In daily life and work, people for Chengdu City, the basic medical insurance reimbursement rate regulations are also focusing on what, many people may just have a certain understanding of it, but the specifics of what it is, may not be too clear, the next step will be brought by the small make-up of the basic medical insurance reimbursement rate regulations on the Chengdu City, what is the answer, the next step will be brought by the small make-up of the basic medical insurance reimbursement rate regulations. I hope it will help you. First, Chengdu basic medical insurance reimbursement ratio 1. Chengdu basic medical insurance reimbursement ratio on the basis of the payment ratio formula (age * 0.2 + 75) ÷ 100; 2. 50-59 years of age increased by 2%, for example, 60 years of age, 87% + 2% = 89%; 3. 60-69 years of age increased by 4%; 4. 70-79 years of age increased by 6%; 5. 80-89 years of age increased by 8%; 6. Same incremental increase, no More than 100%; II. Medical policy for Chengdu's foreign population Chengdu's foreign population of men under 60 years of age and women under 50 years of age who have established a labor relationship with the employer shall participate in urban and rural workers' medical insurance. Chengdu foreign population students and children and men aged 60 years old and women aged 50 years old who have not established a labor relationship with the employer, but have resided for more than 2 years, to participate in urban and rural residents' basic medical insurance, other than this can not participate in urban and rural residents' basic medical insurance. Third, Chengdu Qingyang District individual medical insurance how to reimbursement 1, the person submitting the reimbursement documents and other materials to the Qingyang District Social Security Bureau acceptance; 2, the acceptance of the department since the receipt of the application materials, the medical insurance center on the same day the completion of the audit, settlement, payment; 3, the Social Insurance Fund Management Bureau to review the materials and approval of the application, the applicant to receive the "social medical insurance medical expense reimbursement form," to be reimbursed. Note: If the application materials are incomplete, if the applicant needs to correct all the contents, the applicant shall correct the materials within 5 days from the date of receiving the Notice of Correcting Materials. Failure to make corrections after the deadline is regarded as withdrawal of the application. After correcting the materials, the applicant may reapply within the statutory validity period. The applicant will be reimbursed after receiving the Reimbursement of Medical Expenses for Social Medical Insurance. Fourth, Chengdu city unit participation in the insurance how long can reimbursement of medical According to the Chengdu social security policy, the first time to participate in the Chengdu urban workers basic medical insurance personnel, from the date of participation in the insurance, the continuous payment of fees for 12 months after the hospitalization of medical expenses, can be provided for reimbursement. Fifth, Chengdu workers social security medical insurance is how much Chengdu workers social security medical insurance latest payment ratio: the unit to pay 6.5%, the individual to pay 2%. The above content is based on the current relevant laws and regulations of China's basic medical insurance reimbursement ratio of Chengdu City, what is made a detailed introduction. If you have any questions about the above, you can consult the relevant websites or departments! If you need more legal answers, you can consult a lawyer online!
Legal objective:Medical insurance is a kind of insurance to compensate for medical expenses caused by illness. Employees due to illness, injury, maternity, social insurance by the community or enterprise to provide the necessary medical services or material help. Such as China's public medical care and labor insurance medical care. The medical expenses of Chinese workers are borne by the state, the organization and the individual **** together, in order to reduce the burden on enterprises and avoid waste. The scope of medical insurance is very wide, and medical expenses are generally differentiated according to the characteristics of their medical services, which mainly include doctors' outpatient expenses, medicine, hospitalization, nursing care, hospital miscellaneous expenses, surgical expenses, and various examination expenses. Medical expenses are the costs incurred by the patient for treatment, which include not only the doctor's medical and surgical fees, but also the costs of hospitalization, nursing care, and hospital equipment. The reimbursement ratio and scope of medical insurance: 1. Outpatient and emergency medical expenses: the accumulated medical expenses in line with the scope of basic medical insurance within the year of the active employee (January 1~December 31) are more than 2,000 yuan or more. 2. Settlement ratio: 50% reimbursement of the part of the dispatched personnel over 2,000 yuan during the contract period, and the individual pays 50% out of his own pocket; the accumulated payment of the dispatched personnel's outpatient and emergency medical expenses in a year is 30,000 yuan. The maximum amount of reimbursement is 20,000 yuan. 3, the insured person should properly keep the outpatient medical bills (including receipts, prescription bottoms, etc.) of the outpatient treatment in the designated hospitals as the proof of the reimbursement of medical expenses. 4, the outpatient treatment of three kinds of special illnesses: the insured person who suffers from malignant tumors radiation therapy and chemotherapy, renal dialysis, and kidney transplantation after the anti-rejection drugs need to be in the outpatient medical treatment, the second or third level designated hospitals for medical treatment by the insured person, issued a "Certificate" of the outpatient medical treatment, When the participant needs outpatient medical treatment, the second or third level designated hospital will issue a "Diagnosis Certificate of Disease" and fill in the "Medical Insurance Special Disease Declaration and Approval Form", and report it to the District Medical Insurance Center for approval and filing. Outpatient medical treatment and medicine collection for these three special diseases are limited to the approved designated hospitals, and cannot be purchased at designated retail pharmacies. If the medical fees incurred are in line with the scope of outpatient special diseases, they will be settled with reference to hospitalization.5. For inpatient medical treatment, the medical insurance payment is enough for 20 years before you can enjoy the medical insurance reimbursement after retirement. Rural Cooperative Medical Insurance Reimbursement Ratio and Scope: 1. Outpatient Reimbursement: (1) 60% reimbursement for visits to village health centers and village central health centers, with a limit of 10 yuan for prescription drug costs per visit, and a limit of 50 yuan for temporary rehydration of prescription drug costs by doctors of health centers. (2) 40% reimbursement for visits to township health centers, with a limit of RMB 50 per visit for various examinations and surgical procedures, and a limit of RMB 100 for prescription drugs. (3) 30% reimbursement for secondary hospitals, with a limit of RMB 50 for each examination and operation and RMB 200 for prescription drugs. (4) 20% reimbursement for tertiary hospital visits, with a limit of RMB 50 for each examination and operation and RMB 200 for prescription drugs per visit. (5) Chinese medicine invoice with prescription attached is limited to $1 per sticker. (6) Township cooperative medical outpatient reimbursement annual limit of 5,000 yuan. 2, hospitalization reimbursement (1) reimbursement scope: A, medicine: auxiliary examination: EKG, X-ray fluoroscopy, filming, laboratory tests, physical therapy, acupuncture, CT, nuclear magnetic **** vibration and other examination fees limit of 200 yuan; surgical fees (with reference to the national standard, more than 1,000 yuan reimbursement according to 1,000 yuan). B, elderly people aged 60 years old or older in the hospitalized in Xingta Township Health Center, treatment and nursing fees are reimbursed at RMB 10 per day, with a limit of RMB 200. (2) reimbursement ratio: town health center reimbursement 60%; secondary hospitals reimbursement 40%. 3, compensation for major illnesses town risk fund reimbursement: all participate in the cooperative medical treatment of hospitalized patients with a one-time or yearly cumulative reimbursable medical expenses exceeding more than 5000 yuan segmented compensation, that is, 5001-10000 yuan compensation 65%, 10001-18000 yuan compensation 70%.