Job Recruitment Website - Social security inquiry - Qingdao medical insurance has the highest reimbursement for hospitalization.
Qingdao medical insurance has the highest reimbursement for hospitalization.
The following contents are for reference:
1, hospitalization deposit and personal out-of-pocket expenses can be paid by social security card;
2, hospitalization reimbursement standards are as follows:
(1) The minimum payment standard and maximum payment limit shall be set for the medical expenses paid by the social pooling fund. Qifubiaozhun refers to the amount of medical expenses paid by individual accounts or borne by individuals before the overall fund payment. The qifubiaozhun of the first, second and third level medical institutions are 500 yuan, 670 yuan and 840 yuan respectively. If the patient is hospitalized for the first time in a medical year, the minimum payment standard shall be 100%; The second hospitalization, Qifubiaozhun by 50%; No qifubiaozhun will be set for the third and above hospitalization. The outpatient medical expenses for special diseases shall be subject to quota or quota management, and Qifubiaozhun shall be set up separately within one medical year.
The maximum medical expenses paid by the social pooling fund for the insured within a medical year are 40,000 yuan. A medical year starts from the date when the social pooling fund pays the first medical expenses 12 months.
(II) The medical expenses for hospitalization or outpatient treatment of special diseases of the insured shall be borne by social pooling funds and individuals in a certain proportion according to the cumulative calculation method of different grades: for the part below 5,000 yuan, the personal burden ratio is 12%, 14% and 14% in the first, second and third level medical institutions respectively. 5,000 yuan to 10000 yuan, and the personal burden ratio of the first, second and third-level medical institutions is 10%, 12% and14% respectively; 10000 yuan to 20000 yuan, personal burden10%; 20 thousand yuan to the maximum payment limit, personal burden of 5%. The rest is borne by the social pooling fund.
The proportion of retirees' hospitalization medical expenses is halved.
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