Kunming medical insurance reimbursement ratio 2023

Kunming medical insurance reimbursement ratio Kunming medical insurance settlement hospital is divided into one category and two categories, in which urban workers' medical insurance is settled in a first-class hospital, 80% of medical insurance can be reimbursed, and individuals pay 20%;

So what are primary settlement hospitals and secondary settlement hospitals?

The first-level settlement hospital is a three-level networked designated medical institution, such as Kunming General Hospital of Chengdu Military Region and First People's Hospital of Yunnan Province.

Secondary settlement hospitals are designated medical institutions with secondary and below networking, such as Kunming Maternal and Child Health Hospital and Xishan District People's Hospital.

So what are primary settlement hospitals and secondary settlement hospitals?

The first-level settlement hospital is a three-level networked designated medical institution, such as Kunming General Hospital of Chengdu Military Region and First People's Hospital of Yunnan Province.

Secondary settlement hospitals are designated medical institutions with secondary and below networking, such as Kunming Maternal and Child Health Hospital and Xishan District People's Hospital.

The proportion of medical insurance reimbursement is 85%. 2. The threshold of charging standard for secondary hospitals is 400. The proportion of medical insurance reimbursement is 70%.

Legal basis:

Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue medical expenses standards, and shall be paid from the basic medical insurance fund in accordance with state regulations. "People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.