Can all the tertiary hospitals in Beijing enjoy medical insurance reimbursement?

No, Beijing medical insurance is divided into three categories: employee medical insurance (flexible employment medical insurance), urban residents' medical insurance and new rural cooperative medical system.

Any medical insurance can only go to the hospital you filled in when applying for medical insurance, all the top three hospitals (basically covering most top three hospitals in Beijing), medical insurance specialist hospitals and medical insurance Chinese medicine hospitals. Other medical insurance hospitals (no matter what level) cannot be reimbursed (except emergency).

Medical insurance reimbursement scope:

1, medical insurance card reimbursement is limited to medical expenses above hospitalization in designated hospitals due to diseases and some accidents. The reimbursement formula is: (total cost-threshold cost-self-funded cost-cost overrun) *(75+ age *0.2)%. In general, the actual reimbursement rate ranges from 20% to 60%.

Self-funded drugs are not reimbursed, 80% of Class B drugs are reimbursed, bed fees are limited, and some inspection fees and treatment fees cannot be reimbursed according to regulations.

2. The reimbursement amount of medical insurance card is 4 times of the average salary of local social workers (1 year cumulative value).

3. The money in the medical insurance card can be used to buy medicines at designated pharmacies and pay for outpatient and emergency expenses, but it does not belong to the category of reimbursement, because the money in the medical insurance card is the money in the medical insurance personal account.

4. Reimbursement of major illness insurance. After the insured suffers from a serious illness, the personal conceit part that meets the requirements of the municipal medical insurance in the designated medical institutions of the municipal medical insurance shall be included in the payment scope of the residents' serious illness insurance, and 50% shall be reimbursed by the serious illness insurance fund.