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Proportion of reimbursement for medical treatment in different places in Ordos City
They are old people in their seventies. In a settlement year, medical expenses below 654.38+10,000 yuan that meet the scope of reimbursement occur. The lowest threshold for tertiary hospitals is 500 yuan, and the lowest threshold for hospitals with 50% reimbursement rate is 300 yuan. There is no minimum threshold for hospitals with 60% reimbursement rate, and the reimbursement rate is 65%.
In a medical year, the overall fund will compensate the insured for hospitalization expenses and outpatient medical expenses for chronic diseases that do not exceed the maximum payment limit of 250,000 yuan. If necessary, the relevant departments can adjust the maximum payment limit according to the regulations. The average reimbursement rate of serious illness insurance in Inner Mongolia is 58%, and most of the cities have no deductible line. The deductible line of individual league cities ranges from 7,000 yuan to10.5 million yuan, and there are no capping lines in four league cities such as Wulanchabu City and Erdos City.
Residents of other cities. In a settlement year, medical expenses below 654.38+10,000 yuan that meet the scope of reimbursement occur. The minimum qifubiaozhun for tertiary hospitals is 500 yuan, and the minimum qifubiaozhun for 50% reimbursement rate is 300 yuan. The minimum threshold for hospitals with 55% reimbursement rate is 60%.
Legal basis:
People's Republic of China (PRC) Social Insurance Law Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance to protect citizens' right to get material help from the state and society in the event of old age, illness, industrial injury, unemployment and maternity.
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