1. On-the-job employees: First-class hospitals, with 9% reimbursement from the overall fund and 1% paid by individuals; Secondary hospitals, 85% of the overall fund reimbursement, and 15% of the individual pays; Third-class and first-class hospitals, 8% are reimbursed from the overall fund and 2% are paid by individuals < P > 2. Retirees: first-class hospitals, 93% are reimbursed from the overall fund and 7% are paid by individuals; In the second-level hospital, 89.5% is reimbursed from the overall fund and 1.5% is paid by the individual; In Grade III and Grade A hospitals, 86% is reimbursed from the overall fund and 14% is paid by individuals.

3. Migrant workers (migrant workers' medical insurance is purchased in Guangzhou for foreign accounts): First-class hospitals, with 72% reimbursement from the overall fund and 28% paid by individuals; Secondary hospitals, 68% of the overall fund reimbursement, and 32% of the individual pays; In Grade III and Grade A hospitals, 64% is reimbursed from the overall fund and 36% is paid by individuals.

Remarks: (1) On-the-job employees refer to those who have purchased employee social security in Guangzhou.

(2) The first-level hospitals refer to community hospitals and relatively low-level hospitals. Third-class hospitals refer to national third-class hospitals, such as Guangdong Provincial People's Hospital and No.1 Middle School Hospital.

(3) Qifubiaozhun of the overall fund means that when the hospitalization expenses exceed the above standards, the excess can be reimbursed.

(For example, an employee with a Guangzhou registered permanent residence fell ill and was hospitalized in Guangdong Provincial People's Hospital (3A hospital), with a total cost of 3, yuan. The minimum hospitalization deductible of 3A hospitals is 1,6 yuan, so the expenses exceeding the deductible are 1,4 yuan, and 8% of the expenses are directly reimbursed by the overall fund, that is, 1,12 yuan, and the personal expenses are 1,6 yuan plus 28 yuan, that is, the total expenses are only 1,88 yuan. )

Guangzhou outpatient reimbursement ratio (see a doctor in Guangzhou, medical insurance reimbursement ratio):

General outpatient treatment: 1. On-the-job employees (those who have purchased employee social security in Guangzhou) and retirees, community hospitals reimburse 65%, and other medical institutions reimburse 5%.

2 for flexible employees (referring to those who have registered in Guangzhou to purchase social security by themselves) and migrant workers (those who have purchased medical insurance for migrant workers), 55% will be reimbursed by community hospitals and 4% by other medical institutions.

Note: The maximum monthly reimbursement amount is 3 yuan/person, which is valid in the current month and is not rolled over or accumulated.

label: guide to social security knowledge and medical insurance

further reading: how to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.