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The proportion, policies, conditions and scope of Enshi medical insurance reimbursement in 221-222

The proportion of medical insurance reimbursement for on-the-job employees: 1. Medical expenses of more than 1,8 yuan can only be reimbursed after seeing a doctor in the outpatient department and emergency department of the hospital, and the proportion of reimbursement is 5%; 2. For retirees under the age of 7, expenses above 1,3 yuan can be reimbursed, and the reimbursement rate is 7%; 3. If it is a retiree over 7 years old, 8% of the expenses above 1,3 yuan can be reimbursed. Note: No matter what kind of people, the maximum amount of medical expenses paid for outpatient and emergency treatment is 2, yuan. If it is hospitalization expenses, when the basic medical insurance is used for the first time in a year, the minimum payment is 13 yuan for both employees and retirees. And the second and later hospitalization medical expenses, Qifubiaozhun determined by 5%, is 65 yuan. The maximum payment of the basic medical insurance pooling fund (hospitalization expenses) in a year is currently 7, yuan. The standard of hospitalization reimbursement is related to the hospital level where the insured person lives: Note: If he lives in a tertiary hospital. 1, from Qifubiaozhun to 3 yuan, employees pay 15%, that is, 85% reimbursement; 2, 3 thousand yuan to 4 thousand yuan of expenses, employees pay 1%, 9% reimbursement; 3, more than 4 thousand yuan to the highest payment limit, 95% can be reimbursed, as long as employees pay 5%; 4. The proportion paid by retirees is 6% of the employees. < P > The conditions for reimbursement are as follows: 1. The applicant has gone through the insurance procedures and paid the medical insurance premium in full; 2. The cooperative medical system has designated medical institutions for medical treatment; 3, the insured in the medical institutions for medical expenses incurred in hospitalization, and pay cash in advance, and save the relevant documents and materials.