What is the reimbursement rate of medical insurance in different places in Guangdong Province?

The proportion of medical insurance reimbursement in Guangdong is usually 70%~95%. 90% reimbursement for 3000-5000 yuan; 5000- 10000 yuan is reimbursed 92%; If it exceeds the maximum payment limit 10000 yuan, it will be reimbursed by 95%. Expensive drugs, special inspections and special treatments are reimbursed by 70%; 80% reimbursement for Class B drugs; 88% of expenses above the threshold will be reimbursed if they reach 3,000 yuan. In addition, external medical insurance cannot be reimbursed.

Medical insurance is one of the basic social security policies in China, which provides basic protection for the health of China residents.

Outpatient reimbursement ratio:

1, 60% reimbursement for medical treatment in village clinics and village center clinics, the prescription drug cost limit for each visit 10 yuan, and the prescription drug cost limit for temporary rehydration for doctors in health centers in 50 yuan;

2, the town health center reimbursement 40%, each physical examination fee and operation fee limit 50 yuan, prescription drug fee limit 100 yuan;

3, the secondary hospital reimbursement of thirty percent, each examination fee and operation fee limit 50 yuan, prescription drug fee limit 200 yuan;

4, tertiary hospital reimbursement of 20%, each visit examination fee and operation fee limit 50 yuan, prescription drug fee limit 200 yuan;

5. Chinese medicine invoice with prescription 1 yuan per paste; The annual compensation limit for rural cooperative medical clinics is 5000 yuan.

Legal basis:

People's Republic of China (PRC) social insurance law

Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(3) borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.

Thirty-first social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behavior.

Medical institutions shall provide reasonable and necessary medical services for the insured.