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Proportion of medical insurance reimbursement in Luoyang Central Hospital
The proportion of medical insurance reimbursement in Luoyang Central Hospital will be different due to different medical items and types of medical insurance. Generally speaking, the proportion of medical insurance reimbursement for employees is between 75% and 90%, and that for residents is between 50% and 70%. Please consult the staff of Luoyang Central Hospital or Luoyang Medical Insurance Bureau for the specific reimbursement ratio and scope.
When seeking medical treatment in Luoyang Central Hospital, the doctor will prescribe corresponding examination items and treatment plans according to the patient's condition and needs. If the patient's condition meets the scope of medical insurance reimbursement, the doctor will handle the medical insurance reimbursement procedures for the patient in accordance with the prescribed proportion.
To sum up:
The proportion of medical insurance reimbursement in Luoyang Central Hospital varies with medical items and types of medical insurance. If you need specific reimbursement ratio information, I suggest you consult the staff of Luoyang Central Hospital or Luoyang Medical Insurance Bureau.
Legal basis:
Article 22 of the Measures for the Basic Medical Insurance for Urban Workers in Luoyang stipulates that the hospitalization expenses incurred by the insured in the designated medical institutions that meet the requirements shall be settled immediately. The insured shall pay personal expenses in accordance with the provisions, and the specific amount shall be determined according to the list of medical expenses issued by medical institutions and the national and provincial basic medical insurance regulations.
Article 23 of the Measures for the Implementation of the Basic Medical Insurance for Urban and Rural Residents in Luoyang stipulates that 50% of the outpatient medical expenses incurred by the insured shall be paid by the basic medical insurance fund for urban and rural residents, and the personal burden shall be 50%.
Article 10 of the Interim Measures for Large-sum Supplementary Medical Insurance for Urban Workers in Luoyang stipulates that 85% of the expenses incurred by the insured during the year that exceed the maximum payment limit of the basic medical insurance pooling fund (200,000 yuan) shall be paid by the large-sum supplementary medical insurance fund, and the individual shall pay 15%.
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