Reimbursement ratio of designated hospitals in Dongguan

The reimbursement ratio of designated hospitals in Dongguan includes both outpatient and inpatient parts, and the specific ratio is determined by the state and local **** together. You can check it on your health insurance card or on the website of the Health Insurance Bureau.

The reimbursement rate for designated hospitals in Dongguan City is determined by the state and local **** together, including both outpatient and inpatient parts. In outpatient, the reimbursement rate varies according to different medicines, medical items and other factors. Generally speaking, the outpatient reimbursement rate is low, ranging from about 30% to 50% for routine Category A drugs, while the reimbursement rate for Category B and C drugs will be even lower. For patients with chronic diseases, they can also enjoy the outpatient chronic special disease reimbursement policy, with reimbursement rates ranging from 40% to 75%. In terms of hospitalization, the reimbursement rate for designated hospitals in Dongguan is relatively high, generally 80%~90%. However, it should be noted that the base of hospitalization medical expenses is large, and a high reimbursement rate does not mean that the actual reimbursement amount is large. Therefore, when choosing a hospital, you can refer to the list of designated hospitals for medical insurance and choose a hospital with a high reimbursement rate and good medical quality. It is important to note that not all expenses can be reimbursed by the medical insurance. Some expenses such as dental cleaning and myopia surgery are out-of-pocket items and cannot be reimbursed by the medical insurance.

What are the conditions for enrollment in Dongguan's health insurance? Dongguan health insurance participation conditions include the following: 1) permanent residents; 2) normal payment of social insurance premiums; 3) full capacity for civil behavior. Different groups of people will be slightly different ways to participate in the processing and payment standards, you can consult the local social security bureau to understand.

The reimbursement rate for designated hospitals in Dongguan City is set by the state and local **** the same, different drugs, medical programs, types of diseases and other factors will affect the reimbursement rate. People should understand the health insurance policy and their rights and interests when seeking medical treatment, and choose a hospital with a high reimbursement rate and good medical quality. At the same time, it is also necessary to comply with the relevant provisions of the health insurance, to avoid violations of the law to bring unnecessary trouble.

Legal basis:

Article 29 of the Social Insurance Law of the People's Republic of China (《中华人民****和國社會保险法》) The basic medical insurance for urban and rural residents is implemented by a combination of insurance payment and individual payment. Among them, the insurance payment consists of individual account funds and government subsidized funds*** together.