Proportion of medical insurance reimbursement in Jiangxi

1, the reimbursement rates of township-level designated medical institutions and county-level designated medical institutions are 90% (excluding deductible) and 80% respectively.

2, the provincial and municipal designated medical institutions reimbursement ratio is 50%. On this basis, all districts, cities and overall planning areas can explore and select some designated medical institutions in provinces and cities with good direct subsidies, standardized services and low costs as agreed designated medical institutions, and their reimbursement ratio will increase by 10%. The reimbursement rate of non-designated medical institutions is 35%.

3, the use of national essential drugs, traditional Chinese medicine and traditional Chinese medicine technology to treat diseases, according to the provisions of the policy to increase the intensity of reimbursement, the proportion of reimbursement expenses of participating farmers in designated medical institutions shall not be higher than 90% of the total expenses, and those higher than 90% shall be reimbursed by 90%.

Legal basis:

Medical insurance regulations

Article 7 The basic medical insurance premium shall be paid jointly by the employer and the employees. Among them, the employer pays 5%-7% of the total monthly salary of its employees, and the rate of employees paying basic medical insurance premium is not less than 2% of their total monthly salary.

Article 8 The amount of employees' monthly wages is determined according to their actual total wages, but it shall not be less than 60% of the average monthly wages of employees in the city, county and autonomous county where they are located. The following medical insurance premiums that should be paid by themselves shall be paid by the employer.

Article 9 The total monthly salary of employees exceeds that of employees in the city, county or autonomous county where they are located. The part with an average monthly salary of more than 300% in the previous year will not pay the basic medical insurance premium, nor will it be used as the base for checking the personal account quota.