Proportion of medical insurance reimbursement in Zhengzhou city

The proportion of medical insurance reimbursement in Zhengzhou: 95% of those hospitalized in township hospitals (township hospitals and community health service institutions); In county (first-class, second-class and third-class), city (second-class) and provincial (first-class) hospitals, the reimbursement rate is 95%; In municipal (tertiary) and provincial (secondary and tertiary non-A) hospitals, the reimbursement rate is 90%.

The minimum threshold for insured residents 14 years old (including 14 years old) is halved; If other insured residents are hospitalized in designated medical institutions at or above the second level for the second time in the year, the Qifubiaozhun will be halved. The basic medical insurance for urban and rural residents in Zhengzhou has increased the reimbursement rate of hospitalization medical expenses for the elderly over 80 years old by 5 percentage points.

The reimbursement rate of medical insurance for urban workers in Zhengzhou is 85%, and the reimbursement rate of medical insurance for urban residents in Zhengzhou at county level, municipal level and provincial level is 80%, 70% and 65% respectively (peritoneal dialysis for end-stage renal disease is 85%). The reimbursement rate of medical insurance outpatient service for urban workers in Zhengzhou is 85%, and that for urban residents is 70%.

Zhengzhou medical insurance reimbursement scope:

1, including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises, private enterprises, etc.). ).

2, organs, institutions, social organizations, private non enterprise units and their employees, to participate in the basic medical insurance.

3. Some towns and villages stipulate that township enterprises and their employees, owners of urban individual economic organizations and their employees should be gradually incorporated into the basic medical insurance coverage (the last one depends on different local policies), so that they can enjoy medical reimbursement.

4. Medical expenses can be reimbursed by medical insurance card in cities and towns in accordance with relevant regulations. Urban medical insurance is special, with large scale and wide coverage, but the compensation for major diseases or accidents is limited. At this point, the author suggests that the insured can purchase commercial supplementary medical insurance for serious illness and social security to reduce their economic losses.