The proportion of medical insurance reimbursement for retirees decreased.

The decline in the proportion of medical insurance reimbursement for retirees is as follows:

1, retirees accidentally fall, resulting in fractures or organ rupture, and the medical insurance reimbursement rate is 70%.

2. Retirees accidentally fall, resulting in concussion or lung rupture, and the medical insurance reimbursement rate is 80%.

3, retirees accidentally fell, resulting in hospitalization or surgical treatment, the proportion of medical insurance reimbursement is 90%.

4, retirees accidentally fell, causing minor injuries or no injuries, the proportion of medical insurance reimbursement is 60%.

5, retirees accidentally fell, resulting in visual impairment or hearing impairment, medical insurance reimbursement rate of 50%.

6. Retirees accidentally fall, resulting in other diseases or complications, and the medical insurance reimbursement rate is 75%.

It should be noted that the above reimbursement ratio is for reference only, and the specific reimbursement ratio is subject to the local medical insurance policy. In addition, reimbursement amount = (hospitalization expenses-self-funded project expenses-self-paid line) x reimbursement ratio, in which hospitalization expenses refer to all treatment expenses during hospitalization, including bed fees, operation fees, examination fees, medicines, etc. Self-funded project expenses refer to the part that needs to be borne by individuals, including some special examinations, special treatments and surgical materials. The minimum payment refers to the part that is reimbursed only after exceeding a certain amount, and the specific amount depends on the local medical insurance policy.

The operation process of retirement survival certification is as follows:

1. Preparation materials: You need to prepare your own identification (such as ID card, passport, etc.). ), social security card and related documents (such as payroll, tax payment certificate, etc. );

2. Go to the social security center or relevant departments: you can go to the local social security center or relevant departments to inquire about the specific process and requirements of retirement survival certification;

3. Fill in the application form: according to local regulations, you need to fill in the corresponding application form and submit relevant materials;

4. Waiting for review: The social security center or relevant departments will review your application and issue corresponding certificates after approval.

To sum up, you need to apply for a pension for the first time. After the application is submitted, you need to wait for the review of the social security department before you can receive the first pension.

Legal basis:

Article 27 of People's Republic of China (PRC) Social Insurance Law

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.