What percentage can be reimbursed by the health insurance card

According to the relevant regulations, the reimbursement ratio of the medical insurance card is generally 60% to 70%, and the medical insurance policies in various places have the minimum and maximum limits for the reimbursement of the medical insurance card. The reimbursement ratio will vary from place to place, and the specific reimbursement ratio needs to check the relevant policies of local medical insurance reimbursement. **The cost can only be reimbursed if the minimum limit is exceeded, and the starting line varies from region to region, generally 1000-2000 yuan.

The maximum reimbursement amount means that the money reimbursed cannot exceed the maximum limit, and there are also differences in different regions, generally hundreds of thousands. The use of a medical insurance card by the person concerned can generally be reimbursed by 50% to 95%. The reimbursement ratio of employee medical insurance is divided according to the actual medical expenses incurred by the insured person, usually the minimum reimbursement ratio for hospitalization is 85%, and the maximum reimbursement is 95%; The reimbursement rate for medical insurance for urban and rural residents is divided according to the level of the hospital, which is between 50% and 80%.

Due to the different economic levels in different regions, the medical reimbursement rates may also vary slightly. After getting medical insurance, if you are an in-service employee, you can only be reimbursed for medical expenses of more than 2,000 yuan after going to the outpatient and emergency department of the hospital, and the reimbursement ratio is 50%. If it is a retiree under the age of 70, the expenses above 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. There is no threshold for the payment of ordinary outpatient expenses incurred by insured employees in primary medical institutions that implement the national basic drug system; In other primary medical institutions, the threshold is reduced from the original 40 yuan to 30 yuan each time.

The reimbursement limit for general outpatient expenses in the first tranche has been increased from the original 60 yuan to 80 yuan; The second level of payment is still 200 yuan.

[Legal basis].Social Insurance Law of the People's Republic of China

Article 23 Employees shall participate in the basic medical insurance for employees, and the employer and the employees shall jointly pay the basic medical insurance premiums in accordance with the provisions of the State. Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.

Article 28 In line 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 ** payment.