June 2023 5438+1 October1What is the annual maximum payment limit for the general outpatient service of the insured workers in our city?

According to the latest policy, from June 5438+1 October1day in 2023, the maximum annual payment limit for the general outpatient service of the insured employees in our city is 10000 yuan per person per year, and those who exceed this amount shall be paid at their own expense.

According to the Notice of the General Office of the State Council on Printing and Distributing the Implementation Plan, from 2023 onwards, the maximum annual payment limit for the general outpatient service of the insured workers in our city is 1 10,000 yuan per person per year. This means that within one year, as long as the medical expenses are within 10000 yuan, the personal burden can be reduced through medical insurance reimbursement. But if you exceed this amount, you need to pay at your own expense. It is worth noting that although the annual maximum payment limit of general outpatient service for insured workers in our city has been increased from 1 in 2023, the specific policies of different cities and regions may be slightly different. Please refer to the regulations of the local medical insurance department for details.

Besides general outpatient service, are there any other medical items with payment restrictions? Yes, besides general outpatient service, there are many other medical items that are reimbursed by medical insurance, such as hospitalization, surgical treatment, special outpatient service and so on. Different projects have different payment standards and restrictions. Please refer to the relevant regulations of the local medical insurance department for details.

From June 5438+1 October1day in 2023, the maximum annual payment limit for the general outpatient service of the insured employees in our city is RMB 10000 per person per year, and the part exceeding this amount shall be paid at its own expense. Taxpayers can know the local medical insurance policy in advance so as to enjoy the benefits of medical insurance reimbursement in time. At the same time, we should also pay attention to the payment restrictions and standards of different medical items, so as to avoid being unable to obtain the corresponding medical insurance reimbursement because of insufficient or over-limit payment.

Legal basis:

People's Republic of China (PRC) social insurance law

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.