1. Medical insurance reimbursement: Generally speaking, the economic development in different regions is different, so the reimbursement ratio is different. The following is a description of the proportion of medical insurance for employees in Beijing;
2. After getting medical insurance, if you are an on-the-job employee, the reimbursement rate is 50% after going to the outpatient department and emergency department of the hospital. For retirees under the age of 70, the reimbursement rate is 70%. For retirees over 70 years old, the reimbursement rate is 80%;
3. No matter what kind of people, the maximum amount of outpatient and emergency medical expenses is 20,000 yuan. If it is hospitalization expenses, the minimum payment for employees and retirees is 1300 yuan when the basic medical insurance is used for the first time within one year in 2009.
The following are not included in the scope of reimbursement of rural cooperative medical insurance:
1. Medical treatment at one's own expense (no designated hospital or referral form), drugs purchased at one's own expense, drugs that cannot be reimbursed according to the regulations of public medical care and medical expenses that do not meet the requirements of family planning;
2, outpatient treatment fees, visits, hospitalization fees, meals, escort fees, nutrition fees, blood transfusion fees (except for family blood storage, according to the relevant provisions of reimbursement), heating and cooling fees, ambulance fees, allowances and other expenses;
3. Medical expenses for car accidents, fights, suicides, alcoholism, industrial accidents and medical accidents;
4. Orthopedics, cosmetic surgery, dental implants, artificial limbs, organ transplantation, roll call surgery fees, consulting fees, etc. ;
5, within the scope of reimbursement, beyond the limit.
The applicable population of hepatitis B vaccine is as follows: newborn babies need to be vaccinated with hepatitis B vaccine; Adults with low immunity, such as diabetic patients, tumor chemotherapy patients, tuberculosis patients and AIDS patients, also need to be vaccinated with hepatitis B vaccine if HBsAg and HBsAg are negative. Timely and standardized inoculation of hepatitis B vaccine to produce hepatitis B antibody can avoid infection with hepatitis B virus.
To sum up, the neonatal hepatitis B vaccine is free, while the adult hepatitis B vaccine is self-funded and has not entered the medical insurance plan at present. Hepatitis B vaccine is generally vaccinated in outpatient clinics, and medical insurance is not reimbursed. Hepatitis B vaccine is cheap, and the price of three needles is about 100 yuan.
Legal basis:
Article 28 of People's Republic of China (PRC) Social Insurance Law
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, 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.