Social security hospitalization reimbursement rate 2021

Social Security is so common in our lives that it is necessary to know about its laws. Social security is to provide some financial security for some of our physical problems. So, the social security reimbursement ratio in 2020 is as follows:

(I) Hospitalization reimbursement ratio :

1. For level 1 hospitals, 90% of the portion that exceeds the starting contribution standard up to the maximum contribution limit can be reimbursed;

2. For level 2 hospitals, the portion that is higher than the minimum contribution standard can be reimbursed 85% up to 10,000 yuan; the portion that exceeds 10,000 yuan up to the maximum 90% reimbursement for the portion above the benefit limit;

3. For tertiary hospitals, 80% reimbursement for the portion above the starting standard up to $5,000; 85% reimbursement for the portion between $5,000 and $10,000; and 90% reimbursement for the portion above $10,000 up to the maximum benefit limit.

4. Retirees are entitled to a 5% increase in the above reimbursement rates.

(2) Starting line for hospitalization reimbursement:

1. Two hundred yuan for first-level hospitals;

2. Five hundred yuan for second-level hospitals;

3. Eight hundred yuan for third-level hospitals;

4. For patients with malignant tumors, the starting price is calculated only once for medical expenses incurred for multiple times due to radiotherapy and chemotherapy within a medical year.

(C) chronic outpatient reimbursement rate:

Outpatient chronic diseases are divided into Class A chronic diseases and Class B chronic diseases.

1. The outpatient medical expenses of Class A chronic disease patients who meet the requirements due to their illnesses are reimbursed by the integrated fund at 85%. The reimbursement of outpatient hemodialysis cost, peritoneal dialysis cost and cyclosporin A cost for chronic renal failure (renal failure stage) patients after organ transplantation is increased by 10% on the above basis.

2. 2. Starting standard for Category B chronic diseases: $300. Patients with Class B Chronic Diseases can be reimbursed 80% of the outpatient reimbursable medical expenses caused by the disease that exceeds the starting line standard. It cannot be higher than the maximum benefit limit for chronic diseases within one medical year (or validity period).

3. 3. The insured person can identify two Class B chronic diseases at the same time, and the starting line for each disease will be calculated separately according to the dual-disease management of the first identification. The management of chronic disease identification and the maximum contribution limit shall be adjusted in time by the human resources and social security department according to the income and expenditure of the integrated fund. Chronic disease identification standards, rules and procedures, by the municipal human resources and social security administration separately.