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Proportion of reimbursement for children's social security cards in Chongqing
1, the threshold fee of 100 yuan/time is deducted from the first-class and below designated medical institutions, and the first-class drugs are reimbursed: 80% of the first-class drugs and 85% of the second-class drugs are paid in advance 10%, and then the threshold fee of 300 yuan/time is deducted from the second-class designated medical institutions according to the ratio of 80% and 85%. Then reimbursement will be made according to the proportion of 60% and 65%, and the threshold fee of 800 yuan will be deducted in the third-level and third-level designated medical institutions. The first-level reimbursement will be implemented for Class A drugs: 40% for Class A drugs and 45% for Class B drugs, with 10% paid first, and then 40% and 45% reimbursed.
At present, the annual reimbursement ceiling line: the first file can be reported up to 280,000, and the second file can be reported up to 320,000.
Outpatient reimbursement:
In 2065438+2009, the overall reimbursement limit for outpatient service was 140 yuan/person-year, and 80 yuan was reimbursed in a fixed amount.
Legal basis: Article 2 of the Social Insurance Law of People's Republic of China (PRC) The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., to protect citizens' right to get material help from the state and society according to law in case of old age, illness, industrial injury, unemployment and maternity.
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