How to reimburse the proportion of social security for children in Wuhan

The actual reimbursement rate varies from 20% to 60% according to the level of the hospital.

Wuhan medical insurance card reimbursement scope:

1, medical insurance card reimbursement is limited to medical expenses above hospitalization for diseases and some accidents in re-designated hospitals;

The reimbursement formula of (1) is: (total expense-threshold expense-self-expense-cost overrun) *(75+ age *0.2)%. In general, the actual reimbursement rate ranges from 20% to 60%.

(2) Self-funded drugs are not reimbursed, 80% of Class B drugs are reimbursed, bed fees are limited, and some inspection fees and treatment fees are not reimbursed according to regulations.

2. The reimbursement amount of the medical insurance card is 4 times of the local social wage (1 year accumulated value):

(1) 200 yuan, community health service center, first-class medical institution;

(2) 400 yuan, a secondary medical institution;

(3) 800 yuan, a tertiary medical institution.

3. For hospitalization medical expenses that meet the above requirements of Qifubiaozhun, the payment ratio of medical insurance fund is:

(1) The proportion of hospitalization payment in community health service centers and first-class medical institutions is 80%;

(2) The proportion of hospitalization payment in secondary medical institutions is 70%;

(3) The proportion of hospitalization payment in tertiary medical institutions is 60%.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.