Proportion of reimbursement for medical treatment in different places for medical insurance for employees in Beijing

The reimbursement ratio of medical insurance for employees in Beijing in different places is as follows:

1, the reimbursement rate for the threshold fee above 3,000 yuan is 88%, that for 3,000-5,000 yuan is 90%, that for 5,000-10000 yuan is 92%, and that for10000 yuan is 95%;

2. 80% reimbursement for Class B drugs, 70% reimbursement for expensive drugs, and 70% reimbursement for special inspection and special treatment;

3. The reimbursement rate of tertiary hospitals is 55%; The reimbursement rate of secondary hospitals is 65%; The reimbursement rate of first-class hospitals is 75%.

Steps of medical insurance reimbursement for employees in different places:

1, discharge summary, invoice and medication list issued by different hospitals;

2. My ID card, medical insurance card and medical certificate issued by the unit. Non-enterprise insured, no need to issue a certificate of medical treatment in different places issued by the unit;

3. The transfer certificate issued by the local hospital needs to be issued by the attending physician, and then signed by the director of the department where the attending physician is located, and then go to the hospital medical insurance office to handle the transfer certificate;

4. The reimbursement for returning to the local area for medical treatment in different places is less than that in the local area 10%, and there is 20% less without the transfer certificate issued by the local hospital;

5. Take the above information to the local medical insurance office.

To sum up, medical insurance generally refers to medical insurance. Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks.

Legal basis:

Article 2 of People's Republic of China (PRC) Social Insurance Law

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 28

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.