What is the reimbursement ratio of remote medical insurance? Is the employee medical insurance only

If you spend 3,000 yuan, you can probably reimburse 88%, and if you spend 3,000 to 5,000, you can reimburse about 90%. Employee medical insurance is not only 20%.

The proportion of reimbursement of medical insurance in different places is different according to each place, and the reimbursement ratio is different, if the medical insurance is filed in other places in advance, the proportion can reach 60%, and the employee medical insurance is not only 20%.

The proportion of reimbursement in different places is different in each place, and the reimbursement of employee medical insurance is not only 20%, but also according to the different reimbursement ratios in different regions.

If you are hospitalized in a different place and do not go through the filing and regularization procedures, you will only report 20%, and if you go through the filing and regularization procedures at the medical insurance center where your medical insurance card is located two days before hospitalization, then about 80% of the reimbursement can be reimbursed if you are hospitalized in another place, and you can directly swipe your medical insurance card before accompaniment.

Employees of medical insurance in different places can not see a doctor, and only 20% of the town Oak Energy Brigade is reported, some will be more, some will be less, the country's medical insurance policy, hospitalization, some medicine is not reimbursed, individuals have to bear a side of the cover, and the rest of the medicine is reimbursed in accordance with the national policy.

If you go through the filing and regularization procedures at the medical insurance center where your medical insurance card is located two days before hospitalization, then about 80% can be reimbursed for hospitalization in other places, and you can directly talk about swiping your medical insurance card. Rounded.

If you go to a different place for medical treatment, you must have a transfer certificate from a local hospital, and only with slag so that you can come back to reimburse for a high reimbursement.

Can the employee medical insurance of non-local medical insurance only be reimbursed by 20%? No, it should be unified, whether it is a different place or not, the employees of the county should be reimbursed, she depends on what medicine you distribute, some things are not reimbursed, some socks are reimbursed, there is no 20% reimbursement for this, this statement!

If the medical insurance for employees in other places does not go through the referral procedures in the place of insurance, it will be regarded as self-hospitalization. The reimbursement rate will be reduced by two points.

Is the employee medical insurance for remote medical insurance only reported 20%?

This is not a hungry friend, right. As long as it is employee medical insurance. If it can be reimbursed, it should be reimbursed at the normal rate, that is, about 85%. The reimbursement of medical insurance in other places should be recorded, and it should be filed in the original local medical insurance institution.

The above reimbursement ratio is incorrect, and the medical insurance of employees in other places needs to handle the referral information in the local area of Quedubi, and the reimbursement ratio is about 60%, and they bear 10% of the referral fee.

The reimbursement of employee medical insurance for non-local medical insurance is generally 70% to 80%, but a starting line must be removed, and general hospitalization can be reimbursed.

Is the employee medical insurance for remote medical insurance only reported 20%? Our town buries the ridge and believes that the employee medical insurance of the remote medical insurance is not liquid slag, and only 20% is reported. Medical insurance for employees with medical insurance in other places. It is also a medicine to be seen, some of which can be reported by the infiltration, and some of which cannot be reported.

The employee medical insurance of the remote medical insurance is only reported 20%, is it? Medical insurance in other places is also reimbursed normally. But there are places where you have to file in advance. Not as you say.

Non-local medical insurance, employee medical insurance, they report 20% should be much more than this, and give you specific medication this month.

There are regulations on the reimbursement of non-local places, the reimbursement ratio of the place of household registration, and the reimbursement scope of the place of medical treatment.

If you shoot this 20% reimbursement, it means that there are drugs that are not reimbursed, so you feel that the reimbursement ratio is low.

Legal analysis: the reimbursement ratio of non-local medical insurance is as follows: the reimbursement ratio is 88% for the threshold fee above 3000 yuan, 90% for 3000-5000 yuan, 92% for 5000-10000 yuan, and 95% for more than 10000 yuan to the maximum payment limit, of which 80% for Class B drugs, 70% for valuable drugs, and 70% for special inspections and special **.

The medical expenses of the medical insurance personal account can be processed in the Zigui Medical Insurance Bureau on a regular basis, and the hospitals in other provinces should be designated hospitals for local medical insurance.

Legal basis: Social Insurance Law of the People's Republic of China

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

Article 29 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 institution and the drug business unit. 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.

Article 31 According to the needs of management services, social insurance agencies may sign service agreements with medical institutions and drug business units to standardize medical services. Medical institutions shall provide reasonable and necessary medical services to insured persons.

Pro, the reimbursement ratio of non-local medical insurance is generally 88% above the threshold fee to 3,000 yuan; 3000-5000 yuan reported 90%; 5,000-10,000 yuan reported 92%; 95% of the maximum payment limit for more than 10,000 yuan. Among them, 80% for Class B drugs; 70% for precious medicines; 70% reimbursement for special examinations and special **. In addition, drugs outside the medical insurance cannot be reimbursed, which is subject to the local medical insurance policy.

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) shall be paid from work-related injury insurance**; (2) It shall be borne by a third party; (3) It shall 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 pay in advance.

After the basic medical insurance** is paid in advance, it has the right to recover from a third party.