how to reimburse supplementary medical insurance for enterprises? What is the reimbursement scope of enterprise supplementary medical insurance? What is the reimbursement rate?

1. What is the reimbursement scope of supplementary medical insurance for enterprises

The supplementary medical insurance for enterprises mainly reimburses the part that cannot be reimbursed by social security, and the main reimbursement scope is as follows:

1. If there is no way for personal account to pay the remaining balance, the supplementary medical insurance for enterprises can be used to reimburse medical expenses.

2. When treating major diseases, the medical expenses spent and the medical expenses paid by individuals can be reimbursed by supplementary medical insurance of enterprises.

3. Medical expenses that should be paid by individuals in addition to the basic medical insurance pooling fund can be reimbursed by supplementary medical insurance of enterprises.

2. What is the reimbursement ratio of supplementary medical insurance for enterprises

If the treatment is conducted in an outpatient unit, the general insurance ratio is about 6%-8%, and some can reach 9%. The proportion of reimbursement for supplementary medical care in hospital is the same as that of reimbursement for supplementary medical care in outpatient department, and you can choose to make reimbursement after declaration, and the reimbursement ratio is 9%-95%.

enterprise supplementary medical insurance, as the supplementary medical care of basic medical care, mainly reimburses the part that medical insurance can't reimburse. For example, if we spend 19 yuan in outpatient service, then enterprise supplementary medical insurance will reimburse the part above 19 yuan. If the hospitalization cost 16 yuan, then the enterprise supplementary medical insurance will reimburse the part of 16 yuan and above.