What is the threshold fee?

Threshold fee is the standardized name for the starting standard of the integrated fund, i.e., the starting standard of hospitalization medical fee for urban workers' and residents' medical insurance.

The threshold fee is different for different levels of hospitals, and the higher the level, the higher the threshold fee. The purpose of setting such a threshold is to In order to guide people to rationalize the medical treatment, to prevent some small patients hospitalized arbitrarily, so that the limited medical resources become tense, to reduce the "small disease big treatment" "should be hospitalized but do not live in the hospital" and so on.

/iknow-pic.cdn.bcebos.com/5fdf8db1cb1349542cc3b28b5a4e9258d0094a7b "target="_blank "title=""class="ikqb_img_alink">/iknow- pic.cdn.bcebos.com/5fdf8db1cb1349542cc3b28b5a4e9258d0094a7b?x-bce-process=image%2Fresize%2Cm_lfit%2Cw_600%2Ch_800%2Climit_1% 2Fquality%2Cq_85%2Fformat%2Cf_auto "esrc="/5fdf8db1cb1349542cc3b28b5a4e9258d0094a7b"/>

The level of hospitals where patients are hospitalized varies each time, and the "threshold fee" charged is different. Assuming that the patient belongs to the urban workers' health insurance, and belongs to the employee, in a third-class hospital hospitalization cost 5,000 yuan, excluding 600 yuan "threshold fee", the remaining 4,400 yuan to be included in the reimbursement part, but it does not mean that the 4,400 yuan can be reimbursed in accordance with the appropriate proportion, because the 4,400 yuan to remove the need for the patient to undertake the However, it does not mean that the $4,400 will be reimbursed at the appropriate rate, because the $4,400 will only be reimbursed after the patient's share of the out-of-pocket drug costs is removed. If there are 1400 yuan of self-financed drugs, then the social security department in accordance with the 80% reimbursement rate of reimbursement should be (4400-1400) × 80% = 2400 yuan, and finally, the patient's own costs for 5000 yuan - 2400 yuan = 2600 yuan, which 2600 yuan, including the 600 yuan "threshold fee "