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Proportion of medical insurance reimbursement in Panzhihua City
According to the Implementation Rules for Direct Settlement of Inpatient Medical Expenses in Out-of-town Outpatients in Panzhihua City (Trial), the reimbursement ratio of inter-provincial medical insurance in Panzhihua City is: 1. Hospitalization expenses of designated medical institutions: 70% of the expenses are paid by the target pooling fund, and 30% of the expenses are reimbursed by the insured place; 2. Non-designated hospitalization medical expenses: 50% paid by the target pooling fund and 50% reimbursed by the insured place; 3. Outpatient expenses: 30% will be paid by the overall fund in the target place, and 70% will be reimbursed by the insured place. It should be noted that before the reimbursement of medical insurance in different places, the insured personnel need to go through the relevant procedures at the local social security bureau in advance and confirm it at the target medical insurance settlement center.
What materials do Panzhihua medical insurance reimbursement need to prepare? Medical insurance reimbursement in different places needs to provide relevant materials such as the object social security card, valid identity documents, insurance certificates, diagnosis certificates, expense details, etc. For specific information requirements, please consult the local social security bureau or medical insurance settlement center.
The cross-provincial medical insurance reimbursement rate in Panzhihua City is 70% of the designated hospitalization expenses, 50% of the non-designated hospitalization expenses and 30% of the outpatient expenses. Insured persons need to go through relevant procedures and prepare corresponding materials before medical insurance reimbursement in different places.
Legal basis:
Detailed Rules for the Implementation of Direct Settlement of Inpatient Medical Expenses in Different Places in Panzhihua City (Trial) Article 6 The proportion of hospitalization medical expenses paid by designated medical institutions across provinces is 70%, and the proportion of reimbursement for non-designated hospitalization medical expenses and outpatient expenses is 50% and 30% respectively.
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