Scope and proportion of social security reimbursement in Ningbo

The scope of reimbursement includes outpatient reimbursement, hospitalization reimbursement and outpatient special disease treatment. The ratio is as follows:

According to the inquiry, Ningbo local treasure shows: 1, outpatient reimbursement. 60% reimbursement for treatment in village clinics and village center clinics. 40% reimbursement for medical treatment in town health centers; 30% reimbursement for treatment in secondary hospitals. 20% reimbursement for treatment in tertiary hospitals. The prescription attached to the invoice of traditional Chinese medicine is limited to 1 yuan, and the annual compensation limit of town-level cooperative medical outpatient service is 5000 yuan.

2, hospitalization reimbursement. The medical expenses incurred by the insured in each hospitalization shall be calculated cumulatively within one medical insurance year, and the part below the deductible shall be paid by the individual, and the part above the deductible shall be shared by the medical insurance fund and the individual according to different proportions.

3, outpatient special disease treatment. When the insured person carries out outpatient special disease treatment projects, he does not use the account funds of the current year, 92% is paid directly by the medical insurance pooling fund, and 8% is borne by the individual.