Proportion of reimbursement for medical treatment in different places in Shenyang

The reimbursement rate for medical treatment in different places in Shenyang is as follows:

1, the threshold fee for reimbursement of medical insurance in different places is 88%, 3000-5000 yuan is 90%, 5000- 10000 yuan is 92%, and 10000 yuan is 95%, of which Class B drugs and expensive drugs are 80%.

2. The reimbursement rate of tertiary hospitals is 55%;

3. The reimbursement rate of secondary hospitals is 65%;

4. The reimbursement rate of the first-level hospital is 75%.

Medical insurance reimbursement conditions:

1, the insured person must go to the designated medical institution of basic medical insurance or the designated retail pharmacy determined by the social insurance institution with the medical prescription issued by the doctor in the designated hospital;

2. The medical expenses incurred by the insured in the process of medical treatment must conform to the scope and payment standards of the basic medical insurance drug list, medical treatment items and medical service facilities standards, and can be paid by the basic medical insurance fund according to regulations;

3. The medical expenses incurred by the insured that meet the payment scope of basic medical insurance shall be paid by the social medical pooling fund in a unified proportion, with the expenses above the Qifubiaozhun and below the maximum payment limit.

To sum up, urban and rural residents in Shenyang can enjoy medical treatment in different places as long as they meet the corresponding conditions. See the full text for the specific reimbursement ratio.

Legal basis:

Article 30 of People's Republic of China (PRC) Social Insurance Law

The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.