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What is the threshold fee for hospitalization in 202 1 year?
The basic medical insurance for urban residents hospitalization Qifubiaozhun is:
The community health service center, level I, level II and level III hospitals are 100 yuan, which are located in 200 yuan, 300 yuan and 400 yuan respectively.
Excluding the "threshold fee" for the medical expenses used, the individual pays 10% for Class B drugs first, and the remaining expenses are reimbursed by the community health service center, the first, second and third-class hospitals by 75%, 70%, 65% and 60% respectively. However, due to various types of social security, including basic medical insurance for urban workers, basic medical insurance for urban residents and new rural cooperative medical system, the threshold cost of hospitalization insurance will be different.
Legal basis: Article 19 of the Detailed Rules for the Implementation of the Basic Medical Insurance for Urban Residents, urban insured residents should bear a certain amount of medical expenses each time they are hospitalized, that is, the Qifubiaozhun. Qifubiaozhun is determined according to different levels of medical institutions: first-level designated medical institutions in 300 yuan (including designated community health service centers), second-level designated medical institutions in 500 yuan and third-level designated medical institutions in 700 yuan.
The proportion of hospitalization reimbursement for insured residents is: 70% for designated medical institutions at the first level (including designated community health service centers) above Qifubiaozhun, 60% for designated medical institutions at the second level and 50% for designated medical institutions at the third level.
Detailed Rules for the Implementation of the Basic Medical Insurance for Urban Residents Article 5 Non-employed urban residents who have not participated in the basic medical insurance for urban workers may voluntarily participate in the basic medical insurance for urban residents within their respective administrative areas. Including:
(a) primary and secondary school students (including vocational education centers, high schools, junior high schools, primary school students and kindergarten children)
(2)/kloc-non-school residents under the age of 0/8 (inclusive);
(3) 18 years old or above non-employed urban residents.
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