At present, China's medical insurance system is relatively perfect, and its main purpose is to reduce the burden of medical insurance participants. However, there are various types of medical insurance, so the scope and proportion of medical insurance reimbursement are different. This article will introduce the reimbursement ratio and reimbursement limit standard of hospitalization medical insurance in Beijing in detail. For the strategy of medical insurance reimbursement, I just sorted out the relevant contents, hoping to help you: how to use social security medical insurance? 1. Teach you how to apply for reimbursement!

how to calculate the reimbursement ratio of hospitalization medical insurance in Beijing?

Medical insurance is the most basic right enjoyed by employees. According to different levels of hospitals, the corresponding reimbursement ratio is also different.

Medical expenses incurred in tertiary hospitals in Beijing:

1. For the part with the minimum payment of 3, yuan, the reimbursement ratio is: 85% from the overall fund and 15% from the employees;

2. For the part exceeding RMB 3, to RMB 4,, the reimbursement ratio is: 9% from the overall fund and 1% from the employees;

3. For the part exceeding 4, yuan, the reimbursement ratio is: 95% from the overall fund and 5% from the employees.

The medical expenses incurred in the second-class hospital in Beijing:

1. For the part with the minimum payment of 3, yuan, the reimbursement ratio is: 87% from the overall fund and 13% from the employees;

2. For the part exceeding RMB 3, to RMB 4,, the reimbursement ratio is: 92% from the overall fund and 8% from the employees;

3. For the part exceeding 4, yuan, the reimbursement ratio is: 97% from the overall fund and 3% from the employees.

Medical expenses incurred in Beijing first-class hospitals and family beds:

1. For the part with the minimum payment of 3, yuan, the reimbursement ratio is: 9% from the overall fund and 1% from the employees;

2. For the part exceeding RMB 3, to RMB 4,, the reimbursement ratio is: 95% from the overall fund and 5% from the employees;

3. For the part exceeding 4, yuan, the reimbursement ratio is: 97% from the overall fund and 3% from the employees.

what is the scope of medical insurance reimbursement?

The scope of personal medical insurance account payment:

1. Medical expenses for outpatient and emergency treatment;

2. The cost of purchasing medicines at designated retail pharmacies;

3. Medical expenses below the Qifubiaozhun of the basic medical insurance pooling fund;

4. medical expenses that exceed the threshold of the basic medical insurance pooling fund and should be borne by individuals in proportion.

The scope paid by the basic medical insurance pooling fund:

1. Medical expenses for hospitalization;

2. The medical expenses of the emergency rescue patients who are hospitalized for observation shall be observed for one week before hospitalization;

3. outpatient medical expenses of radiotherapy and chemotherapy for malignant tumor, renal dialysis and taking anti-rejection drugs after renal transplantation.

The above is an introduction about the reimbursement ratio and scope of hospitalization medical insurance in Beijing. After reading the above introduction, you are still unclear. You can log on to the platform of China Merchants Cigna to find out.