Proportion of reimbursement for medical insurance hospitalization in different places

The proportion of hospitalization reimbursement for medical insurance in different places is 70% to 95%.

Such as expensive drugs, special examinations and special treatments, 70% will be reimbursed; Class B drugs are reduced by 80%; 88% of the threshold fee is more than 3,000 yuan; 3000-5000 yuan is 90%; 5000- 10000 yuan is 92%; 10000 yuan to 95% of the maximum payment limit.

Proportion of medical insurance reimbursement for retired employees:

1, retired cadres, retired workers, disabled persons on duty, patients with silicosis in the third stage, disabled soldiers with merit citation class II and merit citation class I was hospitalized due to illness, and his medical expenses were reimbursed100%;

2, retired workers working for more than 30 years, the medical expenses reimbursement of 90%;

3. If the length of service of retired employees is 2 1 to 30 years, the medical expenses will be reimbursed by 85%;

4, retired workers working years 15 to 2 1 year, the medical expenses reimbursement of 80%;

5. If the length of service of retired employees is less than 15 years, 75% of the medical expenses will be reimbursed;

6, retired workers, medical expenses reimbursement 75%;

7.60% of the hospital bed fee will be reimbursed, and the hospital bed fee will be charged by the company regardless of any hospitalization method.

To sum up, the reimbursement rate of medical insurance in different places is as follows: the reimbursement rate above the threshold of 3000 yuan is 88%, between 3000 and 5000 yuan is 90%, between 5000- 10000 yuan is 92%, and above the highest payment limit is 95%.

Legal basis:

Article 29 of People's Republic of China (PRC) Social Insurance Law

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.