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Proportion of designated reimbursement for medical insurance in Guangzhou
1, and the reimbursement rate of the first-level designated medical institutions for on-the-job employees' medical insurance is 90%;
2, two designated medical institutions reimbursement rate is 85%;
3, three designated medical institutions reimbursement rate is 80%;
4. The reimbursement rate of the first-level designated medical institutions for retirees' medical insurance is 93%;
5. The reimbursement rate of secondary designated medical institutions is 89.5%;
6. The reimbursement rate of tertiary designated medical institutions is 86%.
The information required for medical insurance in different places is as follows:
1, ID card: valid ID cards such as ID cards and passports are required for medical insurance in different places;
2. Medical insurance card: when handling the medical insurance transfer procedures in different places, you need to submit it with your own medical insurance card;
3. Social security certificate: it is necessary to provide the social security certificate issued by the social security bureau of the original insured place to prove that the original insured place has participated in social security and paid social insurance premiums;
4. Case certificate: Some areas may need to provide case certificates to prove the reasons for the need for medical treatment in different places.
To sum up, the specific processes and requirements of medical insurance in different regions may be different. It is recommended that you know the local policies and requirements before going through the formalities, so as to successfully complete the relevant procedures.
Legal basis:
Article 26 of People's Republic of China (PRC) Social Insurance Law
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.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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