How to reimburse retired employees of Nanchang Railway Bureau for serious heart disease hospitalization?

The medical insurance for retired employees of Nanchang Railway Bureau belongs to internal social security, and the medical expenses below 65438+ 10,000 yuan are eligible for reimbursement. The threshold for tertiary hospitals is 659 yuan, the reimbursement rate is 50%, and the upper limit is 2,000 yuan. The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%. There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.

Reimbursement is divided into rural residents and urban workers:

1, residents' reimbursement ratio: 60% in town hospitals. 40% reimbursement for secondary hospitals. Third-level hospitals are reimbursed 30%.

2. Social security refers to urban workers. In a settlement year, medical expenses below 654.38+10,000 yuan that meet the scope of reimbursement occur. The threshold for tertiary hospitals is 659 yuan, the reimbursement rate is 50%, and the upper limit is 2,000 yuan. The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%. There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.

3. You need to go back to your hometown (the insured place) for reimbursement in different places, and the reimbursement ratio is 35 to 65%, which varies according to the level of the hospital.