Job Recruitment Website - Social security inquiry - What is the reimbursement rate of civil servants' medical insurance in Beijing?
What is the reimbursement rate of civil servants' medical insurance in Beijing?
1, the reimbursement rate of outpatient expenses for on-the-job personnel is less than or equal to 3,000 yuan, 80% of medical expenses are reimbursed at public expense, and the personal burden is 20%;
2, more than 3000 yuan, 90% of public medical reimbursement, personal burden10%;
The reimbursement ratio of hospitalization expenses is:
1, less than or equal to 10000 yuan: 90% for medical expenses reimbursement and10% for personal burden;
2./kloc-more than 0/10,000 yuan: 94% of medical expenses are reimbursed, and the personal burden is 6%.
The materials required for Beijing medical insurance reimbursement are as follows:
1, social security card (provided by the insured with social security card);
2, outpatient and emergency prescription bottom side (in case of emergency need emergency prescription bottom side);
3. The injury expenses shall provide the cause of injury, and affix the official seal of the unit and the emergency department;
4. Original machine-printed bill (stamped with financial seal);
5. Detailed list of inspection, treatment, materials and laboratory expenses;
6, Beijing medical insurance referral (hospitalization) form (provided by the referral staff);
7. Original emergency diagnosis certificate;
8, "Beijing medical insurance handbook participation fee audit table" or "Beijing medical insurance outpatient upload fee audit table";
9. List of Manual Reimbursement Expenses of Beijing Basic Medical Insurance or List of Uploading Expenses of Beijing Basic Medical Insurance Outpatient;
10, provide materials (general electronic files are also acceptable).
To sum up, the proportion of medical insurance reimbursement for civil servants in Beijing is generally divided into the following situations:
1, the reimbursement rate of outpatient expenses for on-the-job personnel is less than or equal to 3,000 yuan, 80% of medical expenses are reimbursed at public expense, and the personal burden is 20%;
2, more than 3000 yuan, 90% of public medical reimbursement, personal burden10%;
The reimbursement ratio of hospitalization expenses is:
1, less than or equal to 10000 yuan: 90% for medical expenses reimbursement and10% for personal burden;
2./kloc-more than 0/10,000 yuan: 94% of medical expenses are reimbursed, and the personal burden is 6%.
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.
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