Shanghai early childhood social security reimbursement ratio

Shanghai medical insurance reimbursement expense ratio

Shanghai medical insurance reimbursement expense ratio in 2012: the insured residents each hospitalization additional starting standard, community health service center (or first-class medical institutions) 50 yuan, the second-class medical institutions 100 yuan, third-class medical institutions 300 yuan. More than the starting standard part of the medical costs, urban residents medical insurance fund to pay the proportion of the following adjustments, the rest of the medical costs by the insured individual responsibility: 70 years of age or older, the fund to pay the proportion of 70% adjusted to: in the community health centers (or first-class medical institutions) for medical treatment, payment of 85%; in the second level of medical institutions, payment of 75%; in the third level of medical institutions, payment of 65%. 60 years of age or older, the fund to pay the proportion of the hospitalization costs. For those who are over 60 years old and less than 70 years old, the fund's payment ratio has been adjusted from 60% to 85% for those who seek medical treatment at community health service centers (or first-level medical institutions), 75% for those who seek medical treatment at second-level medical institutions, and 65% for those who seek medical treatment at tertiary-level medical institutions.

The fund's payment ratio for those who are over 18 years old and less than 60 years old has been adjusted from 60% to 65%. For those who are over 18 years old and less than 60 years old, as well as primary and secondary school students, infants and children, the fund's payment ratio has been adjusted from 50% to 75% for those who seek medical treatment at community health centers (or first-level medical institutions), 65% for those who seek medical treatment at second-level medical institutions, and 55% for those who seek medical treatment at third-level medical institutions. Through the above adjustments, the overall reimbursement rate for hospitalization medical fees under the urban residents' health insurance has increased from 61% to 70%, while the outpatient emergency payment policy for the 2012 urban residents' health insurance remains unchanged from 2011.

Extended reading: insurance how to buy, which is good, hand to teach you to avoid the insurance of these "pits"