There is no limit to how many times a year you can be reimbursed for employee medical insurance.
Medical insurance refers to the national legislation, in accordance with the principle of compulsory social insurance basic medical insurance premiums should be paid by the employer and the individual employee on time and in full. If you do not pay in full and on time, you will not be counted in your personal account, and the basic medical insurance fund will not pay for your medical expenses.
Medical insurance reimbursement rate:
1, outpatient, emergency medical expenses: in the year of the active employees (January 1 ~ December 31) in line with the provisions of the basic medical insurance coverage of the accumulated medical expenses of more than 2000 yuan.
2. Settlement ratio: 50% reimbursement for the part of over 2,000 yuan for dispatched staff during the contract period, and 50% out-of-pocket payment by individuals; the maximum amount of outpatient and emergency reimbursement paid to dispatched staff is 20,000 yuan cumulatively in a year.
3. The insured personnel should keep the outpatient medical bills (including receipts and prescription bottoms for the parts below the large amount) of the outpatient treatment in the designated hospitals as the vouchers for the reimbursement of medical expenses.
Expanded Information:
In accordance with the Scope of Diagnostic and Treatment Items of the National Basic Medical Insurance, the details are as follows:
(1) Service item category. (1) registration fee, out-of-hospital consultation fee, medical record cost, etc.; (2) visit fee, examination and treatment of expedited fee, name surgery surcharge, quality premium fee, self-requested special nurses and other special medical services.
(2) Non-disease treatment program category. (1) a variety of beauty, fitness items and non-functional cosmetic, orthopedic surgery; (2) a variety of weight loss, weight gain, height projects; (3) a variety of health checkups; (4) a variety of preventive, health care clinic programs; (5) a variety of medical consultation, medical appraisal.
(C) diagnostic and treatment equipment and medical materials. (1) the application of positron emission tomography (PET), electron beam cT, ophthalmic excimer laser therapy and other large-scale medical equipment for examination and treatment programs; (2) glasses, dentures, eye prostheses, prosthetics, hearing aids and other rehabilitative devices; (3) a variety of health care for their own use, massage, checking and treatment equipment; (4) the provincial pricing departments can not be charged separately for the disposable medical.
(4) treatment program category. (1) all kinds of organ or tissue transplantation of organ source or tissue source; (2) in addition to kidney, heart valve, cornea skin, blood vessels, bone, bone marrow transplantation; (3) myopic eye orthopedics; (4) qigong therapy, music therapy, health care of nutritional therapy, magnetic therapy and other auxiliary therapeutic projects.
(5) Others. (1) a variety of infertility (pregnancy), sexual dysfunction treatment program; (2) a variety of scientific research, clinical verification of the treatment program.?
Reference:Baidu Encyclopedia-Medicare Reimbursement Scope