Beijing’s medical insurance reimbursement regulations for retired employees mainly involve the conditions for enjoying medical insurance benefits, the scope of reimbursement, the reimbursement ratio and the reimbursement process.

1. Conditions for enjoying medical insurance benefits Retired employees in Beijing must participate in basic medical insurance and pay corresponding medical insurance fees in order to enjoy medical insurance reimbursement benefits.

Retired employees need to maintain their medical insurance coverage status. If they are in arrears or interrupt their payments, medical insurance reimbursement may be affected.

2. Reimbursement scope The reimbursement scope of Beijing retired employees’ medical insurance mainly includes outpatient, hospitalization, special disease and other medical expenses.

Specifically, it includes registration fees, diagnosis and treatment fees, examination fees, medicine fees, surgery fees, nursing fees and other expenses related to disease treatment.

3. Reimbursement ratios The reimbursement ratios of Beijing retired employees’ medical insurance vary according to different types of medical expenses.

Generally speaking, the reimbursement ratio for outpatient medical expenses is lower and the reimbursement ratio for inpatient medical expenses is higher.

At the same time, for special diseases or high medical expenses, the medical insurance department will give certain policy preferences and increase the reimbursement ratio.

4. Reimbursement Process Retired employees must bring their valid medical insurance card and identity document when seeking medical treatment.

After seeking medical treatment, you can apply for reimbursement through the online service platform of the hospital or the medical insurance department.

When applying, you need to provide medical expense invoices, prescription orders, diagnosis certificates and other relevant materials.

After the medical insurance department verifies that the reimbursement is correct, the reimbursement will be directly transferred to the bank account of the retired employee.

In addition, in order to facilitate retired employees, Beijing has also introduced convenience measures such as medical insurance electronic vouchers to make the reimbursement process more convenient and efficient.

To sum up: Beijing’s medical insurance reimbursement regulations for retired employees involve aspects such as the conditions for enjoying medical insurance benefits, the scope of reimbursement, the reimbursement ratio and the reimbursement process.

Retired employees need to participate in basic medical insurance and pay medical insurance fees in order to enjoy medical insurance reimbursement benefits.

The scope of reimbursement mainly includes medical expenses such as outpatient service, hospitalization, and special diseases. The reimbursement ratio varies according to the type of medical expenses.

The reimbursement process can be applied through the online service platform of the hospital or medical insurance department, which is convenient and fast.

Legal basis: Article 23 of the "Social Insurance Law of the People's Republic of China" stipulates that employees shall participate in employee basic medical insurance, and the employer and employees shall jointly pay basic medical insurance premiums in accordance with national regulations.

Article 27 stipulates: Individuals who participate in the basic medical insurance for employees, and when they reach the statutory retirement age, and their cumulative contributions reach the number of years specified by the state, they will no longer pay basic medical insurance premiums after retirement and enjoy basic medical insurance benefits in accordance with national regulations; if they have not reached the national

If the number of years is specified, you can pay until the number of years specified by the state.

Article 28 stipulates: 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.