Proportion of Class A and B reimbursement for residents' medical insurance

The proportion of reimbursement for class A and class B of residents' medical insurance varies with different regions and drugs. Except for items that need to be deducted for Class A drugs, all others are reimbursed at 100%; Only 70%-80% of Class B drugs are reimbursed, and self-funded drugs need to be fully borne by themselves.

Social security processing flow:

1. Apply for social security: according to your own situation, choose to participate in social security projects such as basic old-age insurance for urban workers, basic old-age insurance for urban residents, medical insurance, unemployment insurance, work injury insurance and maternity insurance. And apply to the local social security department for social security. Generally, you need to provide personal identification, household registration book, labor contract, social security payment certificate and other materials;

2. Pay social insurance premiums: According to regulations, individuals and units need to pay social insurance premiums in accordance with the prescribed proportion. Individuals need to pay pension insurance, medical insurance, unemployment insurance and other expenses; Units need to pay pension insurance, medical insurance, work injury insurance, maternity insurance and other expenses. Payment methods include individual payment and unit payment;

3. Application for social security benefits: According to the regulations, when an individual needs to apply for social security benefits in the case of retirement, maternity, work injury, etc. , he/she needs to apply to the local social security department and provide corresponding supporting materials, such as retirement certificate, medical expense list, work injury identification certificate, etc.

General application conditions for medical insurance:

1, a foreigner with China nationality or legally residing in China;

2./kloc-individuals who are over 0/6 years old and have not reached the statutory retirement age;

3. Have a stable residence and work unit, or individual industrial and commercial households and freelancers who pay social insurance premiums locally;

4. Pay the corresponding medical insurance fees locally.

To sum up, when handling social security procedures, medical insurance procedures are generally handled at the same time, and medical insurance information is bound to social security information. While enjoying the medical insurance benefits, the insured also needs to meet the relevant provisions of social security and medical insurance.

Legal basis:

Article 2 of People's Republic of China (PRC) Social Insurance Law

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.

Article 4

Employers and individuals in People's Republic of China (PRC) pay social insurance premiums according to law, and have the right to inquire about payment records and personal rights records, and require social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.