Can Guiyang Huaxia Orthopedic Hospital be reimbursed for surgery?

Detailed rules for reimbursement of hospitalization operation are as follows:

I. Rural medical insurance: hospitalization

Reimbursement scope: medical expenses: supplementary examination: ECG, X-ray fluoroscopy, radiography, laboratory tests, physiotherapy, acupuncture, CT, MRI and other examination expenses are limited to 200 yuan.

Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan).

The elderly over 60 years old are hospitalized in health centers, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.

Reimbursement ratio: town health centers reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.

Two, urban medical insurance:

1. Students and children

In a settlement year, medical expenses less than 6,543,800 yuan+0.8 million yuan that meet the scope of reimbursement occurred. The threshold of tertiary hospitals is 650 yuan, with a reimbursement rate of 50% and an upper limit of 2,000 yuan; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%.

2. At least 70 years old and above.

In a settlement year, medical expenses below 654.38+10,000 yuan that meet the scope of reimbursement occur. The threshold of tertiary hospitals is 650 yuan, with a reimbursement rate of 50% and an upper limit of 2,000 yuan; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%.

3. Other urban residents

In a settlement year, medical expenses below 654.38+10,000 yuan that meet the scope of reimbursement occur. The threshold for tertiary hospitals is 659 yuan, the reimbursement rate is 50%, and the upper limit is 2,000 yuan. The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.

Three, medical insurance for urban and rural residents:

20 16 65438+ 10/2 the State Council issued the Opinions on Integrating the Basic Medical Insurance System for Urban and Rural Residents, demanding that the basic medical insurance for urban residents (hereinafter referred to as urban residents' medical insurance) and the new rural cooperative medical system (hereinafter referred to as the new rural cooperative medical system) be integrated and a unified basic medical insurance system for urban and rural residents (hereinafter referred to as urban and rural residents' medical insurance) be established. The proportion of medical insurance reimbursement for urban and rural residents in various places shall be subject to the local Measures for the Implementation of Basic Medical Insurance for Urban and Rural Residents.

Four, employee health insurance:

Generally speaking, the economic development in different regions is different, so the reimbursement ratio is different. You can consult the local social security agency.