Proportion of medical insurance reimbursement in Zhuhai

Zhuhai's medical insurance reimbursement policy includes: the per capita financial subsidy standard for residents' medical insurance will be raised to 70 yuan, reaching 720 yuan per person per year. There is no maximum payment limit for outpatient medical expenses within the scope of the selected general outpatient co-ordination designated medical institutions for medical treatment, and the proportion of overall fund payment is 80%.

Legal objectivity:

Article 28 of the Social Insurance Law

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 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.