Social Security can be reimbursed for off-site medical treatment

People who have entered the health insurance know that in the case of meeting the reimbursement criteria can be reimbursed off-site. So many people want to ask:What is the percentage of reimbursement can be reimbursed? Here, I have compiled for you the legal knowledge of the relevant aspects of the proportion of off-site medical reimbursement can be how much,hollister france, welcome to read, I hope to help you.

One, what is the reimbursement rate for foreign medical treatment

First-class hospitals 100 yuan

Second-class hospitals 200 yuan

Tertiary hospitals 300 yuan

Outside of the city's medical institutions have been required to deal with the referral or the record of 400 yuan, not according to the provisions of the referral or for the record of 1,000 yuan

Because the Shenzhen medical insurance

The first two classes of participants in the hospitalization of basic medical expenses and local supplementary medical expenses, above the starting line part of the prescribed payment of 95% or 90%

The third class of participants reimbursement ratio: first-class hospitals: 85%; second-class hospitals: 80%; third-class hospitals: 75%; hospitals outside of the city: 70%.

The legal basis

According to the "Twelfth Five-Year Plan" for health care reform, by 2015 China will fully realize the immediate reimbursement of the provincial medical treatment, and initially realize the immediate reimbursement of the cross-provincial medical treatment.

According to the joint document of the Ministry of Social Affairs, Ministry of Finance, Health and Family Planning Commission, in 2015, China will basically realize the direct settlement of hospitalization expenses within the municipalities and provinces, and in 2016 will fully realize the direct settlement of hospitalization expenses for retirees resettled in different places across the provinces.

Recently, the National Health and Family Planning Commission, the Ministry of Finance jointly issued a clear opinion that in 2015 will select some of the integrated areas and designated medical institutions, relying on the national new rural cooperative information platform, to carry out cross-provincial medical expenses verification and settlement pilot. It is reported that the instant settlement of cross-provincial medical treatment refers to the instant settlement of medical expenses in other places provided by medical insurance agencies for people who participate in medical insurance when they seek medical treatment in provinces and cities other than the place where they participate in the insurance. The opinion puts forward a timetable for cross-provincial medical expense settlement. By 2016, the national mechanism for verification of medical expenses across provinces will be initially established, and the scope of the pilot scheme of cross-province medical expense settlement will be further expanded. In 2020, most of the provinces (autonomous regions and municipalities) should carry out direct settlement of cross-provincial medical expenses in qualified designated medical institutions.

A few days ago, the issuance of "deepening the reform of the medical and health system in 2016 key tasks" pointed out that: by next year, Beijing's hospitalization fees for cross-country medical treatment can basically realize direct reimbursement.

In which, we need to pay attention to is: although what to report, according to the standard of the place of medical treatment, but how much to report, have to be in accordance with the reimbursement ratio of the insured place. For example, the threshold, reimbursement rate, and maximum reimbursement limit for reimbursement depends on the patient's "local" criteria.