Shaoxing city medical insurance contribution rate for why so little it

Shaoxing City, the reason why the proportion of medical insurance contribution is so small is to see what kind of disease you are reimbursed, some diseases have a very low reimbursement rate, the reimbursement of medical insurance is based on a proportion of the reimbursement.

I. The scope of reimbursement of medical insurance is as follows:

1. Drugs allowed to be reimbursed within the scope of reimbursement of basic medical insurance;

2. Diagnostic and therapeutic items allowed to be reimbursed within the scope of reimbursement of basic medical insurance;

3. Expenses incurred by the medical service facilities allowed to be reimbursed within the scope of reimbursement of basic medical insurance. The reimbursement costs are mainly paid by the centralized fund, and individuals are also required to pay a corresponding portion.

The methods of reimbursement are as follows:

1. If you are hospitalized in a designated medical institution, you should bring your medical card and ID card to the settlement window of the designated hospital when you are discharged to make settlement and keep the account directly;

2. If you are undergoing medical treatment in a different place, you should call the social security bureau of the place of your participation in the hospital within three days of your admission to the hospital to make a record for registration and return to the local social security bureau to make reimbursement procedures within one month. Social Security Bureau for reimbursement procedures.

The conditions for reimbursement of medical insurance are as follows:

1. Newly insured and re-insured employees who have interrupted their contributions for more than one year to participate in the basic medical insurance in accordance with the law and have paid contributions for six consecutive months are entitled to the basic medical insurance treatment according to the regulations;

2. Those who have paid contributions for less than six consecutive months are not entitled to the basic medical insurance treatment;

3. Those whose interrupted contributions are less than one year are not entitled to the basic medical insurance treatment.

4, the interruption of payment of contributions during the interruption does not enjoy the basic medical insurance treatment.

In summary, you can reimburse the medical insurance. The reimbursement rate depends on the type of disease being reimbursed.

Legal basis

Article 28 of the Social Insurance Law of the People's Republic of China

Medical expenses that are in line with the basic medical insurance drug directory, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.

Article 29

The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.

The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.