How to reimburse more than 1800 medical insurance

90% of the medical treatment in the designated community hospital, 70% in other designated hospitals, and real-time settlement of more than 1,800 yuan, only the self-paid part is required. Dental care can be reimbursed, filling domestic reimbursement, imported materials are not reported or underreported, and dental prostheses are not reported. There is no money in the health insurance card, only the account.

The money is in the passbook and can be taken out and used, and the money is not enough to pay for it yourself.

Yes, the outpatient clinic can be reimbursed after the accumulation of 1800 yuan, the reimbursement is settled in real time, and 20,000 yuan can be reimbursed a year.

If you are hospitalized, you will be paid for up to 1200 yuan, and you will be automatically reimbursed after 1200 yuan. The minimum payment line for the second hospitalization within a year was reduced to 600 yuan. The maximum reimbursement in a year is 300,000 yuan.

The reimbursement rate usually depends on the hospital at the time of your visit, and the higher the rank, the lower the public expense rate. Depending on the hospital and the cost of medical treatment, 75%-95% can be reimbursed.

Hello one: less than 1800 yuan is not allowed to pay by card. Two:

The purpose of swiping the social security card is to record your payment records, and it will be settled in real time after 1800 when you see a doctor. Three: After more than 1800 yuan, 70% will be reimbursed if you see a doctor, if you want to see a doctor for 100 yuan, 30 yuan at this time.

The starting line of social security is 1,800 yuan, and it can only be reimbursed after saving enough 1,800 yuan per year. There is no money in the social security card, but there is only one in the fold of the Bank of Beijing. The time card is used for real-time settlement, and it must be brought to the doctor.

After saving enough 1800, swipe the social security card, and the hospital will only charge the expenses borne by the individual. You don't have to wait for social security reimbursement to come back. There is no reimbursement within 1800, and it is not across the year, as long as the cumulative and effective reimbursement is made to the social security center within a medical insurance year, if there is a social security card, it will be reimbursed in real time when it is presented at the hospital.

Medical insurance is not reimbursed if it exceeds 1,008, and there are discounts if it does not exceed it, so there is no limit that it cannot be reimbursed if it does not reach a certain amount. No matter how much money the medical insurance can be reimbursed, it just depends on the use of your own medical treatment and the level of a hospital, and the cost of insurance is also different depending on the level of your medical insurance payment. Like some rural cooperative medical care, any can be reimbursed, whether you are outpatient or inpatient and no matter how much money it is, it can be reimbursed, but the cost of each reimbursement will be more or less, depending on your entire cost and a level of your medical insurance to help you match the cost of medical insurance reimbursement.

The medical insurance reimbursement system in each region is different, and it is reimbursed according to some local regulations, such as some rural cooperative medical care is every outpatient clinic, which can be fixed to report a certain fee, but the outpatient reimbursement cost for a year is fixed, only a few hundred yuan, once the reimbursement is completed, it can no longer enjoy this reimbursement preference. And then if you are hospitalized, he will also be reimbursed according to some of your medications, most of which can be reported to seventy or eighty percent, and you may be able to pay a small amount of money, in fact, these are no problem, and like some big cities, there may be another reimbursement process.

Medical insurance in first-tier cities is divided into several grades to pay, each grade corresponds to each reimbursement system, medical insurance is divided into three grades, the third grade is the lowest grade, and can only go to see a doctor in each community health, the second level is a fixed hospital, the first level is in any hospital and community health can see a doctor, and can be reimbursed, this kind of reimbursement costs, is based on the situation of some drugs you use to reimburse, not to say that there is a fixed money, how much you will be reimbursed every time, it is not the case. They are all reimbursed according to the medical insurance grade you pay, but in fact, it is almost the same, it doesn't cost much money every time, and it is all reimbursed by medical insurance.

No, not necessarily, it depends on the reimbursement situation, as well as the national policy, and the reimbursement also has systems and standards.

No, different places have completely different requirements for medical insurance, so it is completely different from the minimum consumption, and if this standard is not met, there is no way to enjoy any discounts.

Not really. There is no discount, even if it is exceeded, there is no discount, because the medical insurance gives a great discount when it is reimbursed.

Legal analysis: The part of the medical expenses of more than 1,800 yuan per year in the outpatient and emergency department in accordance with the provisions of social security will be reimbursed according to the proportion of 50% in the designated non-community medical institutions, and 70% in the community.

If it is the first reimbursement of the year, the medical expenses incurred will be deducted from the social security self-payment and self-payment items remaining 2,000 yuan, of which 1,800 yuan cannot be reimbursed for personal burden, and 200 yuan multiplied by 50% non-community or 70% community, will get 100 yuan or 140 yuan for reimbursement. The maximum reimbursement for social security is 20,000 yuan.

The part of social security paid by the unit and the part paid by the individual. The specific social security premium payment ratios are: endowment insurance, units and individuals pay % respectively; For medical insurance, units and individuals pay % respectively; Unemployment insurance, units and individuals pay % respectively; Maternity insurance units pay, individuals do not pay; Work-related injury insurance units pay 2%, and individuals do not pay.

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.

Hello, happy to answer your <>

Medical insurance 1800 reimbursement rules To put it simply, the outpatient payment line in each region is 1800 yuan, and from January 1 to December 31 every year, your medical insurance must spend a total of 1800 yuan, and the part that exceeds 1800 yuan can be reimbursed; All the parts that are less than 1,800 yuan are paid by themselves. But this will not work in Beijing, if the cumulative amount of a year is less than 1,800 yuan, these money have to be paid by yourself, in order to be reimbursed by medical insurance to go to the hospital to see a doctor, it may not be as cost-effective as going to the clinic yourself.

It is automatically reimbursed, and you don't need to get reimbursement from the human resources and social security department. For the part exceeding 1800, as long as it is within the scope of medical insurance reimbursement, 70% will be automatically reimbursed. If you reach the lower limit of 1800 and incur outpatient expenses of 100 yuan, which are within the scope of reimbursement, you can pay 30 yuan directly, and the other 70 yuan will be automatically reimbursed, so it will not involve the problem of reimbursement by the human resources and social security department or the reimbursement of money to the medical deposit.

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Medical insurance has a starting line, and it can only be reimbursed after the amount of money you pay first. For example, a certain place stipulates that the minimum payment line for outpatient clinics is 1,800 yuan, and only if the cumulative amount of outpatient treatment exceeds 1,800 yuan in a year, it can be reimbursed. At the same time, there is also a cap on medical insurance, and the excess money cannot be reimbursed.

When you are discharged from the hospital, you must settle all kinds of expenses with your social security card, and if you can't settle it immediately under special circumstances, you can take the documents and vouchers to the medical insurance department to manually reimburse the medical expenses, and if you exceed the time limit, you can only bear these expenses yourself.