1, retired cadres, retired workers, disabled persons on duty, patients with tertiary silicosis, and secondary disabled soldiers who were hospitalized due to illness before the founding of the People's Republic of China, their medical and drug expenses were reimbursed 100%.
2, retired workers working for more than 30 years, the medical expenses reimbursement of 90%.
3. Retired employees with working experience of 2 1 to less than 30 years will be reimbursed 85% of medical expenses.
4. For retired employees with the length of service 15 to 2 1 year and below, 80% of medical expenses will be reimbursed.
5. Retired employees with less than 15 years of service will be reimbursed 75% of medical expenses.
6, retired workers, medical expenses reimbursement 75%.
7.60% of the hospital bed fee will be reimbursed, and the hospital bed fee will be charged by the company regardless of any hospitalization method.
Remarks: In recent years, due to the increasing frequency of travel of the elderly, the frequency of accidents among the elderly is also higher than that of ordinary people. Therefore, it is particularly important to buy an accident-oriented and security-oriented commercial insurance for the elderly.
Two, the proportion of urban retired workers' medical insurance reimbursement:
1, outpatient and emergency medical expenses: the medical expenses that meet the requirements of basic medical insurance in the year (11October1February 31February) exceeded 2,000 yuan.
2. Settlement ratio: 50% of the part of the dispatched personnel above 2,000 yuan will be reimbursed during the contract period, and 50% will be paid by the individual; Within one year, the maximum amount of accumulated reimbursement for outpatient and emergency services of dispatched personnel is 20,000 yuan.
3, in the deductible above the maximum payment limit below the basic medical insurance payment range of hospitalization medical expenses, class A drugs and general medical expenses paid by the on-the-job personnel as a whole fund 85%, retirees as a whole fund to pay 90%; 75% of the cost of Class B drugs is paid by the overall fund; 70% of the cost of high-tech examination and treatment is paid by the overall fund.
4. The insured shall properly keep the medical documents (including receipts and prescriptions for large amounts) in the outpatient department of the designated hospital. ), as a medical expense reimbursement certificate.
5. Outpatient treatment of three kinds of special diseases: when the insured person needs to take anti-rejection drugs after radiotherapy and chemotherapy for malignant tumor, renal dialysis and renal transplantation, the second-and third-level designated hospitals where the insured person is treated will issue the Certificate of Disease Diagnosis, fill in the Application and Approval Form for Special Diseases of Medical Insurance, and report it to the district medical insurance center for approval and filing. Outpatient treatment and drug collection for these three special diseases are limited to designated hospitals that have approved treatment, and cannot be purchased in designated retail pharmacies. The medical expenses incurred meet the prescribed scope of outpatient special diseases, with reference to hospitalization settlement.
The above is the introduction of medical insurance for urban retired workers. In general, the longer the length of service, the higher the reimbursement ratio. I would like to remind you that not all retired employees can enjoy medical insurance benefits for employees. Only after paying medical insurance for more than 20 years can they enjoy medical insurance reimbursement after retirement.