Job Recruitment Website - Social security inquiry - What percentage can foreigners reimburse for medical insurance in Putian?
What percentage can foreigners reimburse for medical insurance in Putian?
1. After the emergency treatment in the hospital, the medical expenses above 1800 yuan can be reimbursed, and the reimbursement rate is 50%;
2. If it is a retiree under 70 years old,1.The expenses above 300 yuan can be reimbursed, and the reimbursement rate is 70%;
3. For retirees over 70 years old,1.80% of the expenses above 300 yuan can be reimbursed.
Note: No matter what kind of people, the maximum payment limit for outpatient and emergency medical expenses is 20,000 yuan.
In case of hospitalization expenses, employees and retirees should pay the minimum amount 1300 yuan when using the basic medical insurance for the first time in a year.
And the second and subsequent hospitalization medical expenses, Qifubiaozhun is determined by 50%, which is 650 yuan. The maximum annual payment limit (hospitalization expenses) of the basic medical insurance pooling fund is currently 70,000 yuan.
The hospitalization reimbursement standard is related to the hospital level where the insured lives:
Note: If you live in a tertiary hospital.
1, from qifubiaozhun to 30,000 yuan, the employee pays 15%, which means 85% reimbursement;
2, 30,000 yuan to 40,000 yuan, the employee's individual contribution 10%, 90% reimbursement;
3. 95% of the part exceeding the maximum payment limit of 40,000 yuan can be reimbursed, as long as the employee pays 5%;
4. Retirees pay 60% of the employees.
Materials to be submitted for declaration:
Individuals will arrange medical expense documents and related materials in chronological order and submit them to the unit (or social security office) for reimbursement.
1, original receipt;
2, hospitalization expenses statement;
3, discharge diagnosis certificate;
4. Copy of observation certificate or death certificate;
5, drugs, examination and treatment costs, emergency observation need to be stamped with the "emergency chapter" of the medical insurance prescription or emergency prescription of the emergency department;
6, social security card, "urban medical insurance manual";
7, the hospital full checkout certificate and unit description.
Handler:
1. The agent submits the reimbursement documents and other materials to the Dark Grey Insurance Fund Administration for acceptance;
2. After receiving the application materials, the accepting department will complete the examination, settlement and payment on the same day;
3, the social insurance fund management bureau to review the materials and approve the application, the applicant to receive the "social medical insurance medical expenses reimbursement form", be reimbursed.
Note: If the application materials are incomplete and all contents need to be corrected, the applicant shall correct the materials within 5 days from the date of receiving the Notice of Corrected Materials. If no correction is made within the time limit, the application shall be deemed to have been withdrawn.
However, after the materials are corrected, the applicant may reapply within the statutory validity period. The applicant shall be reimbursed after receiving the Social Medical Insurance Medical Expense Reimbursement Form.
Social insurance law
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.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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