Guangzhou medical insurance reimbursement ratio and deductible standard

Guangzhou medical insurance reimbursement ratio and deductible standard

Medical insurance is a kind of social security. Employees work in the unit and the unit will pay medical insurance for them. Unit employees need to be hospitalized due to illness, and can be reimbursed through employee medical insurance. The reimbursement ratio is different in different regions. Let's take Guangzhou for example.

What is the reimbursement ratio of medical insurance hospitalization for employees in Guangzhou?

The proportion of on-the-job employees' overall fund payment: 90% in first-class hospitals, 85% in second-class hospitals and 80% in third-class hospitals; The proportion of retirees' overall fund payment: 93% in first-class hospitals, 89.5% in second-class hospitals and 86% in third-class hospitals.

The Qifubiaozhun of medical insurance for employees in Guangzhou is:

Social security network shows that continuous hospitalization needs to recalculate the threshold every 90 days. In the designated medical institutions for continuous hospitalization of pulmonary tuberculosis, every 180 days to recalculate Qifubiaozhun.

If the insured person is hospitalized in the psychiatric ward of this city's psychiatric specialized medical institution or designated comprehensive medical institution due to mental illness, the Qifubiaozhun is 0 yuan.

It should be noted that if the insured person meets the discharge standard but fails to be discharged according to the regulations, the expenses incurred from the next day after the discharge date of the designated medical institution will not be paid by the employee basic medical insurance pooling fund.

After the insured person is discharged from the hospital, he can be admitted to the hospital again because of his illness, which is not limited by the length of discharge time.

In addition to hospitalization reimbursement, Guangzhou employee medical insurance can also reimburse general outpatient expenses to reduce the burden of outpatient expenses of insured persons.