After handling social insurance, if there is a place where we need to spend money when we are sick, we can use social insurance for reimbursement. How is the reimbursement proportion of social insurance regulated for hospitalization? The following small edition sorts out the relevant information about Beijing hospitalization social insurance reimbursement ratio, hoping to help you.
1、 How to reimburse the proportion of social insurance in Beijing
1. Proportion of hospitalization reimbursement (including family sickbed):
The starting line is 300 yuan / time for class I medical institutions, 600 yuan / time for class II medical institutions and 1200 yuan / time for class III medical institutions.
The reimbursement rates are respectively 95% for class I medical institutions, 90% for class II medical institutions and 85% for class III medical institutions, of which 90% are paid by the fund for the hospitalization of malignant tumor surgery, heart and brain disease surgery and liver, kidney and bone marrow transplantation surgery.
2. General outpatient reimbursement ratio:
90% of first-class medical institutions, 70% of second-class medical institutions and 40% of third-class medical institutions.
3. Reimbursement proportion of outpatient specific diseases:
The reimbursement proportion is the same as that of hospitalization, and there is no starting line. 95% of the first-class medical institutions, 90% of the second-class medical institutions and 85% of the third-class medical institutions (90% of the major and major diseases such as radiotherapy, chemotherapy, hyperthermia, and dialysis in uremic outpatient clinics are paid to the quota standard).
The annual limit is divided into three levels, the low level limit is 4500-5500 yuan, the middle level limit is 4500-45000 yuan, and the high level limit is 100000 yuan.
4. Reimbursement proportion of outpatient chronic diseases:
There is no starting line, the reimbursement proportion is 85% for class I medical institutions, 80% for class II medical institutions, 75% for class III medical institutions, and the annual limit is 4500-15000 yuan.
2、 Social insurance reimbursement
It refers to the behavior that the social insurance compensates the medical expenses, childbearing expenses and industrial injury treatment expenses of the staff and workers in proportion. Social insurance reimbursement mainly includes three parts: maternity insurance reimbursement and work injury insurance reimbursement. The reimbursement methods of social medical insurance vary from place to place.
The above content is the relevant answer. If you are ill in hospital, the proportion of hospitalization reimbursement of social security is generally considered according to the level of medical institutions. If you are a level of medical institution, it is 300 yuan once.