2, secondary hospitals, Qifubiaozhun above to 1 ten thousand yuan can compensate 85%; The part exceeding the maximum payment limit of 6,543,800 yuan can be compensated by 90%.
3, tertiary hospitals, more than Qifubiaozhun to 5000 yuan can be compensated by 80%; 5000 yuan to 1000 yuan, can be compensated for 85%; The part exceeding the maximum payment limit of 6,543,800 yuan can be compensated by 90%.
4 retirees can increase 5% on the basis of the above reimbursement ratio.
In a medical year, the overall fund will compensate the insured for hospitalization expenses and outpatient medical expenses for chronic diseases that do not exceed the maximum payment limit of 250,000 yuan. If necessary, the relevant departments can adjust the maximum payment limit according to the regulations. The average reimbursement rate of serious illness insurance in Inner Mongolia is 58%, and most of the cities have no deductible line. The deductible line of individual league cities ranges from 7,000 yuan to10.5 million yuan, and there are no capping lines in four league cities such as Wulanchabu City and Erdos City.
On-the-job employees: the deductible of outpatient service is 2000 yuan, that is, the part exceeding 2000 yuan of medical expenses incurred in outpatient service will be reimbursed, and the reimbursement ratio is 50%; Retired employees: The deductible for outpatient service is 1.300 yuan, that is, only the part of medical expenses incurred in outpatient service that exceeds 1.300 yuan will be reimbursed. The reimbursement rate is 70% for those under 70 years old and 80% for those over 70 years old. Maximum limit: No matter what kind of people, the maximum payment limit for outpatient and emergency medical expenses is 20,000 yuan.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.
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.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.