Guangzhou hospitalization medical insurance reimbursement ratio 2023

The reimbursement ratio of Guangzhou inpatient medical insurance in 2023 is as follows:

1. The starting standard for each hospitalization in the first-level designated medical institutions is 400 yuan, and the reimbursement ratio is 90%;

2. The starting standard for each hospitalization in the second-level designated medical institutions is 800 yuan, and the reimbursement ratio is 85%;

3. The starting standard for each hospitalization in the tertiary-designated medical institutions is 1600 yuan and the reimbursement rate is 80%.

The reimbursement rate and payment limit for general outpatient services under the Employees' Health Insurance:

1. Primary hospitals: 80%;

2. The reimbursement rate for referrals through primary hospitals before going to large hospitals after the success of the fixed-point large hospitals is 55%;

3. The reimbursement rate for those who have not been referred by the primary hospitals is 45%;

4. The procedures of referral are carried out at the Each referral is valid within 30 days, and can be done again after the referral expires without paper referral form, which will be automatically recorded by Guangzhou health insurance system.

In summary, the principle of health insurance is *** with the commitment, health insurance financing contributions by the unit and the individual *** with the commitment; health insurance is not free medical care, the patient's medical expenses by the health insurance and I *** with the commitment.

Legal basis:

Article 29 of the Social Insurance Law of the People's Republic of China

Part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly by the social insurance administration organization with the medical institutions and drug business units. The administrative departments of social insurance and the administrative departments of health shall establish a system of settlement of medical expenses for medical treatment in other places to facilitate the enjoyment of basic medical insurance by insured persons.