Beijing social security hospitalization reimbursement flow chart

The specific reimbursement policies and explanations are as follows:

First, social security and medical insurance reimbursement

1. Concept: Social security medical insurance is the basic medical insurance provided by the state for all workers who participate in social insurance. This insurance company has to pay 10% of the personal salary to the social security center every month, and the individual has to pay 2% of the salary (both the personal payment and the company payment are returned to the personal medical insurance passbook of Bank of Beijing).

2. Reimbursement ratio:

Outpatient service: annual cumulative 1800 yuan pays for all the following parts;

50% of the annual accumulated 1800 yuan portion can be reimbursed.

The part that accumulated more than 20,000 yuan in the whole year: all turned over.

Hospitalization: 1300 yuan pays for the following part;

1The part above 300 yuan can be reimbursed from 85% to 97% according to the level and amount of the hospital.

More than 70,000 yuan: paid in full.

3. Compensation for hospital restrictions:

Four designated medical institutions selected in the medical blueprint

19 designated first-class medical institutions in Beijing (attached)

All specialized hospitals and traditional Chinese medicine hospitals in Beijing

4. Reimbursement time:

Outpatient service: After the accumulated amount exceeds 1800 yuan, it shall be submitted to the Human Resources Department for reimbursement in the social security center.

Hospitalization: reimbursement directly through hospital settlement.

5. Materials to be provided for reimbursement: medical blueprints, registration forms, receipts, prescriptions, laboratory tests, special inspection certificates, etc.

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