Reimbursement of medical insurance for employees in Rizhao refers to the medical insurance system that Rizhao participates in for on-the-job and retired employees and their families. The specific operating rules are formulated according to relevant national policies. According to the regulations of Rizhao Human Resources and Social Security Bureau, the expenses reimbursed by the medical insurance fund include outpatient treatment, outpatient surgery, outpatient special treatment, outpatient chronic and special diseases, hospitalization, hospitalization, prenatal examination and delivery, hospitalization special treatment and other items, but it does not include some special medical services, such as nutritional supplements and cosmetic surgery. As for the reimbursement ratio of medical expenses, the employee medical insurance system in Rizhao City implements graded reimbursement, and the reimbursement ratio gradually increases with the growth of medical expenses. The reimbursement amount of medical insurance outpatient service for employees is generally 2000 yuan per person per year. For high, medium and low-grade hospitals, the maximum amount of reimbursement is different with different reimbursement ratios. In addition, you can also choose to seek medical treatment in designated medical institutions and enjoy a higher reimbursement rate. The specific reimbursement methods include personal advance, post-reimbursement, and hospital reimbursement before settlement. Among them, it is necessary to pay attention to providing effective medical vouchers and issuing standardized invoices or receipts.
Does Rizhao Medical Insurance have a special reimbursement policy? Rizhao employee medical insurance system also has some special reimbursement policies. For example, special outpatient treatment items, such as dialysis and chemotherapy, can be carried out in designated medical institutions and enjoy a high reimbursement rate; Accommodation and accompanying expenses of the family members of hospitalized patients can also be reimbursed within a certain range. In addition, Rizhao City has also set up a medical assistance fund for employees with difficulties to provide medical assistance to eligible employees with difficulties.
Reimbursement of workers' medical insurance in Rizhao city is the operating rules formulated according to the relevant national medical insurance policies and local conditions. Employees and their families who participate in employee medical insurance should carefully understand the relevant reimbursement standards and operating procedures in order to obtain medical insurance in time.
Legal basis:
Article 21 of People's Republic of China (PRC) Medical Insurance Law covers the following items: outpatient treatment, outpatient operation, outpatient special treatment, outpatient chronic disease, hospitalization, hospitalization, prenatal examination, delivery and hospitalization special treatment.