How much is reimbursed by Retiree Hospitalization Medical Insurance?

85% of the part above the minimum payment standard of hospitalization medical insurance for retirees up to 5,000 yuan will be paid; The part above 5,000 yuan to 10,000 yuan will be paid at 90%. Medical insurance reimbursement ratio: 1. Outpatient and emergency medical expenses:

The cumulative medical expenses within the scope of basic medical insurance within the year (January 1 to December 31) of in-service employees exceed 2,000 yuan.

2. Settlement ratio: 50% of the part of the dispatched personnel more than 2,000 yuan during the contract period, and 50% of the personal payment; The maximum amount of reimbursement for outpatient and emergency treatment of dispatched personnel in a year is 20,000 yuan. 3. The insured person should properly keep the outpatient medical documents (including receipts and prescriptions for the following parts) in the designated hospital as the medical expense reimbursement voucher.

Each item is different, but in general, medical insurance accounts for two-thirds and one-third is paid by yourself.

If it is a fully self-paid medicine and it is more expensive, the doctor will tell you in advance and will only use it with the consent of the family.

A retiree should be able to reimburse 90 per cent of his stay in the hospital. Therefore, under normal circumstances, it generally refers to the drugs that can be reimbursed by medical insurance, and they can be reimbursed, which is actually very beneficial for us retirees.

The proportion of retirees who have been reimbursed by hospitalization medical insurance varies from place to place, but most places have inpatient medical insurance, and after crossing the self-pay line, 90% will be reimbursed

It depends on which hospitals you are in**, about 80% of the county, and there may be less at the municipal level, these are all hospitalized in the province**, and the proportion of other provinces will be even lower.

For this kind of medical insurance for retirees hospitalization is generally more than 80%, well, so we should usually pay this kind of medical insurance, and illness still plays a big role.

The reimbursement ratio of retiree hospitalization medical insurance is based on the specific reimbursement ratio of class B drugs, class A drugs, and class C drugs depending on your drug use.

How much can retirees be reimbursed for hospitalization? Retirees, it should be said. What is it? unit retired. The grades are not the same. There is also a difference between provincial medical insurance and medical insurance.

How much can the medical insurance reimburse the pursuer? There is no unified standard for this, it should be at least 60 to 70% or more, some to 80%, and some have secondary reimbursement, which is different from the local system, and different from the local regulations, this depends on your local medical level and local ability, this does not have a unified standard.

Reimbursement for hospitalization for retirees is generally around 60-80, depending on local policies.

How much is reimbursed by Retiree Hospitalization Medical Insurance? Currently, 75% of retirees are reimbursed by hospitalization medical insurance. Pay for the rest.

How much is reimbursed by Retiree Hospitalization Medical Insurance? I think if a retiree is hospitalized, the medical insurance can be between 60% and 80%.

Depending on the level of the hospital, the type of medicine can be reported at about 70 to 90

Generally speaking, retired workers or regular workers, as long as you pay medical insurance normally, then, as long as you are hospitalized, his reimbursement ratio is generally about 80%, and some reach 90%.

The reimbursement process for retiree hospitalization medical insurance is as follows:

1. Prepare the discharge summary, invoice, and medication schedule issued by the hospital;

2. My ID card, medical insurance card, and medical certificate issued by the unit (with the company's official seal), if the enterprise is not insured, the medical certificate issued by the unit is not required;

3. Bring the above information to the local medical insurance Xiaomao to handle it.

Medical insurance card application process:

1. Prepare application materials, original and copy of ID card, one inch **, resignation procedures, copy of household register, renewal medical insurance card, medical records;

2. Then go to the old-age insurance leakage burying institution where the household registration is located to receive the social insurance financial subsidy form, fill it in and hand it in, and submit all the information prepared;

3. The staff will conduct a review of the information provided, which can be completed on the same day and issue payment documents; According to the bank information on the payment slip, regular transfers are sufficient; Bring the first payment slip to the medical insurance hall to get the medical insurance card, some places will have medical records, the medical record is affixed with ** and has a steel seal, you can bring it when you see a doctor.

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The specific process of reimbursement of hospitalization medical insurance for retirees is as follows:

1.During hospitalization**, patients or their family members should prepare relevant supporting materials for medical expenses, including hospitalization invoices, medical expense schedules, doctor's diagnosis certificates, medical records, medical insurance cards, etc.

