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What is the reimbursement rate for hospitalization in urban medical insurance?
1, students, children
The medical expenses spent by students and children in hospitals are below 18 yuan, and the proportion of reimbursement for hospitalization in different hospitals will be different. For example:
(1), hospitalized in a first-class hospital, and the reimbursement rate of medical expenses is 65%;
(2) For those hospitalized in secondary hospitals, the reimbursement rate of medical expenses is 60%;
(3) In tertiary hospitals, the reimbursement rate of medical expenses is 55%.
2. Old people over 70 years old.
The hospitalization medical expenses of 70-year-old people are below 654.38+10,000 yuan, and the proportion of hospitalization reimbursement in different hospitals will be different. For example:
(1), hospitalized in a first-class hospital, and the reimbursement rate of medical expenses is 65%;
(2) For those hospitalized in secondary hospitals, the reimbursement rate of medical expenses is 60%;
(3) For those hospitalized in tertiary hospitals, the reimbursement rate of medical expenses incurred is 50%.
3. Other urban residents
The hospitalization expenses of other urban residents are below 654.38 million yuan, and the proportion of hospitalization reimbursement in different hospitals will be different. For example:
(1), hospitalized in a first-class hospital, and the reimbursement rate of medical expenses is 60%;
(2) For those hospitalized in secondary hospitals, the reimbursement rate of medical expenses is 55%;
(3) For those hospitalized in tertiary hospitals, the reimbursement rate of medical expenses incurred is 50%.
To sum up, medical insurance for urban residents is aimed at different groups of people. According to different medical expenses and different levels of medical institutions, the proportion of hospitalization reimbursement will be different.
Legal basis: Article 25 of the Social Insurance Law of People's Republic of China (PRC) stipulates that the state shall establish and improve the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions with government subsidies.
People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.
"People's Republic of China (PRC) Social Insurance Law" Article 26 The treatment standards of 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.
skill
The above answer is only for the current information combined with my understanding of the law, please refer carefully!
If you still have questions about this issue, I suggest you sort out relevant information and communicate with professionals in detail.
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