Proportion of hospitalization reimbursement for Hubei medical insurance 2022

In 2022, the proportion of hospitalization reimbursement for Hubei medical insurance is as follows:

1. According to the level of hospitalization expenses, the proportion of medical insurance reimbursement for employees is 85% between 1300 yuan and 30,000 yuan, 90% between 30,000 yuan and 40,000 yuan, and 95% between 40,000 yuan and 100000 yuan.

2. Residents' medical insurance consists of urban residents' medical insurance and the new rural cooperative medical system. The reimbursement ratio is:

(1) The reimbursement rate of the first-level hospital is 65%, and the deductible line is 300 yuan;

(2) The reimbursement rate of secondary hospitals below 6000 yuan is 65%, and that of hospitals above 6000 yuan is 80%, in which the deductible line of county secondary hospitals is 400 yuan, and that of municipal secondary hospitals is 600 yuan;

(3) tertiary hospitals, county tertiary hospitals deductible line in 600 yuan, reimbursement rate of 65%, reimbursement rate of more than 6000 yuan 80%, municipal tertiary hospitals deductible line in 800 yuan. 12000 yuan, the reimbursement rate is 55%. 1.2 million yuan or more, the reimbursement rate is 75%.

Legal basis: Article 2 of People's Republic of China (PRC) Social Insurance Law.

The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children. The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations. 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.

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

The 28th session

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.