What is reimbursement in the social security catalogue?

Hemorrhoids surgery belongs to the scope of overall medical insurance payment. You can apply for social security by hospitalization with medical insurance in 10. If the company is insured, the company can enjoy medical insurance in the month after paying the fee. You can wait until you get the medical insurance card, and then go to the designated hospital for hospitalization. The so-called medical insurance hospitalization reimbursement-not when you pay cash in advance, but when you are hospitalized in a designated medical insurance hospital, you can issue a medical insurance card, so that the unified medical insurance settlement system can read the insured information, handle the hospitalization number, and leave the hospital.

If it is social security for flexible employees, you can enjoy hospitalization medical insurance reimbursement only after the individual payment reaches 6 months.

How much to report, more than 80% after the threshold fee, "threshold fee" and "more than 80%" depend on the level of the designated medical insurance hospital where you are hospitalized.

Employees and retirees are hospitalized, outpatient and emergency, and part of the medical expenses above Qifubiaozhun and below the maximum payment limit are paid by the pooling fund according to the following proportions, and employees and retirees also bear a certain proportion of the expenses: 88% (90.4% of retirees) is paid by the pooling fund of first-class medical institutions, and 12% (9.6% of retirees) is paid by individuals; Secondary medical institutions are paid 85% (88% of retirees) by the overall fund, and individuals pay 15% (retirees12%); The fund of tertiary medical institutions pays 82% (85.6% for retirees) and the individual pays 18% (retirees 14.4%).

The qifubiaozhun of the overall fund is the so-called "threshold". Before the pooling fund pays, a certain amount of medical expenses must be borne by the individual according to the regulations, and only the expenses exceeding the "threshold" can be paid by the pooling fund.

The Qifubiaozhun of our city's overall fund is determined according to different levels of medical institutions: 400 yuan, a first-level medical institution, 600 yuan, a second-level medical institution, and 800 yuan, a third-level medical institution (the Qifubiaozhun for the second or multiple hospitalizations during the year is halved).

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.