Scope and proportion of medical insurance reimbursement in Tianjin

Legal analysis: the proportion of insurance reimbursement in Tianjin

1, employee medical insurance: 80%;

2. Medical insurance for residents:

A, 20,000 yuan to 6,543,800 yuan+50%;

B, 65,438+10,000 yuan to 200,000 yuan: 60%;

C.200,000 yuan to 300,000 yuan: 70%.

Legal basis: Article 29 of the Regulations on Basic Medical Insurance for Urban Workers in People's Republic of China (PRC), the hospitalization expenses for major diseases shall be paid in the following ways:

(a) Qifubiaozhun in principle control in the city, county, autonomous county last year, the average social wage of workers 9%-0%.

(two) the maximum payment limit is controlled in principle at 3-5 times of the average social wage of employees in cities, counties and autonomous counties in the previous year.

(three) medical expenses above the minimum deductible and below the maximum payment limit are mainly paid by the overall fund, and individuals bear a certain proportion. Give appropriate care to the proportion of retirees who bear medical expenses.

The scope of serious diseases, the specific standards of Qifubiaozhun and the maximum payment limit, and the proportion of sharing medical expenses above Qifubiaozhun and below the maximum payment limit shall be determined by the provincial people's government.