Proportion of medical insurance reimbursement in Xiamen in 2023

In 2022, the proportion of social security payment reimbursement for employees in Xiamen, Xiamen social security reimbursement standard 2022.

1, and the medical insurance reimbursement rate is 85%. 2. The threshold of charging standard for secondary hospitals is 400. The proportion of medical insurance reimbursement is 70%. 3. The threshold of charging standard for a class of hospitals is 600. The proportion of medical insurance reimbursement is 60%. 4, a class of hospitals to the province for medical treatment, the starting point of the charging standard is 600. The proportion of medical insurance reimbursement is 60%. 5, a class of hospitals outside the province, the starting point of the charging standard is 600. The proportion of medical insurance reimbursement is 55%. 6, an insurance year hospitalization for many times, the first and second hospitalization Qifubiaozhun shall be borne by the individual. Qifubiaozhun for the third and above hospitalization shall be paid by the overall fund. The maximum payment limit of the overall fund in an insurance year is 50 thousand.

Xiamen basic medical insurance reimbursement

For outpatient treatment, the minimum payment standard for first-,second-and third-level hospitals is 500 yuan, and the reimbursement rates of first-,second-and third-level hospitals below 10,000 yuan are 65%, 55% and 45% respectively, and those above 10,000 yuan are 85%, 75% and 65% respectively. The proportion of social security reimbursement in Xiamen will be higher in 202 1 year. Qifubiaozhun for first-time hospitalization in first-class and second-class hospitals is 200 yuan and 600 yuan 1000 yuan. If the minimum deductible is more than 1000 yuan, the reimbursement rates of the first, second and third level hospitals are 86%, 76% and 66% respectively. 10000 yuan to 20000 yuan, the reimbursement rates for the first, second and third files are 9 1%, 8 1% and 7 1% respectively. More than 20,000 yuan, the reimbursement rates of first-,second-and third-level hospitals are 96%, 86% and 76% respectively.

Xiamen serious illness insurance reimbursement

Because we are now paying social security fees to employees, including the cost of critical illness insurance. If it meets the corresponding requirements, it can also be reimbursed. The minimum threshold is 25,474 yuan, and the social security reimbursement rate in Xiamen in 20021year is 60% below 100000 yuan, 70% between10-200000 yuan and 80% above 200000 yuan. Hospitalization and outpatient service can only be reimbursed up to 400,000 yuan. Therefore, in order to enjoy the treatment of reimbursement normally, the proportion of reimbursement should also be paid attention to. Only by paying medical insurance continuously can medical insurance be used for reimbursement.