Medical expenses above 1. 1800 can only be reimbursed after the emergency treatment in the hospital, and the reimbursement rate is 50%. 2. Retirees under 70 years old can be reimbursed for expenses above 1300 yuan, and the reimbursement rate is 70%. Retirees over 3.70 years old are 65438+.
Note: No matter what kind of people, the maximum payment limit for outpatient and emergency medical expenses is 20,000 yuan.
In case of hospitalization expenses, employees and retirees should pay the minimum amount 1300 yuan when using the basic medical insurance for the first time in a year.
And the second and subsequent hospitalization medical expenses, Qifubiaozhun is determined by 50%, which is 650 yuan. The maximum annual payment limit (hospitalization expenses) of the basic medical insurance pooling fund is currently 70,000 yuan.
The hospitalization reimbursement standard is related to the hospital level where the insured lives:
Note: If you live in a tertiary hospital.
1. Employees pay/kloc-0.5% from the minimum payment standard to 30,000 yuan, that is, 85% from 20,000 yuan to 40,000 yuan, and employees pay/kloc-0.0% and 90% from 3,000 yuan to the maximum payment limit, then 95% can be reimbursed, and employees only need to pay 5%.
What is the reimbursement rate of Shaoxing medical insurance? Only medical expenses above 800 yuan can be reimbursed. The reimbursement rate is 50% for retirees under 0 years old, 70% for retirees over 0 years old, and 80% for expenses above 1.300 yuan.
Legal basis: 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, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.