Among them, social security and agricultural insurance, as well as some small towns where land acquisition is paid in one lump sum for 15 years, can be reimbursed or deducted directly from outpatient service.
The migrant workers' medical insurance account has a monthly surplus of 20 yuan/month. If small towns pay supplementary medical care every month, the outpatient service needs to be paid at their own expense.
Hospitalization reimbursement
Social Security: In the medical insurance year of 2008:
1. In case of emergency medical expenses, you should use your social security card and emergency medical record book for medical treatment. When the account funds are used up, the self-funded standard of emergency medical expenses is 1500 yuan, 50% of the excess is paid by some additional funds, and the rest is borne by individuals;
2. In case of hospitalization expenses, you should use your social security card for medical treatment. The minimum qifubiaozhun for hospitalization is 1500 yuan, 85% of the accumulated part exceeding the minimum qifubiaozhun is paid by the overall fund, and the maximum payment limit is 70,000 yuan, 80% is paid by the additional fund, and the rest is borne by individuals.
Small towns: In the medical insurance year of 2008, the Qifubiaozhun for the first hospitalization was 1 168 yuan; The minimum payment for the second time and above is 584 yuan. Medical expenses exceeding Qifubiaozhun for each hospitalization shall be paid by Zhenbao Fund by 70%; The rest shall be borne by the insured. The maximum payment limit of the urban insurance fund is 46,735 yuan, and the part exceeding the maximum payment limit will not be paid by the urban insurance fund and will be borne by the insured.
Comprehensive migrant workers: there is a threshold fee of 1500, that is, only those who exceed 1500 can be reimbursed, and the reimbursement rate is 80%, and the expenses that can be reimbursed must be within the scope of Shanghai medical insurance, which means that not all expenses can be reimbursed, or self-funded drugs cannot be reimbursed.