How much can Jiangxi medical insurance reimburse for medical treatment in different places?

The reimbursement rate is 88% for the threshold fee above 3,000 yuan, 90% for 3,000-5,000 yuan, 92% for 5,000-10000 yuan, and 95% for the maximum payment limit above10000 yuan, including 80% for class B drugs, 70% for expensive drugs, special inspection and special treatment. Medical expenses of individual medical insurance accounts can be transferred to the medical insurance bureau regularly, and hospitals in other provinces should be designated hospitals for local medical insurance.

Strengthen the top-level design of cross-provincial medical treatment in different places, make overall consideration of the needs of various cross-provincial medical personnel, and gradually promote direct settlement of cross-provincial medical treatment in different places. At present, the key point is to solve the hospitalization expenses of retirees in different places. Where conditions permit, on the basis of summing up experience, combined with the reform of local household registration and residence permit system, we can explore the inclusion of other inter-provincial permanent residents in the direct settlement of hospitalization medical expenses.

I. Materials required for medical insurance reimbursement:

1. Copy of medical application form.

2. The formal invoice of pharmacy (supervised by State Taxation Administration of The People's Republic of China Finance Department, with the details of purchased drugs listed on the invoice) or the outpatient receipt of designated hospital.

3. Patient ID card and agent ID card.

4. My passbook bank card account number.

Second, the procedures for reimbursement in different places:

1. Download the Application Form for Working and Living in Different Places of Municipal Basic Medical Insurance (hereinafter referred to as the "Application Form") on the social security website;

2 according to the provisions of the "declaration form", and by the foreign social insurance (medical insurance) agency seal;

3 will fill out the "declaration form" back to the social insurance agency responsible for the division of labor for review and confirmation. Need to apply for a medical card in different places in the province, with the "declaration form" after examination and confirmation to the municipal social security center audit department for registration, and then to the social security card management department for the card making procedures in different places in the province;

4. The insured person's personal social security card cannot be used after filing; If the insured person returns for medical treatment, he should go to the municipal social security agency for cancellation of medical registration, and his personal social security card can be used in designated medical institutions from the next day;

5. Implement the principle of reporting changes and not reporting changes;

Legal basis:

People's Republic of China (PRC) social insurance law

Twenty-third employees should participate in the basic medical insurance for employees, and the employer and employees should jointly pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Article 24 The state establishes and improves the new rural cooperative medical system.

Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.

Article 25 The state establishes and improves the basic medical insurance system for urban residents.

The basic medical insurance for urban residents combines individual contributions with government subsidies.

People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.