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The difference between Weihai residents medical insurance 450 and 650

The difference between Weihai residents' medical insurance 450 and 650 is as follows:

1, the difference in hospitalization reimbursement treatment.

Medicare 450 reimbursement rates are: 80% for primary hospitals, 60% for secondary hospitals, and 50% for tertiary hospitals. The reimbursement rate of MPS 650 is 80% for primary hospitals, 65% for secondary hospitals and 55% for tertiary hospitals.

2, the difference between outpatient chronic disease treatment.

The starting standard for general outpatient chronic disease is 100 yuan per person per year, and the reimbursement rate for expenses above the starting standard is 60%. The annual payment limit for those who pay contributions according to the 450 payment of health insurance is 500 yuan per person per year, and for those who pay contributions according to the 650 payment of health insurance, it is 1,000 yuan per person per year.

3, residents of the basic medical insurance accumulated contribution years can be converted to the employee basic medical insurance contribution period is different.

Residents' basic medical insurance according to the medical insurance 450 contributions, every full payment of one year, as the basic medical insurance contributions of employees for two months; according to the medical insurance 650 contributions, every full payment of one year, as the basic medical insurance contributions of employees for three months.

4. The difference in the maximum reimbursement limit within one year.

The annual maximum reimbursement limit is 200,000 yuan for insured residents who contribute according to Medicare 450; the annual maximum reimbursement limit is 300,000 yuan for insured residents who contribute according to Medicare 650.

Legal basis:

The Social Insurance Law of the People's Republic of China

Article 23

Employees shall participate in basic medical insurance for employees, and the employer and the employee shall pay the basic medical insurance premiums in accordance with the state regulations***.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations.