The hospitalization reimbursement ratio of Linyi Employee Medical Insurance varies according to the different amounts of hospitalization expenses.
Specifically: for RMB 10,000, RMB 30,000 and below: the reimbursement ratios for active employees in first-, second- and third-level hospitals are 90%, 85%, and 80% respectively; the reimbursement ratio for retired employees is 95%.
2. From RMB 30,000 to RMB 100,000: the reimbursement ratio for current employees is 85%, and the reimbursement ratio for retired employees is 92.5%.
3. Above 100,000 yuan to 180,000 yuan: the reimbursement ratio for both current and retired employees is 90%.
The hospitalization deductibles of Linyi Employee Medical Insurance also vary according to the hospital level: 1. First-level hospitals: the deductible is 300 yuan for the first visit, and 100 yuan for the second and subsequent visits.
2. Second-level hospitals: The minimum payment threshold is 400 yuan for the first visit, and 150 yuan for the second and subsequent visits.
3. Tertiary hospitals: The minimum payment threshold is 600 yuan for the first visit, and 200 yuan for the second and subsequent visits.
To sum up, the hospitalization reimbursement ratio of Linyi City Employee Medical Insurance varies according to the amount of expenses and the level of medical institutions. Insured persons should understand the specific reimbursement policies based on their actual situation and medical needs in order to make reasonable use of medical resources and medical insurance.
treatment.
Legal basis: Article 27 of the "Social Insurance Law of the People's Republic of China" The state establishes a basic medical insurance system and implements a combination of social pooling and personal accounts to ensure that citizens receive basic medical services in the event of illness.
Specific implementation measures shall be stipulated by the State Council.
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.