Provisions are as follows:

1, outpatient and emergency medical expenses: the medical expenses that meet the requirements of basic medical insurance in the year (11October1February 31February) exceeded 2,000 yuan.

2. Settlement ratio: 50% of the part of the dispatched personnel above 2,000 yuan will be reimbursed during the contract period, and 50% will be paid by the individual; Within one year, the maximum amount of accumulated reimbursement for outpatient and emergency services of dispatched personnel is 20,000 yuan.

3. The insured shall properly keep the medical documents (including receipts and prescriptions for large amounts) in the outpatient department of the designated hospital. ), as a medical expense reimbursement certificate.

Extended data

The reimbursement standard for hospitalization is related to the level of the hospital where the insured person is located. For example, in a tertiary hospital, employees have to pay 15%, that is, 85%, from the threshold to 30,000 yuan. The expenses of 30,000-40,000 yuan shall be paid by employees themselves 10%, and 90% shall be reimbursed; If the expenses exceed 40,000 yuan to the maximum payment limit, 95% can be reimbursed, and employees only need to pay 5%.

Retirees pay 60% of the on-the-job employees, but all below the minimum threshold are paid by individuals. The basic medical insurance for employees does not pay for diagnosis and treatment items that are not clinically necessary, with uncertain curative effect and special medical services.

Including service items such as registration fees, non-disease treatment items such as beauty, treatment equipment and medical materials hearing AIDS, treatment items such as magnetic therapy and other categories such as infertility treatment.

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