Social security is divided into pension insurance, medical insurance, work injury insurance, unemployment insurance and maternity insurance. Urban households pay urban medical insurance, rural households pay new rural cooperative, employee insurance regardless of the nature of the household, all five insurance need to pay.
The reimbursement rates are different.
New rural cooperative:
Outpatient:
Village health clinics and village center health clinics are reimbursed 60% of the cost of prescription drugs for each visit is limited to 10 yuan, and the doctor of the health hospital temporary rehydration of the cost of prescription drugs is limited to 50 yuan; the town health hospitals are reimbursed 40% of the cost of each visit, each visit to the examination fee and surgical fee limit of 50 yuan, the cost of prescription drugs is limited to 100 yuan; the second level hospitals are reimbursed 30%, the cost of examination fee and surgery is limited to 50 yuan, and the cost of prescription drugs is limited to 100 yuan. 30%, with a limit of RMB 50 for each examination and operation and RMB 200 for prescription drugs per visit; 20% for tertiary hospitals, with a limit of RMB 50 for each examination and operation and RMB 200 for prescription drugs per visit; a limit of RMB 1 per sticker for Chinese medicine invoices attached to prescriptions; and a limit of RMB 5,000 per annum for outpatient reimbursement for township-level cooperative medical care.
Hospitalization:
Reimbursement scope: medicine: auxiliary examination: EKG, X-ray fluoroscopy, filming, laboratory tests, physical therapy, acupuncture, CT, nuclear magnetic **** vibration and other examination fees are limited to RMB 200 yuan; surgical fees (with reference to the national standard, reimbursement of fees exceeding RMB 1,000 will be made in accordance with the RMB 1,000 yuan limit.) For elderly people aged 60 or above hospitalized in the health centers, the compensation of treatment fees and nursing care is RMB 10 yuan per day, with a limit of RMB 200 yuan. 10 yuan, with a limit of 200 yuan.
Resident's Health Insurance:
Urban residents who are hospitalized more than twice in a billing year will no longer be charged the starting standard fee from the second hospitalization. If they are transferred to another hospital or hospitalized for more than two times, the difference will be made up in accordance with the stipulated starting standard of the hospital to which they are transferred or re-admitted.
Students and children
For medical expenses under 180,000 RMB incurred within a billing year that are eligible for reimbursement, the starting standard for a tertiary hospital is 650 RMB, with a reimbursement rate of 50% and an upper limit of 2,000 RMB; the starting standard for a secondary hospital is 300 RMB, with a reimbursement rate of 60%; and there is no starting standard for a tertiary hospital, with a reimbursement rate of 65%.
Over 70 years old and above
In a billing year, for medical expenses of less than 100,000 RMB incurred that meet the scope of reimbursement, the starting standard for tertiary hospitals is 650 RMB, with a reimbursement rate of 50% and an upper limit of 2,000 RMB; for secondary hospitals, the starting standard is 300 RMB, with a reimbursement rate of 60%; and for first-class hospitals, there is no starting standard, with a reimbursement rate of 65%.
Other urban residents
In a billing year, for medical expenses up to 100,000 RMB incurred that meet the scope of reimbursement, the starting standard for third-level hospitals is 659 RMB, and the reimbursement rate is 50% capped at 2,000 RMB; the starting standard for hospitalization in second-level hospitals is 300 RMB, and the reimbursement rate is 55%; and first-level hospitals do not have a starting standard, and the reimbursement rate is 60%.
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