Proportion of hospitalization reimbursement for Foshan medical insurance in Guangzhou

Legal analysis: the reimbursement ratio of Foshan medical insurance in Guangzhou: hospitalization: first-class hospital: 85%; Secondary hospitals: 70%; Third-level hospitals: 50% in the first-level area and 45% in the second-level area. (For malignant tumor surgery, radiotherapy, chemotherapy, surgical treatment of cardiac and brain diseases and hospitalization of liver, kidney and bone marrow transplantation, the proportion paid by the overall fund will be increased by 10% on the basis of the above proportion standard. Qifubiaozhun for hospitalization: The Qifubiaozhun for employee medical insurance fund is: tertiary hospital 1, 200 yuan/time, retirement/time 1 ,000 yuan; Working in a secondary hospital in 600 yuan/time, and retiring in 500 yuan/time; First-class hospitals (including community designated medical and health service institutions, the same below) are in 400 yuan/time and retired in 300 yuan/time. Insured persons who have been hospitalized for more than 90 days (inclusive) shall settle accounts with designated medical institutions once every 90 days, and calculate the Qifubiaozhun for each settlement.

Legal basis: Article 23 of the Social Insurance Law? Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.

Article 24 of the Social Insurance Law? The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.