How to pay for hospitalization across years with medical insurance card

The maximum payment amount of the Basic Medical Insurance Coordination Fund (for hospitalization expenses) in one year is currently 70,000 yuan.

1, hospitalization reimbursement rate is related to the level of the hospital in which the participant lives, such as living in a tertiary hospital, from the starting standard to 30,000 yuan of costs, the employee pays 15%, or reimbursement of 85%;

2, 30,000 yuan to 40,000 yuan, the employee pays 10%, reimbursement of 90%;

3, more than 40,000 yuan to the maximum payment limit portion of the expenses , then 95 percent are reimbursed and the employee pays only 5 percent.

4. Retirees pay 60% of what active (that is, the aforementioned) employees pay individually, but anything below the threshold is paid by the individual.

Extended information

At this stage, the medical insurance card demagnetization, lost, according to the regulations will be directly replaced by a social security card, the specific process:

(a) If the replacement of the card before and after the same bank, the person with a valid document to the employee medical insurance card service bank for the loss of the procedure, the street labor security service center with the bank's "loss notification form" and my valid documents, acceptance of social security card The application time is 45 working days. After receiving and funding the social security card, the amount in the original medical insurance card is automatically transferred to the social security card, without the need to clear the account.

(ii) If the bank is not the same before or after the card is replaced, the process of receiving the social security card is the same. However, the amount in the original health insurance card will not be automatically transferred to the social security card, you need to go to the social security branch center of the insured area with valid documents and issue a "Notice of Employee Health Insurance Card Clearance". With the notification form and valid ID, you can go to the bank where the original employee medical insurance card was issued to clear the account of the medical insurance card.

Baidu Encyclopedia - Social Health Insurance Card