Qingdao Outpatient Reimbursement Policy 2023

Qingdao Outpatient Coordination Reimbursement Policy 2023: The reimbursement rate of primary medical institutions is 75%; the reimbursement rate of secondary medical institutions is 60%; and the reimbursement rate of tertiary medical institutions is 50%.

Starting line: There is no starting line for outpatient reimbursement for primary medical institutions; the starting line for secondary medical institutions is 500 yuan; and the starting line for tertiary medical institutions is 800 yuan. Raise the maximum payment limit for outpatient medical insurance, adjust the annual payment limit for employees' general outpatient clinics to 1,700 yuan from 2023, and from 2023, using 5 percent of the province's full-caliber average salary as the calculation standard, it is expected to be raised to more than 4,500 yuan.

Qingdao residents' health insurance reimbursement rates are as follows:

1, hospitalization reimbursement rate adjusted from 80% to 85%;

2, outpatient reimbursement rate adjusted from 75% to 80%;

3, the reimbursement rate of the major medical insurance funds adjusted from 75% to 80%;

4, eligible second-tier contributing adult residents, receiving The reimbursement rate for eligible medical care expenses incurred during the period of community nursing services is adjusted from 60% to 70%.

Legal basis:

The Social Insurance Law of the People's Republic of China

Article 2

The state establishes a social insurance system of basic pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance, etc., to protect citizens' rights to obtain material assistance from the state and society in old age, sickness, industrial injury, unemployment and maternity, etc., according to law. The right to receive material assistance from the state and society in old age, sickness, industrial injury, unemployment and childbirth.