Job Recruitment Website - Social security inquiry - What is the reimbursement rate of hospitalization medical insurance?
What is the reimbursement rate of hospitalization medical insurance?
I. The reimbursement rates for inpatient medical insurance are as follows:
1. Level 1 hospitals, 90% of the portion above the starting standard up to the maximum payment limit;
2. Level 2 hospitals, 85% of the portion from the starting standard up to 10,000 yuan (inclusive), 90% of the portion from 10,000 yuan (inclusive) up to the maximum payment limit;
3. For tertiary hospitals, 80% of the portion of the starting standard up to and including 5,000 yuan, 85% of the portion of the enviroment and between 5,000 yuan and 10,000 yuan, and 90% of the portion of the portion above 10,000 yuan up to the maximum payment limit will be paid.
4. Retirees will receive a 5% increase on top of the above payment rates.
The scope of reimbursement of hospitalization insurance is as follows:
1. Expenses incurred during the period of newly enrolled in social security card;
2. Expenses incurred during the period of loss of social security card and replacement of social security card;
3. Expenses incurred during the period of emergency medical treatment in designated medical institutions without the card of the brother to make a sign;
4. Expenses incurred during the period of arrears of payment;
5.
5, manual reimbursement of expenses incurred during the period of medical treatment;
6, eligible for payment by the city's health insurance fund for medical treatment in foreign countries;
7, the current year's costs must be declared by January 20 of the following year.
According to Article 28 of the Social Insurance Law: Hu quiet medical expenses in line with the basic medical insurance drug catalog, diagnostic and treatment items, medical service facility standards, as well as emergency and rescue, shall be paid from the basic medical insurance fund in accordance with state regulations.
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