Linyi medical insurance reimbursement ratio 2023

From 2023, among the drugs and medical treatment items listed in Linyi medical insurance catalogue, the proportion of outpatient reimbursement will increase from 60% to 70%, and the proportion of hospitalization reimbursement will increase from 80% to 90%.

The proportion of medical insurance reimbursement in Linyi refers to that when eligible insured persons seek medical treatment, medical expenses can be partially or completely reimbursed through medical insurance. In order to better protect the rights and interests of insured persons and provide them with better medical services, Linyi Municipal Government decided to adjust the proportion of medical insurance reimbursement from 2023. Specifically, according to the notice of Linyi Municipal Government, from 2023, Linyi City will increase the proportion of medical insurance reimbursement, including outpatient reimbursement from 60% to 70% and hospitalization reimbursement from 80% to 90%. This means that eligible insured persons will be able to get more medical insurance reimbursement, which will play a positive role in improving people's medical experience and reducing the burden of medical treatment. It should be noted that the adjusted medical insurance reimbursement ratio is only applicable to drugs and medical treatment items in Linyi medical insurance catalogue. If there are other special circumstances that need to be reimbursed, it still needs to be handled in accordance with the corresponding regulations.

Who can enjoy the increase in the proportion of medical insurance reimbursement in Linyi City? People who meet the following conditions can enjoy an increase in the proportion of medical insurance reimbursement in Linyi: 1. Participants in Linyi's basic medical insurance for urban workers, basic medical insurance for urban residents or new rural cooperative medical care; 2. Employees in Linyi who participate in basic medical insurance and pay social security fees; 3 retirees who have not reached the statutory retirement age, eligible special care recipients, as well as college students and national public medical graduate students. Please consult the local social security bureau or medical insurance center for specific insurance conditions.

Increasing the proportion of medical insurance reimbursement in Linyi City is an important livelihood policy, aiming at providing better medical services and more comprehensive medical security for eligible insured persons. Insured personnel need to know the specific declaration process and corresponding policies and regulations in order to enjoy the bonus of medical insurance reimbursement in time.

Legal basis:

"Regulations on Basic Medical Insurance for Urban Employees in Shandong Province" Article 11 The basic medical insurance fund for urban employees shall pay the basic medical insurance benefits in accordance with the reimbursement ratio stipulated by the government, and strictly implement the principle of balance of funds.