Proportion of social security hospitalization reimbursement in Urumqi

1, the proportion varies according to different institutions and ways of seeing a doctor, taking hospitalization as an example:

(1) If the minimum threshold is above and the maximum payment limit is below, the specific proportion is: 90% from the township (town) health center's overall fund, and personal burden10%; First-class medical institutions (including community health service centers) pay 85% from the overall fund, and the personal burden is15%; Secondary medical institutions to pay 70% of the overall fund, personal burden of 30%; Third-level medical institutions pay 55% from the overall fund, and the personal burden is 45%.

2, the basic medical insurance for urban and rural residents as a whole is calculated according to the natural year. In a natural year (based on admission time), the maximum payment limit of basic medical insurance is 90,000 yuan;

3. The above reference sources and more contents: Measures for the Implementation of Basic Medical Insurance for Urban and Rural Residents in Urumqi (Wu Zhengban [2065 438+05] 177).

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.