Hospitalization is not more than 24 hours can not use social security reimbursement, meet the conditions can use social security reimbursement.
Medicare reimbursement rate:
Outpatient and emergency medical expenses:
Accumulated medical expenses exceeding 2,000 yuan within the annual period (January 1 to December 31) of an active employee that are covered by basic medical insurance.
Settlement ratio:
Dispatchers during the contract period of more than 2,000 yuan part of the reimbursement of 50%, the individual out-of-pocket payment of 50%; in a cumulative total of outpatient and emergency reimbursement paid to the dispatched staff in a year up to the maximum amount of 20,000 yuan.
Participants should keep the outpatient medical bills (including receipts and prescription bottoms for the parts below the large amount) of the outpatient consultation at the designated hospitals as the vouchers for reimbursement of medical expenses.
Expanded information:
Hospitalization reimbursement scope:
Medicine: auxiliary examination: EKG, X-ray fluoroscopy, filming, laboratory tests, physiotherapy, acupuncture, CT, nuclear magnetic **** vibration and other various examinations are limited to 200 yuan;
Surgery (with reference to the national standard, if it exceeds 1,000 yuan, the amount is reimbursed as 1,000 yuan). For elderly people over 60 years old hospitalized in health centers, treatment and nursing fees are reimbursed at 10 yuan per day, with a limit of 200 yuan.
Reimbursement rates: town health centers reimburse 60%; secondary hospitals reimburse 40%; tertiary hospitals reimburse 30%.
Any hospitalized patient who participates in cooperative medical care will be reimbursed in segments for one-time or annual cumulative reportable medical expenses exceeding 5,000 yuan, i.e., 65% for 5,001-10,000 yuan and 70% for 10,001-18,000 yuan.
The annual limit of compensation for town-level cooperative medical care inpatient and uremia outpatient hemodialysis, oncology outpatient radiotherapy and chemotherapy is 11,000 yuan.
Reference source Baidu Encyclopedia-Medicare Reimbursement Ratio