Wuxi children's social security hospitalization quota

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At present, China's social insurance mainly includes endowment insurance, medical insurance, unemployment insurance, maternity insurance and industrial injury insurance. Among them, the basic medical insurance is an insurance to compensate the medical expenses caused by diseases, and its main purpose is to alleviate the difficulties and pressure of the insured to see a doctor.

All diseases can be reimbursed by social security card, and the amount of reimbursement by social security card depends on the different amounts of different medical items. It has nothing to do with any disease.

Outpatient reimbursement:

The outpatient and emergency medical expenses that meet the requirements of social security are above 1.800 yuan every year, and 50% are reimbursed in designated non-community medical institutions and 70% in the community.

If this is the first reimbursement this year, the medical expenses incurred will be 2,000 yuan after deducting the social security self-funded items and self-funded items, of which 1.800 yuan cannot be reimbursed, which is your personal burden. If 200 yuan is multiplied by 50% (non-community) or 70% (community), you will get 1, 000 yuan or 1, and 400 yuan will reimburse you. Social security can reimburse you up to 20 thousand.

Hospitalization reimbursement:

Hospitalization, the first hospitalization1more than 300, and later hospitalization of more than 650. Medical expenses below 30,000 yuan shall be reimbursed by 85% (level III hospital, the same below), 30,000-40,000 yuan shall be reimbursed by 90%, and more than 40,000 yuan shall be reimbursed by 95%, with a maximum payment of 70,000 yuan.

If the maximum annual payment exceeds 70,000 yuan, it will be reimbursed at the rate of 70%, and the maximum annual social security payment is170,000 yuan (excluding outpatient and emergency services).