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How much can Guangzhou medical insurance reimburse for medical treatment? How much is the hospitalization reimbursement?

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Guangzhou Junbao Human Resources Co

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Regarding the year and month, Guangzhou’s social security has been adjusted and the minimum payment base has been increased! The following is about the hospitalization benefits enjoyed by those who purchase social security in Guangzhou (including Guangzhou employee social security, Guangzhou migrant worker medical insurance, and Guangzhou flexible employment social security.
Urban employee basic medical insurance and urban flexible employment medical insurance participation Personnel (hereinafter collectively referred to as insured persons), the minimum payment standard of the basic medical expense coordination fund for each hospitalization is adjusted to
For active employees, the first-level medical institution is RMB, and the second-level medical institution is RMB, and the third-level medical institution is RMB.
The first-level medical institution for retirees is RMB, the second-level medical institution is RMB, and the third-level medical institution is RMB.
Guangzhou Migrant Workers Basic Medical Care (that is, the basic medical expense coordination fund for each hospitalization of those who purchased Guangzhou Migrant Workers Medical Insurance) The minimum payment standard is adjusted to RMB for first-level medical institutions and RMB for second-level medical institutions and RMB for third-level medical institutions.
Hospitalization reimbursement ratio in Guangzhou (hospital reimbursement ratio for purchasing basic medical insurance)
Working First-level hospitals for employees, reimbursement from the overall fund, personal payment; second-level hospitals, reimbursement from the overall fund, personal payment; third-level hospitals, reimbursement from the overall fund, personal payment
First-level hospitals for retirees, reimbursement from the overall fund, personal payment Self-pay second-level hospitals, the overall fund reimbursement, individual self-pay tertiary level hospitals, overall fund reimbursement, individual pay.
Migrant employees (non-local registered permanent residence purchase Guangzhou Migrant Workers Medical Insurance) first-level hospitals, overall fund reimbursement, Individuals pay out of pocket for second-level hospitals, and the overall fund reimburses them. Individuals pay out of pocket for tertiary-level hospitals, and they pay out of pocket funds, and they pay out of pocket.
Note: Current employees refer to those who have purchased Guangzhou employee social security.
Level 1 Hospitals refer to community hospitals and relatively low-level hospitals. Tertiary hospitals refer to national top-level hospitals, such as Guangdong Provincial People's Hospital, China Trinity Hospital, etc.
The minimum payment standard of the overall planning fund means that when the cost of hospitalization exceeds the above standard, Only the excess can be reimbursed.
(For example, an employee with a Guangzhou registered permanent residence fell ill and was hospitalized in the Guangdong Provincial People’s Hospital (the total cost of a tertiary hospital is RMB). The minimum hospitalization deductible for a tertiary hospital is RMB. If the deductible is exceeded, The cost is yuan, which is directly reimbursed by the overall fund, that is, the reimbursement is yuan. The individual payment is yuan plus yuan, that is, the total cost is only yuan.)
Guangzhou outpatient reimbursement ratio (medical insurance reimbursement ratio for medical treatment in Guangzhou )
General outpatient benefits are provided to current employees (those who have purchased Guangzhou employee social insurance) and retirees, reimbursed by community hospitals, and reimbursed by other medical institutions.
Flexible employment personnel (referring to those with Guangzhou registered permanent residence to go to social insurance by themselves) Bureau purchases social security) and migrant employees (those who purchase migrant worker medical insurance are reimbursed by community hospitals and other medical institutions.
Note the maximum monthly reimbursement amount per person, valid for the current month, no rollover, no accumulation.
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