Proportion of social security reimbursement in different places in Qingdao

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According to the relevant provisions of the decree, Qingdao Municipal People's Government 19 1, if children and college students are ill and need hospitalization, their hospitalization expenses will be included in the payment scope of the basic medical insurance fund.

Qifubiaozhun for hospitalization medical expenses is established according to the standards of tertiary medical institutions in 500 yuan and secondary and below medical institutions in 300 yuan. If the patient is hospitalized for the first time in a medical year, the minimum payment standard shall be 100%; The second hospitalization, Qifubiaozhun by 50%; No qifubiaozhun will be set for the third and above hospitalization. Medical expenses above qifubiaozhun shall be paid by the basic medical insurance fund according to the following standards: 80% of the part below 5,000 yuan for tertiary medical institutions and 85% for secondary and below medical institutions; 5000 yuan to 10000 yuan, 90% for tertiary medical institutions and 90% for secondary and below medical institutions; 10000 or more, regardless of the level of medical institutions, the unified payment of 90%. In a medical year, the maximum payment limit of the basic medical insurance fund is 6.5438+0.5 million yuan. If it is an only child, the overall proportion will increase by 5%. At the time of discharge settlement, reimbursement shall be implemented in accordance with the above policies.