1. Lower the minimum payment standard: The minimum payment standard is reduced from 20,000 yuan to 18,000 yuan. 2. Increase the reimbursement ratio: the payment ratio of adult residents, children and college students who participate in the first-tier payment is increased from 60% to 65%; the payment ratio of adult residents who participate in the second-tier payment is increased from 50% to 55%. 3. The over-limit subsidy is increased: employees’ medical insurance participants are reimbursed at 90%; residents’ medical insurance participants, adult residents, children and college students who pay in the first level are reimbursed at 80%, and adult residents who pay in the second level are reimbursed at 70%. 4. Large-amount subsidies are increased: employees’ medical insurance participants are reimbursed at 75%; adult residents, children and college students who pay in the first bracket are reimbursed at 60%; adult residents who pay in the second bracket are reimbursed at 50%.
1. Documents required to receive the medical insurance card:
1. If the company collects the medical insurance card on behalf of its employees, a copy of the ID card of the person who collects the medical insurance card needs to be provided. A copy of the ID card and the official seal of the company;
2. If an individual receives the medical insurance card by himself, he/she needs to provide the payment voucher, card collection voucher, and original ID card;
3 . If it is collected by someone else, you need to provide the original ID card of the representative, a letter of entrustment and other materials.
2. The conditions for medical insurance reimbursement are:
1. Insured persons must go to a designated medical institution for basic medical insurance to seek medical treatment and purchase medicines, or hold a medical prescription issued by a doctor at a designated hospital. Go to designated retail pharmacies determined by the social insurance agency to purchase drugs.
2. The medical expenses incurred by insured persons during the process of medical treatment must comply with the scope and payment standards of the basic medical insurance drug catalog, diagnosis and treatment items, and medical service facility standards before they can be covered by the basic medical insurance fund. Pay according to regulations.
3. Among the medical expenses of insured persons that meet the payment scope of basic medical insurance, the portion of the expenses above the minimum payment standard of the social medical co-ordination fund and below the maximum payment limit shall be paid by the social medical co-ordination fund in a uniform proportion.
Legal basis: "Social Insurance Law of the People's Republic of China"
Article 2 The state establishes basic pension insurance, basic medical insurance, work-related injury insurance, unemployment insurance, maternity insurance, etc. The social insurance system guarantees citizens’ rights to obtain material assistance from the state and society in accordance with the law in the event of old age, illness, work-related injury, unemployment, childbirth, etc.
Article 26 The treatment standards of the basic medical insurance for employees, the new rural cooperative medical insurance and the basic medical insurance for urban residents shall be implemented in accordance with national regulations.
Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.