Legal subjectivity:
The proportion of medical insurance reimbursement in other places is generally 70% to 95%. Expensive drugs, special examinations and special treatments are reimbursed at 70%; Class B drugs are reimbursed at 80%; those with a threshold fee of 3,000 yuan or more are reimbursed at 88%; those with a threshold fee of 3,000-5,000 yuan are reimbursed at 90%; those with a threshold fee of 5,000-10,000 yuan are reimbursed at 92%; those with a threshold fee of 3,000 yuan or more are reimbursed at 92%; those with a threshold fee of 3,000 yuan or more are reimbursed at 92%; To quote 95% within the maximum payment limit. Regarding the question of the reimbursement ratio of medical insurance in other places, the editor of .com will answer it in detail for you below. 1. What is the reimbursement ratio of medical insurance in other places? 1. The reimbursement ratio of medical insurance in other places is generally 70% to 95%. Expensive drugs, special examinations and special treatments are reimbursed at 70%; Class B drugs are reimbursed at 80%; those with a threshold fee of 3,000 yuan or more are reimbursed at 88%; those with a threshold fee of 3,000-5,000 yuan are reimbursed at 90%; those with a threshold fee of 5,000-10,000 yuan are reimbursed at 92%; those with a threshold fee of 3,000 yuan or more are reimbursed at 92%; those with a threshold fee of 3,000 yuan or more are reimbursed at 92%; Up to 95% of the maximum payment limit. 2. Legal basis: "Social Insurance Law of the People's Republic of China" 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 medical expenses shall be covered by the basic medical insurance in accordance with national regulations. Paid from the fund. Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit. The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits. 2. How much can you claim for maternity insurance? If the employer has paid maternity insurance premiums, its employees will enjoy maternity insurance benefits; the unemployed spouses of employees will enjoy maternity medical expenses in accordance with national regulations. The required funds are paid from the maternity insurance fund. Maternity insurance benefits include maternity medical expenses and maternity allowances. 1. Childbirth medical expenses include the following: medical expenses for childbirth; medical expenses for family planning; and other project expenses stipulated by laws and regulations. 2. Female employees enjoy maternity leave when they give birth; enjoy family planning surgery leave; and can enjoy maternity allowances, which are calculated and paid based on the average monthly salary of employees in the employer of the employee in the previous year. I hope the above content can be helpful to you. If you have other questions, you can click the button below for consultation, or go online to consult a professional lawyer. Legal objectivity:
Article 28 of the "Social Insurance Law": Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be deducted from the basic medical insurance fund in accordance with national regulations. Pay. Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit. The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.