What is the reimbursement ratio of social security card?

The amount that can be reimbursed by the medical insurance card depends on the situation:

1, employee medical insurance: according to the level of hospitalization expenses, such as 1300 yuan to 85% between 30,000 yuan;

2. Residents' medical insurance: the reimbursement rate of first-class hospitals is 65%, that of second-class hospitals is less than 6,000 yuan, that of more than 6,000 yuan is 80%, that of county-level hospitals is 65%, that of more than 6,000 yuan is 80%, and that of municipal hospitals is less than/kloc-0.2 million yuan, and that of/kloc-0.2 million yuan is more than 75%.

Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

What does the reimbursement scope of medical insurance generally include?

1. List of medical insurance drugs: The list of medical insurance drugs is generally divided into Class A and Class B. All Class A drugs are included in the scope of reimbursement, and then reimbursed according to the prescribed proportion. Class B drugs need to pay a certain proportion first, and the rest are included in the scope of reimbursement, and reimbursed according to a certain proportion. And some drugs can not be reimbursed, such as: diet pills, infertility and other drugs;

2. Catalogue of diagnosis and treatment items: all the necessary, safe, effective and appropriate diagnosis and treatment items in clinical diagnosis and treatment, and the fees are customized by the price department, can be reimbursed. Other items can not be reimbursed, such as registration fee, plastic surgery, dental beauty, etc.

3. Catalogue of medical-related service facilities: generally provided by designated medical institutions. The insured generally needs to receive necessary service facilities during the process of diagnosis, treatment and nursing.