How long will it take for medical insurance settlement in different places to resume even if it is not connected to the internet?

You can call the local social insurance department. If it's not the social security department, please check whether it's your mobile phone network. With the gradual issuance of the third-generation social security card, people who hold the third-generation social security card for medical treatment are hospitalized in all designated hospitals in various provinces and cities across the country, and only need to pay the medical expenses that should be borne by the individual. Other expenses are directly settled by medical insurance agencies and hospitals, and individuals do not need to pay all medical expenses first, and then go back to the original insured place for reimbursement. At the same time, people who have participated in medical insurance in various provinces and cities across the country can also directly settle medical expenses after being hospitalized in designated hospitals.

The reimbursement for medical treatment in different places is divided into internal medicine and other hospitals, and cannot be reported outside medical insurance. Under normal circumstances, the threshold fee for reimbursement of medical insurance in different places is 88%, 3000-5000 yuan is 90%, 5000- 1 10,000 yuan is 92%, and 1 10,000 yuan is 95%. Among them, 80% are Class B drugs, 70% are expensive drugs, and 70% are treated by special examination.

The maximum payment limit for outpatient (emergency) clinics in different places is 5,500 yuan, and the minimum payment standard for employees is 800 yuan, 700 yuan, a retiree aged 60-70, and 600 yuan, a retiree aged 70-70. The reimbursement rate of tertiary hospitals is 55%, that of secondary hospitals is 65%, and that of primary hospitals is 75%.

Regarding reimbursement for hospitalization in different places, within one medical year, the threshold for first hospitalization in tertiary hospitals is 1.700 yuan, that in secondary hospitals is1.654,38+0.000 yuan, and that in primary hospitals is 800 yuan; Qifubiaozhun for secondary and above hospitalization: tertiary hospital 500 yuan, secondary hospital 350 yuan and primary hospital 270 yuan.

In terms of reimbursement ratio, the reimbursement ratio of employees with a threshold of more than 55,000 yuan is 85%, and that of retirees is 90%; For medical expenses ranging from 55,000 yuan to 6,543.8+0.5 million yuan, the reimbursement ratio of employees and retirees is 80%; Old workers who took part in the work before the founding of the People's Republic of China were reimbursed 95% in tertiary and secondary hospitals and 97% in primary hospitals.

In addition to medical insurance reimbursement, there are still many small partners who don't know what social security cards are for. I strongly recommend you to have a look: there are so many secrets hidden in the social security card, don't say I didn't tell you!

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