What are the changes in the reimbursement rate of medical insurance for urban residents in 2016

The starting standard and reimbursement ratio of basic medical insurance for urban residents are determined differently according to the categories of insured persons.

First, students and children. In a settlement year, incurring medical expenses of less than 180,000 yuan that are eligible for reimbursement, the starting standard for tertiary hospitals is 500 yuan, and the reimbursement rate is 55%; the starting standard for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; and tertiary hospitals do not set a starting standard, and the reimbursement rate is 65%.

The second is for the elderly who have reached the age of 70 or above. For medical expenses under 100,000 RMB incurred within a billing year that are eligible for reimbursement, the starting standard for Level 3 hospitals is 500 RMB, and the reimbursement rate is 50%; the starting standard for Level 2 hospitals is 300 RMB, and the reimbursement rate is 60%; and Level 1 hospitals do not set a starting standard, and the reimbursement rate is 65%.

Third, other urban residents. In a settlement year, incurred in line with the scope of reimbursement of medical expenses of less than 100,000 yuan, the starting standard for third-level hospitals is 500 yuan, the reimbursement rate is 50%; second-level hospitals hospitalization starting standard is 300 yuan, the reimbursement rate is 55%; first-level hospitals do not set a starting standard, the reimbursement rate is 60%.

Urban residents who are hospitalized for more than two times in one billing year will no longer be charged for the starting standard from the second hospitalization. If they are transferred or hospitalized for more than two times, the difference will be made up in accordance with the prescribed starting standard for the hospital to which they are transferred or re-admitted