The medical insurance reimbursement ratio of Meizhou 2022

General outpatient without a starting line all insured residents enjoy general outpatient treatment. Within a medical insurance year, there is no starting line for general outpatient treatment, and medical expenses within the scope of payment of the outpatient coordinating fund are reimbursed at a rate of 60%, with an annual individual maximum payment limit of 400 yuan for the coordinating fund.

2, hospitalization reimbursement rate

Continuous participation in the longer the reimbursement rate of the larger the insured residents to pay contributions for every five years, the hospitalization reimbursement rate of the medical insurance fund increased by 5 percentage points, the cumulative total of not more than 10 percentage points. If you have been insured for 10 consecutive years since 2007, the reimbursement rate for hospitalization in a tertiary, secondary and primary hospital will be 70%, 80% and 90% respectively.

3, the second reimbursement rate

"Second reimbursement" may also have "reimbursement" in the insured residents of a single hospitalization incurred in the medical expenses, is the urban residents of the basic medical insurance co-ordination fund within the scope of the payment of the part of the basic medical insurance co-ordination fund. After the proportionate payment of the integrated medical insurance fund, the personal burden of more than 8,000 yuan above the part of the major disease insurance funds for the excess part of the proportion of 55% to give the "second reimbursement".

If the medical expenses incurred by an insured resident who has been hospitalized several times in a year are more than 25,000 yuan, after the basic medical insurance and the "secondary reimbursement" have been paid, the part of the hospitalized medical expenses (including reasonable out-of-pocket expenses) that the insured resident has borne in a year is more than 25,000 yuan, and the funds of the major disease insurance will give "secondary reimbursement" at a rate of 55% of the excess part of the expenses. "re-reimbursement", the annual individual maximum payment limit of 250,000 yuan from the major disease insurance funds.

4, reimbursement

Annual maximum reimbursement of 370,000 yuan to participate in the city's urban residents health insurance residents, its annual payment limit of 120,000 yuan of basic medical insurance, the payment limit of 250,000 yuan of major disease insurance. Therefore, participants can be reimbursed up to 370,000 yuan per year.