What does the social security threshold fee mean?

The standard name of "threshold fee" is the Qifubiaozhun of the overall fund, that is, the Qifubiaozhun of medical expenses for urban workers and residents.

Different levels of hospitals charge different standards for "threshold fees". The higher the level, the more "threshold fees" will be charged. The purpose of establishing such a "threshold" is to guide people to seek medical treatment reasonably, prevent some patients with minor illnesses from being hospitalized at will, make limited medical resources tense, and reduce the occurrence of "minor illness cured" and "hospitalization without hospitalization".

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The "threshold fee" is different for patients of different hospital levels. Suppose the patient belongs to the medical insurance for urban employees and is an on-the-job employee. He spent 5000 yuan in a tertiary hospital. Excluding the "threshold fee" in 600 yuan, the remaining 4,400 yuan will be included in the reimbursement part, but it does not mean that this 4,400 yuan can be reimbursed according to the corresponding proportion, because this 4,400 yuan can only be reimbursed after excluding the self-funded drug expenses borne by patients. If the self-funded drug is 1400 yuan, the amount reimbursed by the social security department according to the 80% reimbursement ratio should be (4400- 1400) × 80% = 2400 yuan. Finally, the patient's own expenses are 5,000-2,400 yuan = 2,600 yuan, including "600 yuan".