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Insurance Ezhou Business Office Telephone

First, whether your father participates in medical insurance. If he does not participate, he cannot enjoy medical insurance benefits; second, if he participates in medical insurance, it depends on what kind of medical insurance he participates in.

There are currently three types of social medical insurance in Ezhou, one is the urban employee medical insurance; the other two are: the first and second tiers of urban and rural residents' medical insurance.

The three types of insurance have different premiums and different benefits.

To participate in the urban employee medical insurance, the urban employee medical insurance premium shall be paid jointly by the employer and the insured person. The employer shall pay 6% of the total salary of the insured persons in the previous year, and the insured shall pay 2% of the salary of the insured person in the previous year.

% payment; the payment base is the average salary of employees in the city in the previous year, which is automatically adjusted on July 1 every year. Municipal enterprises can choose 60%, 80%, or 100% of the average salary as the payment base (if you participate in supplementary medical insurance, you must

Select 100%), and the payment base for other units is 100%.

Large-amount medical insurance is paid at the standard of 100 yuan per person per year.

Participating in employee medical insurance can enjoy the following hospitalization reimbursement benefits. Payment base: Inpatient reimbursement ratio and minimum payment standard for active employees. Third-level hospital, second-level hospital, first-level hospital, township health center.

Reimbursement ratio 60%50085%45087%40089%20089%80%50087%45089%40091%20091%100%50089%45091%40093%20093% In the first year of payment, the maximum limit of medical expenses within 12 months is 60,000 yuan;

In the second year of continuous payment, the maximum medical expense within 12 months is 120,000 yuan; in the third year of continuous payment, the maximum medical expense within 12 months is 300,000 yuan.

Participating in urban and rural residents' medical insurance, hospitalization reimbursement benefits and payment levels. Insured urban and rural residents' hospitalization reimbursement ratio and minimum payment standards. Third-level hospitals, second-level hospitals, first-level hospitals, and township health centers.

The standard reimbursement ratio is 1st grade: 50040% (501-3000 yuan) 30055% (301-2000 yuan) 10080% (101 yuan and above) 5085% (51 yuan and above) 50% (3001-5000 yuan) 70% (2001 yuan and above)

) 60% (more than 5001 yuan) second-tier 500 Class A drugs and 60% of ordinary medical expenses; Class B drugs and special medical expenses: 40%; 300 Class A drugs and 70% of ordinary medical expenses; Class B drugs and special medical expenses:

50%, 100 Class A drugs and 80% of ordinary medical expenses; Class B drugs and special medical expenses: 60%, 100 Class A drugs and 85% of ordinary medical expenses; Class B drugs and special medical expenses: 65%, one level and one year unified fund

The maximum payment amount is 50,000 yuan; the maximum payment amount of the second-level overall fund in one year is 60,000 yuan. If the payment period is more than 3 years but less than 5 years, the maximum payment amount is 80,000 yuan. If the payment period is more than 5 years, the maximum payment amount is 120,000 yuan.

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