Jiangxi Province health insurance reimbursement rate

The reimbursement ratio for the threshold fee above to 3000 yuan reported 88%, 3000-5000 yuan reported 90%, 5000-10000 yuan reported 92%, 10000 yuan above to the maximum payment limit reported 95%, of which 80% of the Class B drugs, expensive drugs at 70%, special examination and special treatment at 70% reimbursement. Medical insurance personal account medical fees can be regularly in the medical insurance bureau for funds transfer procedures, the hospital in foreign provinces if the local medical insurance designated hospital.

Strengthening the top-level design of cross-provincial medical treatment, taking into account the needs of various types of cross-provincial medical personnel, and gradually promoting the direct settlement of cross-provincial medical treatment. At present, the focus is on resolving the hospitalization expenses of retirees residing in different places across provinces. Places with the necessary conditions can, on the basis of summarizing their experiences and in conjunction with the reform of the local household registration and residence permit system, explore the inclusion of other long-term residents residing in different places across provinces into the scope of the direct settlement of hospitalization medical expenses.

I. Materials required for medical insurance reimbursement:

1. A copy of the application form for medical treatment.

2. A regular invoice from the pharmacy (supervised by the Ministry of Finance of the State Administration of Taxation and listed on the invoice with a breakdown of the drugs purchased) or a receipt from the outpatient clinic of the designated hospital.

3. The patient's own ID card and the ID card of the person acting on his/her behalf.

4. The account number of the bank card of my passbook.

Second, the procedure for foreign reimbursement:

1. Download the "city basic medical insurance working, living in a different place, the situation of the declaration form" (hereinafter referred to as "declaration form") on the social security website;

2. Fill out the required, and by the field of social insurance (medical insurance) by the agency stamped with the recognition of the "declaration form";

3. Will be filled out after the "declaration form Have to apply for the province's medical card, after examination and confirmation of the "declaration form" to the municipal social security center audit section for registration, and then to the social security card management section for the province's network of cards for the preparation of the card;

4. For the preparation of the individual social security card can not be used in the use of the participants; the participants to return to have to be in the medical treatment should be canceled in the municipal social security institutions to medical preparation from the next day onwards, its personal Social security card can be used in the designated medical institutions;

5, the implementation of the medical report on the changes reported, the principle of non-reporting of changes;

Legal basis: "The Chinese People's *** and the State Social Insurance Law"

Article 23 of the workers shall participate in the basic medical insurance, by the employer and the employee in accordance with the provisions of the State *** with the payment of the basic medical insurance, and the employee shall pay the basic medical insurance. The employer and the employee shall pay the basic medical insurance premiums together in accordance with the state regulations***.

Individual industrial and commercial households without employees, part-time employees who do not participate in the basic medical insurance for employees in their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations.

Article 24: The State shall establish and improve a new type of rural cooperative medical care system.

Methods for administering the new type of rural cooperative medical care shall be prescribed by the State Council.

Article 25: The State shall establish and improve the basic medical insurance system for urban residents.

Basic medical insurance for urban residents is a combination of individual contributions and government subsidies.

The government shall subsidize the individual contributions required by those who are entitled to the minimum subsistence guarantee, persons with disabilities who have lost the ability to work, and elderly persons over the age of sixty and minors from low-income families.

Article 26 of the basic medical insurance for employees, the new rural cooperative medical care and the basic medical insurance for urban residents in accordance with national regulations.