Details of hospitalization reimbursement:
(1) Medical expenses incurred in tertiary hospitals:
1, the minimum payment standard is 1 ten thousand yuan, 80% of the overall fund and 20% of the employees;
2, more than 1000 yuan to 30000 yuan, the overall fund to pay 85%, workers pay15%;
3, more than 30 thousand yuan to 40 thousand yuan, 90% of the overall fund to pay, individual employees pay10%;
4, more than 40 thousand yuan, the overall fund to pay 95%, workers pay 5%.
(two) medical expenses incurred in secondary hospitals:
1, the minimum payment standard reaches 1 000 yuan, 82% is paid by the overall fund, and 18% is paid by employees;
2, more than 1000 yuan to 30000 yuan, the overall fund to pay 87%, workers pay13%;
3, more than 30 thousand yuan to 40 thousand yuan, the overall fund to pay 92%, 8% workers pay;
4, more than 40 thousand yuan, the overall fund to pay 97%, workers pay 3%.
(3) Medical expenses incurred by first-class hospitals and family beds:
1, the minimum payment standard reaches 1 000 yuan, 85% is paid by the overall fund, and15% is paid by employees;
2, more than 10000 yuan to 30000 yuan, the overall fund to pay 90%, individual workers pay10%;
3, more than 30 thousand yuan to 40 thousand yuan, the overall fund to pay 95%, workers pay 5%;
4, more than 40 thousand yuan, the overall fund to pay 97%, workers pay 3%.
? Extended information: Social insurance is a social and economic system that provides income or compensation for those who lose their ability to work, are temporarily unemployed or suffer losses due to health reasons. The main items of social insurance include endowment insurance, medical insurance, unemployment insurance, industrial injury insurance and maternity insurance.
The social insurance plan is organized by the government, forcing a certain group to use part of its income as social insurance taxes and fees to form a social insurance fund. Under certain conditions, the insured can get fixed income or loss compensation from the fund. It is a redistribution system, and its goal is to ensure the reproduction of material and labor and social stability.
In China, social insurance is an important part of the social security system, occupying a core position in the whole social security system. In addition, social insurance is a contributory social security. The funds are mainly paid by employers and workers themselves, and the government finances give subsidies and bear the ultimate responsibility.
References:
Baidu encyclopedia-social insurance