How much is the reimbursement ratio of Henan employee medical insurance in 2022, the following follow me to briefly understand it. The staff Generally speaking, the economic development of different regions is different, so the reimbursement rate is also different, the following on the situation of the proportion of workers' medical insurance insurance in Beijing to explain. After the medical insurance, if you are an active employee, you can get reimbursement for medical expenses over 1800 RMB for outpatient and emergency visits to hospitals, and the reimbursement rate is 50%. In the case of a retiree under 70 years of age, expenses of more than 1,300 yuan will be reimbursed, and the reimbursement rate is 70%. In the case of a retiree over the age of 70, the reimbursement rate for expenses over $1,300 is 80%. The maximum amount of outpatient and emergency medical expenses that can be paid is 20,000 yuan, regardless of the type of person. For example, if you are an active employee and spend $2,500 on an outpatient visit, 50% of the $700 you spend will be reimbursed, which is $350. In the case of hospitalization, the first time you use basic medical insurance to pay in a year in 2009, the starting amount is 1,300 RMB for both active employees and retirees. For the second and subsequent hospitalization expenses, the threshold is set at 50%, which is 650 yuan. The maximum amount that can be paid by the basic medical insurance fund (for hospitalization expenses) is 70,000 RMB in one year. The standard of hospitalization reimbursement is related to the level of the hospital in which the insured person is staying, such as staying in a tertiary hospital, from the starting standard to 30,000 yuan, the employee pays 15%, or 85% reimbursement; 30,000 yuan to 40,000 yuan, the employee pays 10%, reimbursement of 90%; more than 40,000 yuan to the maximum payment limit of the part of the cost of the reimbursement of 95% of the employee to pay only 5%. The proportion of individual payments for retirees is 60% of that for active (that is, the aforementioned) employees, but below the threshold, all paid by the individual. The diagnostic and treatment items that are not covered by the basic medical insurance for employees are mainly non-clinically necessary, uncertain diagnostic and treatment items as well as diagnostic and treatment items for special medical services, including services such as registration fees, non-disease treatment items such as cosmetic treatments, therapeutic equipment and medical materials such as hearing aids and other therapeutic items such as magnetic therapy and other types of treatments such as fertility treatments, etc.
This is the first time that the basic medical insurance for employees is not covered by the basic medical insurance for employees.