1. If you are an on-the-job employee, you can only reimburse more than 2,000 yuan for medical expenses after seeing a doctor in the emergency department of the hospital, and the reimbursement rate is 50%.
For retirees under the age of 2.70, the expenses above 65,438 yuan +0.300 yuan can be reimbursed, and the reimbursement ratio is 70%.
3. For retirees over 70 years old,1.80% of the expenses above 300 yuan can be reimbursed.
4. No matter what kind of people, the maximum payment limit for outpatient and emergency medical expenses is 20,000 yuan.
5. Hospitalization expenses. When the basic medical insurance is used for the first time in a year, the minimum payment for employees and retirees is 1300 yuan.
6, the second and later hospitalization medical expenses, Qifubiaozhun determined by 50%.
7. The annual maximum payment limit (hospitalization expenses) of the basic medical insurance pooling fund is currently 70,000 yuan.
8. The standard of hospitalization reimbursement is related to the level of the hospital where the insured person is located. For example, in a tertiary hospital, employees have to pay 15%, that is, 85%, from the minimum threshold to 30,000 yuan.
9. Employees shall pay 10% for expenses ranging from 30,000 yuan to 40,000 yuan, and 90% shall be reimbursed;
10, over 40,000 yuan to the maximum payment limit, 95% can be reimbursed, and employees only need to pay 5%.
12, the individual contribution ratio of retirees is 60% of the on-the-job (that is, the above) employees, but all below the minimum threshold is paid by individuals.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.