Proportion of medical insurance reimbursement in Jiaxing in 2023

The reimbursement ratio of Jiaxing medical insurance in 2023 is: the medical expenses of the employees in the designated medical institutions in the city or the designated medical institutions outside the city that meet the scope of medical insurance expenses. After the personal accounts are used up over the years, the deductible line is 1 000 yuan, and the rest is reimbursed by 80%. The reimbursement rate for retirees will increase by another 5 percentage points. In addition, the reimbursement rate of major illness insurance in Jiaxing has also been adjusted. From June 5438+1 October1day in 2023, the minimum reimbursement rate for major illness insurance was adjusted to 50%, and the maximum reimbursement rate was adjusted to 85%. At the same time, the reimbursement policy for special drugs and special diagnosis and treatment items of serious illness insurance has also been increased.

Medical insurance reimbursement methods are as follows:

1. Before seeing a doctor: Before seeing a doctor, you need to confirm the type and scope of your medical insurance, choose medical institutions and doctors that meet the medical insurance policy, and ensure that medical expenses can be reimbursed;

2. During medical treatment: during medical treatment, you need to fill in your basic personal information and medical conditions accurately, and provide your medical insurance card and related certification materials to doctors and medical institutions;

3. Reimbursement application: After seeing a doctor, you need to submit an application for reimbursement of medical expenses to the local social insurance management center or medical insurance office, and provide relevant medical expenses bills and supporting materials, such as outpatient invoices, prescription notes, medical records, etc.

4. Reimbursement review: medical insurance institutions review the application for reimbursement of medical expenses, check the information such as expenses and illness, and determine the proportion and amount of reimbursement;

5. Reimbursement payment: After approval, the medical insurance institution will pay the reimbursement amount to the applicant's bank account or medical insurance card.

To sum up, in order to better understand the latest situation of Jiaxing's medical insurance reimbursement ratio, it is recommended to consult the local social security department or relevant institutions.

Legal basis:

People's Republic of China (PRC) social insurance law

Article 23

Employees should participate in the basic medical insurance for employees, and employers and employees should jointly pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.