What is the scope and percentage of medical insurance reimbursement?
How is the scope and percentage of medical insurance reimbursement calculated? The answer is as follows: Comprehensive medical insurance is a comprehensive medical expense insurance provided by the insurer for the insured, which covers all expenses for medical treatment, hospitalization, surgery, etc. The premium for this type of policy is higher and is usually determined by a deductible and an appropriate sharing ratio (e.g. 85%). This type of policy has a higher premium and generally establishes a low deductible and an appropriate sharing percentage (e.g., 85%). Comprehensive medical insurance covers a wide range of expenses, while medical expenses are generally differentiated according to the characteristics of the medical services they provide, and mainly include doctor's fees for outpatient visits, medication, hospitalization, nursing care, miscellaneous hospital expenses, surgical expenses, and various tests. Medical expenses are all kinds of expenses incurred by the patient for the treatment of illnesses, which include not only the doctor's medical and surgical fees, but also the costs of hospitalization, nursing care, hospital equipment, and so on. Comprehensive Medical Insurance Reimbursement Scope and Ratio: 1. Outpatient and Emergency Medical Expenses: The accumulated medical expenses over 2,000 RMB in the annual period (January 1~December 31) that are covered by the basic medical insurance for the active employees. 2. 2, settlement ratio: 50% reimbursement for the part above 2000 yuan for dispatched staff during the contract period, and 50% out-of-pocket payment by individuals; the maximum amount of outpatient and emergency reimbursement for dispatched staff is 20,000 yuan for the cumulative payment in a year.