(1) Hospitalization medical expenses
(two) medical expenses within 7 days before emergency observation and hospitalization.
(three) the medical expenses of urban residents in accordance with the provisions of special diseases.
(4) Other expenses that meet the requirements.
Proportion of medical insurance reimbursement in Chaoyang City
Proportion of medical insurance reimbursement for on-the-job employees:
1. After the emergency treatment in the hospital, the medical expenses above 1800 yuan can be reimbursed, and the reimbursement rate is 50%;
2. If it is a retiree under 70 years old,1.The expenses above 300 yuan can be reimbursed, and the reimbursement rate is 70%;
3. For retirees over 70 years old,1.80% of the expenses above 300 yuan can be reimbursed.
Note: No matter what kind of people, the maximum payment limit for outpatient and emergency medical expenses is 20,000 yuan.
In case of hospitalization expenses, employees and retirees should pay the minimum amount 1300 yuan when using the basic medical insurance for the first time in a year.
And the second and subsequent hospitalization medical expenses, Qifubiaozhun is determined by 50%, which is 650 yuan. The maximum annual payment limit (hospitalization expenses) of the basic medical insurance pooling fund is currently 70,000 yuan.
The hospitalization reimbursement standard is related to the hospital level where the insured lives:
Note: If you live in a tertiary hospital.
1, from qifubiaozhun to 30,000 yuan, the employee pays 15%, which means 85% reimbursement;
2, 30,000 yuan to 40,000 yuan, the employee's individual contribution 10%, 90% reimbursement;
3. 95% of the part exceeding the maximum payment limit of 40,000 yuan can be reimbursed, as long as the employee pays 5%;
4. Retirees pay 60% of the employees.
Payment standard of Chaoyang medical insurance
Payment ratio
The proportion of medical insurance payment in Chaoyang City is 2% for individuals and 7% for units.
Payment base
The upper limit of Chaoyang medical insurance payment base is 9770 yuan, and the lower limit is 1960 yuan.