How much can a self employed employee report after being hospitalized for a large amount of medical

The self-taught employee brother can be physically reimbursed after medical hospitalization, and it also depends on what kind of hospital you are hospitalized for.

If an employee is hospitalized for a large amount of medical treatment, the reimbursement ratio depends on what kind of disease you are and what kind of medicine he uses to calculate his reimbursement ratio.

For those who pay for medical insurance paid by flexible employees, the reimbursement rate after hospitalization is 75%.

What percent? It also depends on which level of the hospital you are hospitalized in?

80% of the reimbursement for self-paid employees after large medical hospitalization! But there is also a rule on some medications, some are not reimbursed, and this should also be noted.

I think he can achieve 50% reimbursement, which is still very high, so this is a very good guarantee for us, so we still have to pay the insurance on time.

This is about 40% of the degree should be reimbursed, and it should be very well understood like this.

I don't know much about the situation of this camera, and I need to go to the local hospital for specific inquiries, because the reimbursement ratio of hospitals at all levels is different.

60% of the salary paid by the individual, large medical treatment, and medical insurance should be reimbursed after hospitalization.

After a large amount of medical hospitalization for an individual employee, the reimbursement should be 80%, basically more than 80%.

After a large amount of medical hospitalization for self-employed employees, this varies from 50%, 80%, and 75%.

If the self-paid employees meet the reimbursement conditions after being hospitalized for serious illness, they should be reported at least 40%.

How much can employees be reimbursed after hospitalization for large medical treatment, this can definitely give me 60%.

Large-amount medical insurance refers to the medical expenses incurred by the insured due to serious illness and serious illness that exceed the maximum payment limit of the basic medical insurance, on the basis of the basic medical insurance, the medical insurance municipal level has established a large-amount medical insurance. 1. What is the proportion of large-amount medical care insurance1. The base and proportion of large-amount medical expenses mutual aid funds shall be paid jointly by the employer and the individual. The employer shall pay 1% of the sum of the salary base of all employees, and the individual employees and retirees shall pay 3 yuan per month.

2. The treatment of mutual aid funds for large medical expenses.

2. If the insured person's large medical expenses are paid in advance by the designated hospital for the reimbursement of medical expenses of the insured person, the insured person shall pay the self-payment ratio to the designated hospital according to the regulations, and the designated hospital shall reimburse the large medical insurance office; If the insured person seeks medical treatment in the referral hospital, because the large amount of medical expenses is paid in advance by the individual, such personnel should go to the large medical insurance office for reimbursement with medical records, invoices and lists; For those who have paid a large amount of medical expenses in advance in a designated hospital, they can go to the large-amount medical insurance office for reimbursement with their medical records, invoices and lists after being discharged. When the insured reimburses medical expenses, he or she should follow the relevant reimbursement steps to ensure the smooth realization of the reimbursement of expenses. Third, the concept of large-amount medical insurance, large-amount medical insurance refers to the insured due to serious illness, serious illness caused by more than the maximum payment limit of basic medical insurance, on the basis of basic medical insurance, medical insurance city-level overall planning to establish a large-amount medical insurance system.

The medical expenses incurred in the hospitalization and outpatient clinics of special diseases of the personnel with large medical insurance for urban employees are within the scope of reimbursement of the medical insurance for urban employees, and after being reimbursed by the basic medical insurance according to the regulations, the expenses accumulated above the threshold standard to the maximum limit throughout the year are paid by the large-amount medical insurance** according to the regulations. Employees and retirees who participate in the basic medical insurance for urban employees shall enjoy the treatment of large medical insurance after paying large medical premiums in accordance with the regulations. Hopefully, the above article on what is the percentage of large medical insurance contributions, how large medical insurance medical expenses are reimbursed, and the concept of large medical insurance will be helpful.

Article 26 of the Social Insurance Law of the People's Republic of China The treatment standards of basic medical insurance for employees, new types of rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State. Article 28 of the Social Insurance Law of the People's Republic of China in accordance with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **. Article 29 of the Social Insurance Law of the People's Republic of China The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institutions and drug business units.

The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

- 85% reimbursement for less than 40,000 yuan;

90% reimbursement for less than 10,000-80,000 yuan;

95% reimbursement for more than 10,000 yuan;

4. The maximum payment limit in each medical year is RMB 150,000.

The documents required for reimbursement are as follows:

1. Employee's "Medical Insurance Card" and "Serious Illness Medical Insurance Payment Card";

2. Approval form for the overall planning and payment of medical expenses for serious illnesses;

3. Discharge diagnosis (emergency rescue diagnosis should be issued for emergency rescue), "Settlement List of Hospitalization Medical Expenses for Serious Illness Co-ordination Patients" and "Hospitalization Fee Settlement";

4. An approval form should be issued for special inspection, special inspection or the use of expensive drugs;

5. Outpatients need to issue a diagnosis of justice, a prescription for serious illness and a special receipt for outpatient charges;

6. The transfer certificate issued by the hospital's Serious Illness Coordination Office should be provided;

7. Other materials stipulated by the overall medical treatment of serious diseases;

8. The time limit for reimbursement of documents shall be within 60 days based on the last day of discharge or outpatient treatment, and no reimbursement will be made after the deadline;

9. A one-time reimbursement system is implemented for serious illness medical expenses, and any omission caused by enterprises, individuals and hospitals will not be reimbursed;

10. If the reimbursement materials are incomplete due to enterprises, individuals and hospitals, the payment will be suspended.

Legal basisArticle 26 of the Social Insurance Law of the People's Republic of China.

The treatment standards of basic medical insurance for employees, new rural bridge-qi cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.

The in-patient call fee for injection in Shouguang People's Hospital is 2,800 yuan, and how much can be reimbursed with a social security card.

How much is the reimbursement for hospitalization in Qianxian People's Hospital.

Medical insurance is different from social security, medical insurance is divided into two grades of AB, and the reimbursement ratio is also different, for ordinary outpatient clinics, grade A is 30% and grade B is 60%. If you are hospitalized, you have to remove a threshold fee of 300 yuan, which will not be reimbursed. The remaining a50% b70%.

What percentage of the medical insurance reimbursement for retirees is in the local tertiary hospital?

How to reimburse the obstetrics department of rural cooperative medical care.

Legal Analysis:1For the part of the outpatient and emergency medical expenses of employees exceeding 2,000 yuan in a year, 50% of the mutual aid fund for large medical expenses will be paid, and 50% will be paid by individuals.

2.For retirees under the age of 70, 70% of the large medical expenses will be paid by the mutual aid fund for large medical expenses, and 30% will be paid by individuals

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

1. Notice) shall be paid from 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.

Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall call ** to pay in advance. After the basic medical insurance is paid in advance, it has the right to recover from the third party.