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What is the reimbursement rate of medical insurance in different places?
The reimbursement ratio of hospitalization medical insurance is: first-class hospitals, 90% of which are paid from the minimum threshold to the maximum payment limit; 85% of the minimum deductible line 1 10,000 yuan (inclusive) and 90% of the maximum payment limit 1 10,000 yuan; In tertiary hospitals, 80% will be paid for the minimum deductible of 5,000 yuan or more, 85% for the minimum deductible of 5,000 yuan to 10000 yuan, and 90% for the maximum deductible of 10000 yuan. Retirees will increase by 5% on the basis of the above payment ratio. The reimbursement scope of hospitalization medical insurance is: (1) the expenses incurred during the period when the new insured did not issue the social security card; The expenses incurred during the period of reporting the loss of social security card and replacing (replacing) the social security card for medical treatment; Expenses incurred in emergency treatment of designated medical institutions without cards; Medical expenses during arrears; Expenses incurred during the period of manual reimbursement for medical treatment; Expenses incurred for medical treatment in different places that meet the payment conditions of this Municipality's medical insurance fund; The annual expenses must be declared before June 20th of the following year. In addition, the first-level hospitals are reimbursed at the rate of 75%; Second-level hospitals are reimbursed at the rate of 65%; Third-level hospitals are reimbursed at a rate of 55%. You can know the reimbursement ratio according to the above contents and your own actual situation.
Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund according to state regulations.
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