The latest provisions of medical insurance in Panjin in 2022: reimbursement scope, proportion and payment standard.

Introduction: According to the relevant announcements published by Panjin Human Resources and Social Security Bureau and Panjin Municipal Government website, I learned the latest regulations of Panjin Medical Insurance (20 19). The reimbursement scope, reimbursement ratio and payment standard of Panjin medical insurance are compiled for my reference only.

20 19 reimbursement scope of panjin medical insurance

Hospitalization medical expenses

Medical expenses within 7 days before emergency observation and hospitalization.

Medical expenses for special diseases in urban residents' outpatient clinics that meet the requirements.

Other expenses that meet the requirements.

20 19 panjin medical insurance reimbursement ratio

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 of the basic medical insurance 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.

20 19 panjin medical insurance payment standard

The first is to raise the individual payment standard of basic medical insurance for urban residents. The adjustment scheme of individual payment standard in 20 19 is: minor residents will be raised from 70 yuan to 140 yuan; Adult residents from 330 yuan to 400 yuan; The number of elderly residents has increased from 280 yuan to 350 yuan.

Second, increase the subsidy limit for chronic disease clinics. For the chronic diseases 1 1 newly added in 20 18 years, the subsidy limit will be increased by 50% on the basis of the original standard.

Three, adjust the deductible for urban residents' serious illness insurance. On the basis of 2001.8 million yuan, it is adjusted to 1.7 million yuan.

The above data are compiled according to the information published on the Internet and official websites. Specific policies shall be subject to the implementation of the final document. Please consult Panjin Social Security Center for details.

Panjin labor resources social security bureau

Address: No.0/06, Huibin Street, Xinglongtai District, Panjin, Liaoning.

Tel: 0427- 12333