Job Recruitment Website - Social security inquiry - What is the proportion of medical expenses reimbursed by social security in Beijing?
What is the proportion of medical expenses reimbursed by social security in Beijing?
(1) If you choose to see a doctor in a first-class hospital, the reimbursement rate is 55%, and the annual deductible is 100 yuan, with a maximum reimbursement of 3,000 yuan per year.
(2) If you choose a secondary or tertiary hospital for treatment, the reimbursement rate is 50%, and the annual deductible line is 550 yuan, with a maximum reimbursement of 3,000 yuan per year.
2. The proportion of hospitalization reimbursement (up to 200,000/year)
(1) Level-1 hospital: the reimbursement rate is 80%, including the deductible line for students and children 150 yuan, and the deductible line for non-students and children is 300 yuan.
(2) Secondary hospital: the reimbursement rate is 78%, in which students and children pay in 400 yuan every time, and non-student children pay in 800 yuan every time.
(3) Tertiary hospitals: the reimbursement rate is 75%, of which the deductible for students and children is 650 yuan and the deductible for non-students and children is 1.300 yuan.
People's Republic of China (PRC) social insurance law
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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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