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Jiangsu Haimen medical insurance reimbursement ratio
1. If it is an on-the-job employee, the medical expenses of more than 2,000 yuan can only be reimbursed after the emergency treatment in the hospital, and the reimbursement ratio is 50%;
2. If it is a retiree under 70 years old,1.The expenses above 300 yuan can be reimbursed, and the reimbursement rate is 70%;
3. For retirees over 70 years old,1.80% of the expenses above 300 yuan can be reimbursed. No matter what kind of people, the maximum payment limit for outpatient and emergency medical expenses is 20 thousand yuan.
The role of medical insurance:
1, which can stabilize social life;
2, redistribution can be realized;
3. It can promote economic development;
4. In most areas, buying a car and buying a house is linked to social security, and it is required to pay social security for a certain period of time before buying a car and buying a house locally;
5, the use of work-related injury insurance, payment of treatment fees, living care fees, disability benefits and disability allowances;
6. Maternity insurance can be used to enjoy maternity leave, maternity allowance and maternity grants.
To sum up, the reimbursement ratio of medical insurance varies according to the types of medical insurance.
Legal basis:
Article 28 of the Social Insurance Law
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.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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