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Inner Mongolia coordinated starting line
The hospitalization starting line of the basic medical insurance fund for employees in Inner Mongolia is related to the level of hospitals. The hospitalization starting line for first-level hospitals is 200 yuan; for second-level hospitals, it is 400 yuan; and for third-level hospitals, it is 600 yuan. When hospitalized in different levels of hospitals, insured persons must pay a certain amount of medical expenses out of their own pockets, and can only be reimbursed for the portion that exceeds the starting line.
Social security reimbursement rates:
1. The reimbursement rate for level 1 hospitals is usually lower because the medical facilities and technology of level 1 hospitals are relatively low;
2. The reimbursement rate for level 2 hospitals is higher than that of level 1 hospitals because the quality of medical services and technology in level 2 hospitals are better;
3. The reimbursement rate for level 3 hospitals is usually the highest because level 3 hospitals have the most advanced technology. because tertiary hospitals have the most advanced medical equipment and the highest level of medical services.
In summary, the hospitalization starting standard of basic medical insurance for employees in Inner Mongolia is linked to the hospital level, which is 200 yuan for first-class hospitals, 400 yuan for second-class hospitals and 600 yuan for third-class hospitals, and participants need to pay for this part of the cost out of their own pockets first before they can be reimbursed by the insurance fund for the exceeding part of the cost.
Legal basis:
The Social Insurance Law of the People's Republic of China
Article 29
The portion of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly by the social insurance administration organization with the medical institutions and pharmaceutical business units. The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.
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