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Urumqi military region general hospital hospitalization, how to reimburse social security, what percentage?
eliminate
Threshold fee
Self-funded medicine
Self-financing project
Self-funded service facilities
The first self-funded part of Class B drugs
The first self-funded part of Class B diagnosis and treatment
After the remaining amount, according to the local provisions of the hospital level corresponding proportion distribution.
I think a lot of things are only known after discharge, so I can't determine the reimbursement amount before discharge.
According to the experience, it is normal that the actual proportion of general expenses reimbursement is lower than the overall proportion of medical insurance reimbursement 10-20%, mainly for threshold fees and self-funded items.
If it is too low, the general reason is that there are too many self-funded items, mostly in different places for medical treatment or recuperation, and the medical insurance catalogues of the two places do not correspond. For example, this AB disease can be treated with two drugs. A is in the medical catalogue, and B is in the insurance catalogue. If drug A is used for treatment, it will not be reimbursed at the insured place. If the insured place and the medical treatment place are always the same, doctors will generally switch to drugs with similar catalogue effects to avoid drugs and articles at their own expense. That's about it. I hope it is clear.
If employees in Urumqi have medical insurance, the prescribed proportions are 80% and 85%. Hope to adopt! thank you
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