Foshan social security Guangzhou residents medical insurance reimbursement ratio

Urban residents who are hospitalized for more than two times in one billing year will no longer be charged the starting standard fee from the second hospitalization. If they are transferred to another hospital or hospitalized for more than two times, the difference will be made up in accordance with the stipulated starting standard of the hospital to which they are transferred or re-admitted.

First, students and children. In a billing year, incurring medical expenses of less than 180,000 yuan that are eligible for reimbursement, the starting standard for tertiary hospitals is 500 yuan, and the reimbursement rate is 55%; the starting standard for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; and primary hospitals do not have a starting standard, and the reimbursement rate is 65%.

The second is for the elderly who have reached the age of 70 or above. For medical expenses under 100,000 RMB incurred within a billing year that are eligible for reimbursement, the starting standard is 500 RMB and the reimbursement rate is 50% for tertiary hospitals, 300 RMB and the reimbursement rate is 60% for secondary hospitals, and there is no starting standard for tertiary hospitals, and the reimbursement rate is 65%.

Third, other urban residents. In a settlement year, incurred in line with the scope of reimbursement of medical expenses of less than 100,000 yuan, the starting standard for third-level hospitals is 500 yuan, the reimbursement rate is 50%; second-level hospitals hospitalization starting standard is 300 yuan, the reimbursement rate is 55%; first-level hospitals do not set a starting standard, the reimbursement rate is 60%.

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