Proportion of medical insurance reimbursement for employees in Guangzhou

Proportion of medical insurance reimbursement for employees in Guangzhou:

1. Minors and students at school: tertiary medical institutions in 480 yuan, secondary medical institutions in 240 yuan, and primary medical institutions 120 yuan.

2. Non-employed residents, employees and flexible employees: tertiary medical institutions10.6 million yuan, secondary medical institutions in 800 yuan and primary medical institutions in 400 yuan.

3. Elderly residents and retirees: tertiary medical institutions 1 120 yuan, secondary medical institutions 560 yuan, and primary medical institutions 280 yuan.

4, suffering from mental illness of the insured in the city's basic medical insurance designated psychiatric medical institutions or psychiatric wards in the basic medical expenses, there is no Qifubiaozhun.

Reimbursement ratio

General outpatient service:

1, 75%-55% of employees in 300 yuan per month, that is, the reimbursement standard for employees and retirees in community hospitals and designated primary hospitals has been raised to 75%, and the reimbursement ratio of medical institutions such as 3A hospitals has also been raised to 55%.

2. The reimbursement rate for retirees and flexible employees is 65%-45%, that is, flexible employees and outsiders. The reimbursement standard in community hospitals and designated primary hospitals has also been raised to 65%, and that in medical institutions such as 3A hospitals is 45%.

3. The proportion of reimbursement for minors and students in school is 80%-50%; The reimbursement rate for non-employed residents and elderly residents is 60%/ 100 yuan per person per month.

Chronic diseases: 85%-65% of employees, per person per month 150 yuan;

How much is the medical insurance reimbursement in Guangzhou? As can be seen from the above, the amount of medical insurance reimbursement in Guangzhou is determined by the proportion of medical insurance reimbursement and the minimum payment standard. Among them, the proportion of medical insurance reimbursement for employees in this city is 75% for general outpatient reimbursement and 85% for chronic diseases; Qifubiaozhun is a tertiary medical institution 1600 yuan, a secondary medical institution 800 yuan and a primary medical institution 400 yuan.

Guangzhou employee medical insurance reimbursement policy and application process refer to Guangzhou employee medical insurance reimbursement policy and operation process. According to the regulations of Guangzhou Human Resources and Social Security Bureau, the proportion of medical insurance reimbursement for employees in Guangzhou is classified according to different medical items and expenses, and the specific proportion is paid by the medical insurance fund. Employees need to bring relevant medical bills and reimbursement materials after seeking medical treatment, and apply for reimbursement to the medical insurance department through their units or social security institutions. The application process includes filling in the reimbursement application form, submitting relevant materials, waiting for review and notifying the reimbursement results. Employees can consult the human resources department or social security agency of their unit to obtain detailed reimbursement policies and application process information, and enjoy the medical insurance reimbursement treatment smoothly.

Legal basis:

People's Republic of China (PRC) Social Insurance Law;

Chapter III Basic Medical Insurance

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.