In recent years with the economic development of Chengdu, many outsiders came to Chengdu to work, settle, and therefore also generated a lot of problems, including Chengdu social security medical insurance reimbursement ratio how to calculate is the key concern of the people. First, Chengdu social security medical insurance reimbursement ratio outpatient 1, the scope of reimbursement: the insured person in the individual choice of medical insurance designated hospitals or specialized hospitals, Chinese medicine hospitals and hospitals of category A general outpatient, emergency room expenses. 2, out of the city referral to the starting standard of 1,000 yuan. 3, the proportion of outpatient payment for 60% of the cumulative total outpatient limit of 200 yuan for a natural year. Hospitalization 1. Reimbursement scope: hospitalization expenses incurred by insured persons at the designated hospitals or specialized hospitals of medical insurance of their choice, Chinese medicine hospitals and hospitals of category A. 2. Starting line for hospitalization: the starting standard for the first hospitalization in a natural year is RMB 100 for level 1 hospitals, RMB 200 for level 2 hospitals, RMB 500 for level 3 hospitals, and RMB 50 for township hospitals. 3. Reimbursement ratio: 60% for level 1 hospitals, 55% for level 2 hospitals, 35% for level 3 hospitals, and RMB 50 for township health centers. 4. 55% for level 1 hospitals, 35% for level 3 hospitals, and 60% for township health centers. Go directly to the medical insurance settlement window for real-time settlement and reimbursement. Second, what are the methods of Chengdu medical insurance card balance inquiry online. Log on to the Chengdu labor security network or social insurance business website, click on the "personal social security hand insurance information query" window, enter my ID card and password (password is your social security card number or ID card year of birth), you can query my insurance information. Chengdu social security card query balance online use / index.jsp description of the individual steak carry remorse in the personal social security information query, you need to apply for a query password. First login verification, that is, enter your social burst and 6-digit social security card password, we will carry out user identity verification, verification will enter the query password setting page; verification is successful, set the query password. At present, this function only supports the city's social security users and the five urban areas, high-tech zone insured users. Telephone Consultation. Call the comprehensive service phone number of labor security "12333" for policy consultation and information inquiry. Chengdu City, social security card query balance phone Chengdu City, medical insurance center unified query phone (028) 12333, at the same time, you can consult the social security card designated hospitals, medical insurance, medical insurance, medical insurance, health insurance, health insurance transfer and other issues of the query. Touch screen inquiry. If there is a social insurance touch screen query system in the business hall of each district social insurance agency, brush your card or enter your card number or ID number according to the screen prompts to query. Social security center inquiry. If you are not sure about your social security account number, you can bring your ID card to the business processing hall of the social insurance agency in each district to inquire.
Legal Objective ：
《Social Insurance Law》Article 23 Employees shall participate in the basic medical insurance for employees, by the employer and employees in accordance with the state regulations *** with the payment of basic medical insurance premiums. Individual industrial and commercial households without employees, part-time workers who do not participate in the basic medical insurance of employees in the employing unit, and other flexibly employed persons may participate in the basic medical insurance of employees, and the individual shall pay the basic medical insurance premiums in accordance with the state regulations.