-
In 2022, there are two main changes in the outpatient reimbursement policy for retirees, both of which are good news, one is that ordinary outpatient expenses can be reimbursed, and the other is that the reimbursement amount is higher than that of in-service personnel. Ordinary outpatient expenses can be reimbursed Starting from 2022, many provinces have begun to officially implement the reform of outpatient mutual aid security for employee medical insurance, one of the important contents is that ordinary outpatient expenses can be reimbursed, and the payment ratio starts from 50%. Before the reform, the medical insurance co-ordination ** was mainly responsible for the reimbursement of hospitalization expenses, and outpatient expenses were mainly solved through personal accounts.
After the reform, outpatient expenses can also be reimbursed through medical insurance**.
-
There are changes, retirees can be reimbursed for outpatient expenses, and the reimbursement amount will be higher than that of active employees.
-
Reform the method of personal account accounting, and the reimbursement treatment of ordinary outpatient co-ordination will cover the outpatient security treatment of all insured personnel, and will gradually tilt towards retirees, and gradually expand the scope of special diseases and diseases in outpatient clinics.
-
2023 Outpatient Reimbursement Policy for Retirees: Outpatient Reimbursement Treatment for Employee Medical Insurance and Reimbursement Treatment for Serious Illness Insurance.
1. Outpatient reimbursement treatment of employee medical insurance: retirees, within a year, the threshold of outpatient reimbursement is 1,300 yuan for retirees, and for the amount above the threshold, the reimbursement ratio of retirees is more than 85%, and the reimbursement ratio can reach 90% for outpatient expenses incurred in community health institutions.
2. Reimbursement treatment of critical illness insurance: Critical illness insurance treatment, starting from January 1, 2023, for personal medical expenses of more than 30,404 yuan, you can enjoy the "second reimbursement" of Zhenqing Critical Illness Insurance, for the part above the minimum payment standard and within 50,000 yuan, the reimbursement ratio is 60%, and for the part above the minimum payment standard and more than 50,000 yuan, the reimbursement ratio is 70%, and the reimbursement amount is not capped. Beijing's critical illness insurance reimbursement treatment has also been greatly improved, which can effectively prevent the occurrence of "returning to poverty due to illness".
The outpatient reimbursement process for 2023 is as follows:
With the hospitalization notice issued by the outpatient hospital, ID card to the medical insurance management agency registration, after discharge, the employee with the settlement voucher issued by the hospital to the medical insurance management center for inpatient and outpatient serious illness reimbursement. <>
-
Summary. In 2023, the state will adjust the outpatient reimbursement regulations for retirees to better meet the medical needs of retirees. First of all, the outpatient reimbursement rate for retirees will be increased to 90%, and the reimbursement ceiling will also be increased to 1,000 yuan per visit.
In addition, retirees can enjoy more reimbursement items, including antiviral drugs, anti-cancer drugs, anti-tuberculosis drugs, etc. for chronic diseases. In addition, in order to better meet the medical needs of retirees, the state will also introduce a series of preferential policies, including increasing the reimbursement ratio, reducing reimbursement fees, and providing free medical examinations. In conclusion, the outpatient reimbursement for retirees in 2023 will be more comprehensive and the reimbursement ratio will be higher to better meet the medical needs of retirees.
In 2023, the state will adjust the outpatient reimbursement regulations for retirees to better meet the medical needs of retirees. First of all, the outpatient reimbursement rate for retirees will be increased to 90%, and the reimbursement ceiling will also be increased to 1,000 yuan per visit. In addition, retirees can enjoy more reimbursement items, including antiviral drugs, anti-cancer drugs, anti-tuberculosis drugs, etc. for chronic diseases.
In addition, in order to better meet the medical needs of retirees, the state will also introduce a series of preferential policies, including increasing the reimbursement ratio, reducing or exempting reimbursement fees, and providing free medical examinations to the bureau. In short, the outpatient reimbursement for retirees in 2023 will be more comprehensive and the reimbursement ratio will be higher to better meet the medical needs of retirees.
Can you add, I don't quite understand it.
As the population ages, retirees have increasing medical needs, but their income levels are too low to afford the high medical bills. 2.Currently, outpatient reimbursement policies for retirees are limited to meet their medical needs.
Workaround:1Strengthen medical protection for retirees and increase their outpatient reimbursement policies to meet their medical needs.
2.Strengthen the health education of retirees, improve their health awareness, and reduce their medical costs. Personal Tips:
1.Retirees should take full advantage of the new outpatient reimbursement policy and seek medical attention in a timely manner to prevent illness. 2.
