less than 30,000 yuan will be reimbursed according to 91% of the rate (for tertiary hospitals, the same below), 30,000-40,000 will be reimbursed according to 94% of the rate, and part of the fee for more than 40,000 yuan will be reimbursed according to 97% of the rate. The upper limit of payment is the same as that of the active employees, and in addition to the starting line (1300 or 650 portion), the part of the individual's burden, the retirement portion of the reimbursement of another 50%.

Retirees in Beijing is more appropriate, I do not know if you read it, the unknown then contact!

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