2023 Suzhou Medical Insurance Reimbursement Policy

Suzhou medical insurance reimbursement policy in 2023 is as follows:

1, the proportion of medical insurance reimbursement has increased. In order to improve the level of medical insurance, Suzhou may further increase the proportion of medical insurance reimbursement to reduce the burden of medical expenses for patients.

2. Strengthen the scope of medical insurance payment. Suzhou may further expand the scope of medical insurance payment in the future, involving a wider range of medical services and drugs. For example, some seriously ill drugs may be included in the payment scope of Suzhou medical insurance.

3. Promote medical insurance and medical reform. Suzhou will continue to promote medical insurance and medical reform to improve medical services and protect people's health. More policies may be introduced in the future to improve the quality of medical services and protect the health rights and interests of residents.

Conditions for reimbursement of medical insurance in different places:

1, participation status: reimbursement for medical insurance in different places is only applicable to those who participate in medical insurance systems such as urban workers' basic medical insurance, urban and rural residents' basic medical insurance and new rural cooperative medical care;

2. Payment record: when applying for reimbursement in different places, the applicant must have paid the medical insurance fee and meet the requirements of payment time and standard;

3. Reimbursement scope: policies such as reimbursement scope and reimbursement ratio of medical insurance in different places shall be subject to the relevant policies and regulations of the insured place. It should be noted that medical insurance reimbursement policies may be different in different regions, and applicants need to handle them according to local policies and regulations;

4. Hospital selection: When seeking medical treatment in different places, the applicant must choose a designated medical institution for medical insurance, otherwise he will not be able to enjoy medical insurance reimbursement;

5. Reimbursement application materials: Applicants need to prepare complete reimbursement application materials, including medical bills, expense lists, medical treatment certificates in different places, and reimbursement application forms.

To sum up, the reimbursement proportion and scope of medical insurance reimbursement in different places may also be different, and the reimbursement proportion of medical insurance reimbursement in different places may be lower than that of local medical insurance reimbursement. Please consult the local medical insurance department for details.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.