Ningbo medical insurance out-of-pocket expenses how much can be reimbursed

Ningbo medical insurance out-of-pocket how much can be reimbursed the specific amount needs to be based on your medical expenses and local medical insurance policy to determine.

Ningbo medical insurance in Hangzhou after medical treatment, can be in Hangzhou City Social Security Bureau window on the second floor for reimbursement; province across the city hospitalization starting line increased by one times, the fund to pay the proportion of a reduction of 5 percentage points; across the province for medical treatment starting line calculated according to the total cost of 20%, less than 2,000 yuan according to the 2,000 yuan, up to a maximum of 10,000 yuan, reimbursement rate of 60%, without a referral procedure, then 50%; ningbo maternity The reimbursement standard of Ningbo Maternity Insurance is 2,750 yuan for normal delivery, 3,500 yuan for assisted delivery, and 4,500 yuan for cesarean section, and the maternity medical expenses are paid in full according to the fixed amount; the hospitalization of low-income households can be reimbursed up to 5,000 yuan, and the minimum is 2,000 yuan, and the reimbursement ratio is different for different levels of hospitals.

Medicare reimbursement scope and policy:

1, the basic content of health insurance: covers basic medical services, drugs and medical equipment;

2, health insurance reimbursement rate: according to different levels of medical services and types of drugs, the reimbursement rate varies;

3, health insurance ceiling and starting line: set the annual maximum reimbursement limit and the minimum cost threshold borne by individuals;

3, health insurance ceiling and starting line: set the annual maximum reimbursement limit and individual

4, medical insurance designated medical institutions: only in the designated hospitals and clinics can enjoy the medical insurance reimbursement;

5, medical insurance special disease policy: for some special diseases, medical insurance will have special reimbursement policy and treatment.

In summary, the amount of reimbursement of Ningbo health insurance depends on the individual medical expenses and local health insurance policy, the starting line of cross-city medical treatment is increased by one times, and the fund payment ratio is reduced by 5 percentage points; the starting line of cross-provincial medical treatment is calculated according to the 20% of the total cost, the maximum of 10,000 yuan, the reimbursement ratio of 60%; the reimbursement of maternity insurance of Ningbo is different according to the different situations; the reimbursement of hospitalization for low income households can reach a maximum of 5,000 yuan, and the lowest is 2,000 yuan, with different reimbursement rates for different levels of hospitals.

Legal basis:

The Chinese People's **** and the State Social Insurance Law

Article 28

In line with the basic medical insurance drug catalog, diagnostic and treatment items, medical service facility standards, as well as emergency and rescue medical expenses, in accordance with the state provisions of the basic medical insurance fund to pay.

Article 29

The portion of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units. The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.