What is the medical insurance reimbursement policy for Foshan residents?

Legal analysis: (1) When the insured person goes to a medical institution for general outpatient treatment, the expenses incurred by the drugs specified in the National Drug List of Basic Medical Insurance, Work Injury Insurance and Maternity Insurance (version 20 17) and the routine basic medical services (three routines, electrocardiogram, black and white B-ultrasound, chest X-ray and blood sugar monitoring) included in the reimbursement scope shall be paid by the overall fund.

(1) 90% of the first-level medical institutions.

(2) 70% of secondary medical institutions.

(three) three types of medical institutions 40%.

Note: city 1, except Chinese medicine hospital.

(2) 70% of the general medical expenses are paid by the overall fund.

(3) The expenses of the insured person belonging to Class A drugs within the scope of the National Catalogue of Drugs for Basic Medical Insurance, Work Injury Insurance and Maternity Insurance (20 17 Edition), 1.000% are included in the verification scope of general outpatient service; 60% of the expenses of Class B drugs and hospital preparations are included in the verification scope of general outpatient service. No more than 3 doses of Chinese herbal pieces are allowed for each consultation, and each dose is included in the scope of nuclear reporting according to 6 yuan.

Legal basis: Article 3 of the Provisions of Foshan Municipality on Applying for Basic Medical Insurance, and go to medical institutions outside the city for medical treatment.

(a) the insured to medical institutions outside the city for hospitalization, shall, within 3 working days from the date of admission, with the valid identity documents of the insured in medical institutions for medical insurance registration; During hospitalization, medical institutions and medical insurance inspectors shall cooperate to check the identity information of the insured. At the time of discharge, the social security card or valid identity certificate will be used for immediate settlement at the medical institution site, and the reimbursement ratio will be reduced according to regulations.

(II) Insured persons who go to medical institutions outside the city for hospitalization can be directly hospitalized, and prepare relevant materials to social security agencies for sporadic reimbursement procedures within 90 days after discharge, and enjoy the treatment of reducing the proportion of reimbursement according to regulations.