Medical insurance contribution period

Medicare is required to pay a cumulative total of 25 years for men and 20 years for women.

After reaching retirement age, you can enjoy medical reimbursement, but it should be noted that the medical insurance is only 3 years of continuous contributions to enjoy the reimbursement of 100% reimbursement within the scope of the reimbursement, 0-3 years of this period, in accordance with the proportion of continuous contribution time reimbursement, and if you are disconnected, you must not be more than 3 months, more than 3 months to recalculate the continuing contribution The first time you have to do this, you will be able to get your own license.

If the conditions allow, it is best to contribute to the retirement, if you only want to have a guarantee later, then you can pay 15 years, according to the current retirement age of 60 years old male, female 50 years old. When you reach retirement age, the actual contribution period reaches more than 15 years for retirement can enjoy the treatment.

Expanded

Medicare reimbursement

Medicare reimbursement is based on the proportion of hospitalization in different levels of hospitals, the reimbursement of costs is not the same. It usually fluctuates around 70%. The percentage and amount of reimbursement has to do with your tests and medications, level of care and other factors.

An example would be clearer, Class A drugs can enjoy full reimbursement, Class C will need to pay all the out-of-pocket expenses, while Class B reimbursement of 80%, 20% out-of-pocket ratio.

Let's say the hospitalization threshold is 1,000 yuan, 500 yuan of out-of-pocket expenses, say someone's medical expenses total 5,000 yuan. The reimbursement is 85 percent and the deductible is 15 percent.

The health insurance can be reimbursed = (5000-1000-500)X85% = 3500X85% = 2975 yuan, this part of the money is not to pay, by the hospital directly with the health insurance bureau account;

Additionally need to pay cash = 1000 + 500 + (5000-1000-500)X15% = 1500+525= 2025 yuan, this part of the money is to pay cash.

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