The Qifubiaozhun for hospitalization reimbursement of Beijing medical insurance was set at about 1% of the average salary of employees in this city in the previous year.
according to article 32 of the regulations of Beijing municipality on basic medical insurance, the qifubiaozhun for payment from the basic medical insurance pooling fund is set at about 1% of the average salary of employees in this municipality in the previous year. The qifubiaozhun for the medical expenses incurred by an individual in hospitalization for the second time and later in a year is determined by about 5% of the average wage of employees in this city in the previous year.
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Extended information:
Article 36 of Beijing Basic Medical Insurance Regulations: The medical expenses incurred by employees and retirees in a settlement period shall be calculated by stages and paid cumulatively according to the level of the hospital and the amount of expenses, and shall be shared by the basic medical insurance pooling fund and individuals according to the following proportions:
(1) Medical expenses incurred in tertiary hospitals:
1.
2. For the part exceeding 3, yuan to 4, yuan, the overall fund will pay 9% and the employees will pay 1%;
3. For the part exceeding 4, yuan, the overall fund will pay 95% and the employees will pay 5%.
(2) Medical expenses incurred in secondary hospitals:
1. For the part with the minimum threshold of 3, yuan, the overall fund will pay 87% and the employees will pay 13%;
2. For the part exceeding 3, yuan to 4, yuan, 92% shall be paid by the overall fund and 8% by the employees;
3. for the part exceeding 4, yuan, the overall fund will pay 97% and the employees will pay 3%.
(3) Medical expenses incurred in first-class hospitals and family beds:
1. For the part with the minimum threshold of 3, yuan, the overall fund will pay 9% and the employees will pay 1%;
2. For the part exceeding 3, yuan to 4, yuan, the overall fund will pay 95% and the employees will pay 5%;
3. For the part exceeding 4, yuan, the overall fund will pay 97% and the employees will pay 3%.
(4) The personal payment ratio of retirees is 6% of that of employees.
However, the maximum amount paid by the basic medical insurance pooling fund in proportion shall not exceed the maximum payment limit stipulated in Article 33 of these Provisions. When the payment ratio of the basic medical insurance fund listed in the first paragraph of this article needs to be adjusted, the municipal labor and social security administrative department shall, jointly with the municipal finance department, put forward an adjustment plan, which shall be promulgated and implemented after being approved by the Municipal People's Government.
/baike.baidu.com/item/%E5%8C%97%E4%BA%AC%E5%B8%82%E5%9F%BA%E6%9C%AC%E5%8C%BB%E7%96%97%E4%BF%9D%E9%99%A9%E8%A7%84%E5%AE%9A/3493857? Fr = Aladdin "target =" _ blank "title =" Baidu Encyclopedia-Beijing Basic Medical Insurance Regulations "> Baidu Encyclopedia-Beijing Basic Medical Insurance Regulations