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Linyi social security card medical insurance balance

When the balance in your medical insurance card is used up, you need to pay out of your own pocket.

After the personal account is used up that year, the self-confidence period will enter. Depending on the age, the self-confidence period is 900 yuan for those under 45 years old, 600 yuan for those aged 45 (inclusive) to retirement, and 300 yuan after retirement.

If you reach the corresponding accumulated self-pay amount, you can be reimbursed according to the corresponding proportion. The specific proportion is 25% for outpatient treatment in a tertiary hospital and 75% paid by the medical insurance fund; 14% for in-service personnel who seek treatment at a community hospital outpatient service, and 14% for retirees.

The individual bears 8%, and the medical insurance fund pays 86% and 92% respectively; for outpatient treatment in other hospitals, the individual bears 20%, and the medical insurance fund pays 80%.