Job Recruitment Website - Social security inquiry - What is the proportion of medical insurance reimbursement in Shijiazhuang?
What is the proportion of medical insurance reimbursement in Shijiazhuang?
1, 80% in first-class hospitals;
2, secondary hospital 70%;
3. 60% of tertiary hospitals;
4, continuous insurance payment, from the second year of continuous payment, the annual hospitalization reimbursement rate will increase by 1%, with the highest increase of 10 percentage point. General outpatient service: Qifubiaozhun: 200, proportion: 50% of residents.
Reimbursement scope:
1, chronic renal failure outpatient dialysis;
2, into the scope of medical insurance payment of organ transplant outpatient anti-rejection drugs;
3, malignant tumor outpatient chemotherapy, interventional therapy, radiotherapy or radionuclide therapy;
4, hemophilia specialist outpatient treatment;
5, aplastic anemia specialist outpatient treatment;
6, thalassemia specialist outpatient treatment;
7, intracranial benign tumor specialist outpatient treatment;
8. Other serious diseases, etc.
Scope of non-reimbursement:
1, seeing a doctor in a non-designated hospital without approval (except for emergency rescue);
2. Suffering from occupational diseases, work-related injuries or recurrence of old injuries;
3. Injuries caused by traffic accidents;
4. Injuries caused by my illegal acts;
5. Food poisoning caused by accidents;
6. receiving treatment for suicide;
7. Injuries caused by medical accidents;
8, according to the provisions of the state and the city should take care of medical expenses.
Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
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