Current location - Trademark Inquiry Complete Network - Tian Tian Fund - Is the total reimbursement?
Is the total reimbursement?
Total amount reimbursement. Medical insurance co-ordination payment is reimbursement, but there is also co-ordination payment besides medical insurance co-ordination payment. Medication, examination and medical services within the scope of social security belong to the category A catalogue, and almost 90% of them are reimbursed. However, there is a certain percentage of out-of-pocket payment for Class B catalogs. Therefore, the social security medical insurance is paid by the social security fund as a whole, but there is a self-payment ratio in the overall planning.

Not reported beyond the scope of medical insurance reimbursement. All reimbursement contents must conform to the three catalogues of basic medical insurance, including the catalogue of basic medical insurance drugs, the catalogue of diagnosis and treatment items and the catalogue of medical service facilities. If items are outside these three directories, they will not be reported. In the definition of medical insurance, drugs and treatment items are generally divided into three types: A, B and C. A can be reimbursed in full, B can be reimbursed in a certain proportion, and C can't be reimbursed at all, and it is entirely borne by itself.

When medical insurance is reimbursed, you also need to pay attention to the deductible line. Those below the deductible are not reported, and those above the deductible are reimbursed in proportion.

Legal basis: Article 27 of People's Republic of China (PRC) Social Insurance Law.

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; 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.