Is there any outpatient fee for employees in the broken industry after self medical insurance?

Updated on society 2024-06-05
3 answers
  1. Anonymous users2024-02-11

    Medical insurance can reimburse outpatient expenses.

    This is because the reimbursement scope of medical insurance includes three parts: outpatient, inpatient, and serious illness. However, the proportion of outpatient reimbursement is less than that of the other two uses.

    Under normal circumstances, the reimbursement ratio of outpatient clinics is below, and the part paid by the overall ** is less, most of which is paid by the personal account funds of the insured or cash.

    It should be noted that if the insured person does not go to the designated medical institution for medical treatment, then whether it is outpatient expenses or other expenses, they must be borne by themselves and cannot be reimbursed.

  2. Anonymous users2024-02-10

    The thing I'm most opposed to is that this personal account is only 2%. In the past, 2% of the individual contribution of medical insurance and 30% of the payment of the unit were credited to the personal account. After the reform, the part of the unit payment is put into the medical insurance co-ordination**, and is no longer included in the personal account, and the part of the individual payment is included in the personal account.

    Why is the employee account abundant, and why is the resident medical insurance rising every year, but not enough every year? In addition to the fact that the contributions of employees are higher than those of residents, there is also a reason why young workers rarely get sick. I rarely go to the inpatient and outpatient clinics, and I buy a few boxes of medicine at the pharmacy.

    Go to the hospital outpatient ** to see a doctor, all kinds of messy examinations are not fully reimbursed, or pay out of pocket, and then queue up for this time in the morning I am afraid that it is not used, young people who go to work will not go to the hospital for small problems, and they will deduct their wages for leave. Not to mention that the money spent on the medical insurance card to go to the hospital is gone, the money in the wallet is gone, and the attendance bonus and performance award are all gone when the salary is paid. At least so far, as a young person, I don't support it.

  3. Anonymous users2024-02-09

    Summary. Under normal circumstances, the medical insurance participants pay and reimburse medical expenses within the scope of basic medical insurance, which is not affected by the bankrupt enterprise, but in practice, if the enterprise bankruptcy causes the employee to be unable to participate in the insurance or unable to continue to pay social security fees within the specified time limit, the medical insurance reimbursement ratio may be affected, usually between 30% and 80%. The specific proportion needs to be determined according to local policies and the specific situation of enterprise bankruptcy.

    The same. Excuse me, but please go into more detail?

    The reimbursement ratio of medical insurance for employees of bankrupt enterprises varies from local policies, and under normal circumstances, medical insurance participants pay and reimburse medical expenses within the scope of basic medical insurance, which is not affected by bankrupt enterprises, but in practice, if the enterprise bankruptcy causes employees to be unable to participate in the insurance or continue to pay social security fees within the specified time limit, the medical insurance reimbursement ratio may be affected, and it is usually between 30% and 80% before the leakage. The specific proportion needs to be determined according to local policies and the specific situation of enterprise bankruptcy.

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