After going to the outpatient emergency department of the hospital, the reimbursement rate is 50% with the receipt and medical bill.
Details are as follows:
1. Gradually include some outpatient expenses of chronic diseases, special diseases, frequently-occurring diseases and common diseases that are harmful to health and have a heavy cost burden into the overall fund. The proportion of contributions within the scope of the policy starts from 50% and is appropriately tilted towards retirees. In the future, with the strengthening of the fund's affordability, the level of protection will gradually improve;
2. Improve the personal account counting method. Individual contributions of on-the-job employees are still included in my personal account, and all unit contributions are included in the overall fund; Individual accounts of retirees are allocated by the overall fund according to the quota;
3, broaden the scope of personal accounts, allowing family members to * * * help, which can be used to pay for medical treatment in designated medical institutions, as well as the expenses borne by individuals who buy medicines, medical devices and medical consumables in designated retail pharmacies, and explore the personal payment of family members to participate in the basic medical insurance for urban and rural residents.
People's Republic of China (PRC) Social Insurance Law Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to get material help from the state and society in the event of old age, illness, industrial injury, unemployment and maternity.
Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.
Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.