Proportion of hospitalization reimbursement for second-class social security

1, the second kind of medical insurance is inpatient medical insurance.

2, outpatient service can be reimbursed every year 1000 yuan.

3. If you are hospitalized, you can basically reimburse 70% to 80%. Before going through the hospitalization formalities, you can show your social security and fill it out. When you leave the hospital, you will directly deduct the expenses that can be reimbursed.

The proportion of hospitalization reimbursement varies from region to region. The following is an example of the proportion of hospitalization reimbursement for secondary social security in Shenzhen:

Secondary medical insurance is hospitalization insurance, and outpatient service can be reimbursed every year 1000 yuan. 70%-80% can be reimbursed if you are hospitalized. Show social security and fill it out before going through the hospitalization formalities, and the reimbursable expenses will be deducted directly at the time of discharge settlement.

What is the proportion of hospitalization reimbursement for the second-class social security?

The proportion of hospitalization reimbursement for second-class social security is different in different regions. For example, Shenzhen II social security hospitalization reimbursement ratio:

The second kind of medical insurance is inpatient medical insurance. 2, outpatient service can be reimbursed every year 1000 yuan. 3. If you are hospitalized, you can basically reimburse 70% to 80%. Before going through the hospitalization formalities, you can show your social security and fill it out. When you leave the hospital, you will directly deduct the expenses that can be reimbursed.

Article 32 of the Measures of Shenzhen Municipality on Social Medical Insurance: Participants of basic medical insurance shall enjoy medical insurance benefits if they seek medical treatment according to the following provisions: (2) Participants of Class II basic medical insurance shall seek medical treatment in the selected community health center, and with the consent of the settlement hospital, they may seek medical treatment in other designated community health centers under the same settlement hospital as the selected community health center; Hospitalization and outpatient serious illness in the city designated medical institutions for medical treatment.

Proportion of employee social security hospitalization reimbursement

First, the proportion of employee social security hospitalization reimbursement

1, level 1 hospital, 90% for the part above the minimum threshold;

2, secondary hospitals, Qifubiaozhun to 10000 yuan (inclusive) to pay 85%, more than 10000 yuan to pay 90%;

3, tertiary hospitals, Qifubiaozhun to 5000 yuan (inclusive) of the part by 80%, 5000 yuan to 1 ten thousand yuan of the part by 85%, 1 ten thousand yuan of the highest payment limit by 90%;

4. Retirees will increase by 5% on the basis of the above payment ratio.

To sum up, it is Bian Xiao's answer to the proportion of hospitalization reimbursement for the second-class social security, hoping to help you.

legal ground

People's Republic of China (PRC) 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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