What is the reimbursement rate of hospitalization medical insurance card?

The reimbursement ratio of hospitalization medical insurance is as follows:

1, and the reimbursement rate of community health service institutions is 80%;

2. The reimbursement rate of first-class hospitals is: 80%;

3. The reimbursement rate of secondary hospitals is 75%;

4. The reimbursement rate of tertiary hospitals is 70%.

Qifubiaozhun for hospitalization is:

1, Qifubiaozhun of community health service institutions: 300 yuan;

2. The Qifubiaozhun for first-class hospitals is: 500 yuan;

3. Qifubiaozhun for secondary hospitals is: 800 yuan;

4. The minimum threshold for tertiary hospitals is: 1000 yuan.

Medical insurance reimbursement process:

1, diagnosed and treated in the designated medical insurance hospital.

Every city will have designated hospitals for medical insurance. Only when you are treated in a designated medical insurance hospital can you be reimbursed by medical insurance. Therefore, if you want to use medical insurance, you must go to the designated hospital for medical insurance and go through the relevant registration procedures;

2. Prepare discharge information

Prepare discharge materials in advance when you leave the hospital, such as disease diagnosis, discharge records, medical records, etc. Usually talk to the doctor during treatment. If we need these materials, the doctor will help us prepare them. You'd better make a copy of these materials after you get them. One is submitted to the medical insurance reimbursement office, and the other is reserved for use;

3. Discharge settlement

Take the hospitalization list and invoice to the hospital for settlement. After that, you can take the relevant information to the medical insurance reimbursement department for reimbursement review;

4. Wait for the expense reimbursement to arrive.

A receipt will be received after the data is handed over, and the reimbursement amount will be received within 15 days. You just have to wait patiently.

To sum up, if the insured is hospitalized in a designated hospital in this city during the period of enjoying medical insurance benefits, and the medical expenses are not directly settled in the hospital through the medical insurance computer network, the medical insurance fund Qifubiaozhun shall be implemented according to the standards of similar designated medical institutions in this city.

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. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.