List of reimbursement scope and proportion of urban medical insurance in Huizhou in 2023?

List of reimbursement scope and proportion of urban medical insurance in Huizhou city. The following is a list of the reimbursement scope and proportion of urban medical insurance in Huizhou. I hope the following information can help your life. Come and have a look with me.

Huizhou urban medical insurance reimbursement scope:

Medical insurance for employees: 80% in first-class hospitals, 60% in second-class hospitals and 55% in third-class hospitals;

The first grade of residents' medical insurance: 55% for first-class hospitals and 40% for second-and third-class hospitals (single limit: 30 yuan);

B file of residents' medical insurance: 75% for first-class hospitals and 40% for second-and third-class hospitals (one-time limit: 60 yuan).

Note: The single reimbursement limit of Huizhou employees' medical insurance is 140 yuan, the single reimbursement limit of residents' medical insurance A file is 50 yuan, and the single reimbursement limit of residents' medical insurance B file is 70 yuan.

Proportion of hospitalization reimbursement for Huizhou medical insurance

Employee medical insurance: 95% (continuous payment for more than 6 months) or 50% (continuous payment for less than 6 months);

Supplementary medical insurance: 95%;

The first grade of residents' medical insurance: 95% in first-class hospitals, 75% in second-class hospitals and 65% in third-class hospitals;

B file of residents' medical insurance: 95% in first-class hospitals, 85% in second-class hospitals and 75% in third-class hospitals.

Maximum payment limit of Huizhou medical insurance

Medical insurance for employees: 600,000 yuan (hospitalization);

Resident medical insurance A file: 400,000 yuan (hospitalization);

B file of residents' medical insurance: 500,000 yuan (hospitalization).

Qifubiaozhun: level I hospital: 200 yuan, level II hospital: 400 yuan, level III hospital: 800 yuan, and hospital outside the city: 1200 yuan.

How to calculate the social security base

List of compensation standards:

Employers take the initiative to handle one-time payment for employees. The payment standard of each time period is calculated according to the payment base and payment proportion of the corresponding time period determined in each year (if there is no payment base and payment proportion in that year, it shall be implemented according to the quota standard of that year). Take Guangzhou as an example, the unified payment base of Guangzhou is not less than 2 139 yuan, and the payment ratio is 20%, that is, the minimum payment is 427.8 yuan/month.