You should pay attention to your own health, exercise more, eat more vegetables and fruits, and maintain good habits to reduce medical expenses. 3.We should pay more attention to the changes in medical policies and keep abreast of new policies so that they can be used in a timely manner.
-
Summary. Hello, 2023 Outpatient Reimbursement Policy for Retirees: Outpatient Reimbursement Treatment for Employee Medical Insurance, Reimbursement Treatment for Serious Illness Insurance.
1. Outpatient reimbursement treatment of employee medical insurance: retirees, within a year, the threshold of outpatient reimbursement is 1,300 yuan for retirees, and for the amount above the threshold, the reimbursement ratio of retirees is more than 85%, and the reimbursement ratio can reach 90% for outpatient expenses incurred in community health institutions. 2. Reimbursement treatment of critical illness insurance:
Critical illness insurance treatment, starting from January 1, 2023, for personal medical expenses above 30,404 yuan, you can enjoy the "second reimbursement" of critical illness insurance, for the part above the minimum payment standard and within 50,000 yuan, the reimbursement ratio is 60%, for the part above the minimum payment standard and more than 50,000 yuan, the reimbursement ratio is 70%, and the reimbursement amount is not capped. Returning to poverty due to illness".
Hello, 2023 Outpatient Reimbursement Policy for Retirees: Outpatient Reimbursement Treatment for Employee Medical Insurance, Reimbursement Treatment for Serious Illness Insurance. 1. Outpatient reimbursement treatment of employee medical insurance:
For retirees, within a year's Fan Jian blind circle, the threshold for outpatient reimbursement is 1,300 yuan for retirees, while for the amount above the threshold, the reimbursement ratio for retirees is more than 85%, and for the outpatient expenses incurred in community health institutions, the reimbursement ratio can reach 90%. 2. Reimbursement treatment of critical illness insurance: Critical illness insurance treatment, starting from January 1, 2023, for personal medical expenses above 30,404 yuan, you can enjoy the "second reimbursement" of critical illness insurance, for the part above the minimum payment standard and within 50,000 yuan, the reimbursement ratio is 60%, and for the part above the minimum payment standard and more than 50,000 yuan, the reimbursement ratio is 70%, and the reimbursement amount is not capped. Beijing's critical illness insurance reimbursement treatment has also been greatly improved, which can effectively prevent the occurrence of "returning to poverty due to illness".
Is there an upper limit on outpatient reimbursement for retirees in public institutions after the integration of Beijing-Tianjin-Hebei?
Kiss me to find out.
After the integration of Beijing-Tianjin-Hebei, there is an upper limit on the outpatient reimbursement of retirees in public institutions, and the maximum limit for each reimbursement project is RMB 3,000. After the integration of Beijing-Tianjin-Hebei, the specific policies for outpatient reimbursement for retirees in public institutions may vary from region to region and unit to unit. In general, the upper limit of outpatient reimbursement may be subject to some restrictions, such as reimbursement ratio, reimbursement scope, reimbursement amount, etc.
It is recommended that you consult with your institution or local social security department for specific policy details to better understand your reimbursement situation. At the same time, you can also pay attention to the updates and adjustments of relevant policies to keep abreast of the latest policy changes. ☺️
The regulations are as follows:
Outpatient reimbursement can also be carried out for special diseases, and the reimbursement ratio varies from place to place, and the relevant departments of human resources and social security in various places have also issued relevant regulations to regulate the reimbursement of outpatient services for special diseases. >>>More
1. Retirees cannot receive old-age allowance;
2. The old-age subsidy generally refers to those who have actually lived in the local area for more than 15 years, are over 70 years old, have no ** or the living pension treatment issued by the unit, and their family children (referring to sons and daughters-in-law who are under the age of 60 and women are under the age of 55) have participated in the social endowment insurance and paid in full and on time, they can apply for the old-age pension subsidy issued by the company; >>>More
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: >>>More
The new policy on the reimbursement ratio of medical insurance in 2022 is as follows: >>>More
Hello dear, 1Medical insurance is mainly divided into employee medical insurance and resident medical insurance, and the reimbursement ratio is also different; 2.The reimbursement ratio of employee medical insurance is divided according to the level of hospitalization expenses, with the reimbursement ratio between 1,300 yuan and 30,000 yuan being 85%, the reimbursement ratio between 30,000 yuan and 40,000 yuan being 90%, the reimbursement ratio being 95% between 40,000 yuan and 100,000 yuan, and the reimbursement ratio being between 100,000 yuan and 300,000 yuan being 85%; 3. >>>More