The proportion of medical insurance reimbursement shall not be less than 70% in the medical insurance reimbursement catalogue.
Guaranteed insurance does not compensate, and medical insurance is called reimbursement.
First, medical insurance.
Medical insurance is a medical insurance system enforced by the state through legislation. Employers and individuals pay insurance premiums according to a certain proportion, establish social medical insurance funds, and pay medical expenses for employees.
Social medical insurance means that when workers get sick, social insurance institutions give appropriate subsidies or reimbursement for their medical expenses, so that workers can recover their health and labor ability as soon as possible and enter the process of social reproduction.
Social medical insurance is an important part of social insurance, which is generally borne by the government. The government will use economic, administrative and legal means to implement and organize.
Second, the medical insurance payment method
The overall fund has a minimum payment standard and a maximum payment limit.
The threshold of medical expenses for the first hospitalization is 1000 yuan.
For those who have been hospitalized for many times during the year, the cumulative threshold is 1500 yuan.
The hospitalization expenses below Qifubiaozhun shall be borne by the individual, and the hospitalization expenses above Qifubiaozhun and below the maximum payment limit shall be paid by the overall fund in proportion.
0.8 yuan will be paid by the overall fund for the part above the threshold of hospitalization medical expenses to 10000 yuan.
The part of hospitalization medical expenses 10000 to 25000 yuan shall be paid by the overall fund of 0.82.
The hospitalization medical expenses of more than 25,000 yuan to 50,000 yuan shall be paid by the overall fund of 0.83.