2.Patients or their family members should submit an application for reimbursement to the hospital's medical insurance window or medical insurance institution before being discharged from the hospital, and provide relevant supporting materials.

3.The hospital or health insurance provider will review the reimbursement application, confirm that the eligible expenses are reimbursable, and then refund the expenses directly or by bank transfer to the patient or his/her family.

It should be noted that the specific process of reimbursement for retirees' hospitalization medical insurance may vary depending on the region and medical insurance policy. Therefore, it is recommended to consult the medical insurance leakage window of the local medical insurance agency or hospital to ensure the smooth progress of the reimbursement process.

The specific process of reimbursement of hospitalization medical insurance for retirees is as follows:

1.In accordance with the regulations, you need to show your retirement certificate, medical insurance card, hospital advance payment and other relevant materials in the process.

2.The hospital will be reimbursed to the Social Security Bureau through the system.

3.The Social Security Bureau reviews the list of expenses, calculates the proportion of medical insurance payment and pays the expenses to the hospital.

4.Retirees should go to the finance department of the hospital with their social security card or medical insurance card to receive their personal medical expenses for reimbursement of their brother's annual expenses.

Note: Retirees need to ensure that the list of expenses submitted by the hospital is accurate during the hospitalization to avoid problems with subsequent reimbursement.

There are two main steps for the reimbursement of hospitalization medical insurance for retirees: 1. Keep the invoices and receipts issued by the hospital to ensure that the information is complete and correct; 2. Hold the retirement certificate, social security card and the relevant bills mentioned above to the social security card service outlets in the place of residence or the relevant medical insurance institutions in Hechun to go through the reimbursement procedures. In addition, the reimbursement policies of different regions or different insurance companies may have certain differences, so it is recommended to carefully understand the imitation shed cherry blossoms before applying for reimbursement.

In the process of inpatient medical insurance reimbursement, asking the hospital's medical insurance specialist or relevant personnel in time is of great help to the problems that need to be solved and coping strategies.

Summary. The Medical Insurance Bureau is responsible for accepting the approval, payment, management and other daily affairs of basic medical insurance, work-related injury insurance, maternity insurance and medical expenses for retired cadres, and providing corresponding management services for employers, employees and retired cadres participating in basic medical insurance, work-related injury insurance and maternity insurance. The Social Security Bureau is an administrative agency under the Human Resources and Social Security Bureau, which is responsible for the collection and management of social insurance in the city.

The Medical Insurance Bureau is responsible for accepting the approval, payment, management and other daily affairs of basic medical insurance, work-related injury insurance, maternity insurance and medical expenses for retired cadres, and providing corresponding management services for employers, employees and retired cadres participating in basic medical insurance, work-related injury insurance and maternity insurance. The Social Security Bureau is an administrative agency under the Human Resources and Social Security Bureau, and is responsible for the collection and management of the city's social insurance.

Hello, the medical insurance reimbursement process after retirement is as follows: 1. First of all, you need to choose to seek medical treatment in a designated hospital and show your medical insurance card when you seek medical treatment, 2. After hospitalization, the hospital usually requires priority to pay a part of the hospitalization expenses in advance, and keep this payment invoice at this time; 3. During the hospitalization, the hospital will print a list of expenses every day, and the list will write out which social security can be reported, which Liang Xiao is self-paying, self-paying, and which can only be reimbursed, 4. After discharge, the hospital system will directly settle the part that can be reimbursed by the medical insurance, and the part that cannot be reimbursed will be directly reimbursed by Ziyan, and the part that cannot be reimbursed needs to be paid by himself, 5. If the retiree is a public institution or a state-owned enterprise, he can also hand over all the invoices during the hospitalization to the finance department of the unit, and at this time he can also reimburse part of the expenses.

Legal analysis: If it is a retiree under the age of 70, the expenses of more than 1,300 yuan can be reimbursed, and the reimbursement ratio is 70%. If you are a retiree over the age of 70, the proportion of expenses above 1,300 yuan that can be reimbursed is 80%.

Regardless of the type of person, the maximum amount of outpatient and emergency medical expenses paid is 20,000 yuan.

Legal basis: Article 30 of the Law of the People's Republic of China on Social Insurance: The following medical expenses are not included in the scope of payment of basic medical insurance**

1) It should be paid out of work-related injury insurance**;

2) It shall be borne by a third party;

3) It should be borne by public health;

4) Seeking medical treatment outside the country.

The medical expenses shall be borne by the third party according to the law of the world, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.