What is the proportion of civil servants' medical reimbursement?

Proportion of civil servants' medical insurance reimbursement:

(1) Proportion of reimbursement for outpatient expenses of on-the-job personnel (calculated by combining medical expenses on campus and off-campus in the current year): less than or equal to 3,000 yuan: 80% of reimbursement for public medical expenses and 20% of personal burden; More than 3,000 yuan: 90% for medical reimbursement at public expense and10% for personal burden; Proportion of reimbursement for hospitalization expenses of on-the-job employees (during the year): less than or equal to 1 10,000 yuan: 90% of medical expenses are reimbursed at public expense, and 10% of personal burden; /kloc-more than 0/10,000 yuan: 94% for medical reimbursement at public expense and 6% for personal burden;

(2) The reimbursement ratio of retirees' outpatient expenses (calculated by combining the medical expenses on campus and off campus in that year): less than or equal to 3,000 yuan: 90% of the medical expenses at public expense and10% of the personal burden; More than 3,000 yuan: 95% for medical reimbursement at public expense and 5% for personal burden; Reimbursement ratio of retirees' hospitalization expenses (during the year): less than or equal to 10000 yuan: 95% for medical reimbursement at public expense and 5% for personal burden; /kloc-more than 0/10,000 yuan: 97% for medical reimbursement at public expense and 3% for personal burden;

(3) 90% of the outpatient expenses of students who enjoy free medical care are reimbursed, and the personal burden is10%; The hospitalization expenses are reimbursed by 95%, and the personal burden is 5%.

(4) The reimbursement ratio of retired personnel and medical staff is still implemented according to the original relevant regulations.

Extended data:

Urban residents hospitalized for more than two times in a settlement year, starting from the second hospitalization, no longer charge Qifubiaozhun fees. Transfer or hospitalization for more than two times, make up the difference of Qifubiaozhun in accordance with the provisions of transfer or hospitalization again.

Students, children

In a settlement year, medical expenses less than 6,543,800 yuan+0.8 million yuan that meet the scope of reimbursement occurred. The threshold of tertiary hospitals is 650 yuan, with a reimbursement rate of 50% and an upper limit of 2,000 yuan; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%.

At least 70 years old and above.

In a settlement year, medical expenses below 654.38+10,000 yuan that meet the scope of reimbursement occur. The threshold of tertiary hospitals is 650 yuan, with a reimbursement rate of 50% and an upper limit of 2,000 yuan; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%.

Other urban residents

In a settlement year, medical expenses below 654.38+10,000 yuan that meet the scope of reimbursement occur. The threshold for tertiary hospitals is 659 yuan, the reimbursement rate is 50%, and the upper limit is 2,000 yuan. The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.

The reimbursement standard for hospitalization is related to the level of the hospital where the insured person is located. For example, in a tertiary hospital, employees have to pay 15%, that is, 85%, from the threshold to 30,000 yuan. The expenses of 30,000-40,000 yuan shall be paid by employees themselves 10%, and 90% shall be reimbursed; If the expenses exceed 40,000 yuan to the maximum payment limit, 95% can be reimbursed, and employees only need to pay 5%. Retirees pay 60% of the on-the-job employees, but all below the minimum threshold are paid by individuals.

The medical treatment items that employees' basic medical insurance does not pay are mainly those that are clinically unnecessary and have uncertain curative effects, and those that need special medical services, including services such as registration fees, non-disease treatment items such as beauty, therapeutic equipment and medical materials hearing AIDS, magnetic therapy and other types of infertility treatment.

References:

Baidu encyclopedia-medical insurance reimbursement ratio