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Proportion of reimbursement for medical treatment in different places in Ningbo
The reimbursement rate standard of the new rural cooperative medical system in different places is: township hospitals for medical treatment, deductible line 100 yuan, and the reimbursement rate is 90%; County-level designated hospitals for medical treatment, deductible line 200 yuan, reimbursement rate of 82%; Municipal designated hospitals for medical treatment, deductible for 500 yuan, reimbursement rate of 65%; For medical treatment in a provincial-level designated hospital, the deductible line is 700 yuan, and the reimbursement rate is 55%; For medical treatment in non-designated hospitals outside the province, the deductible line 1000 yuan, and the reimbursement rate is 45%.
Reimbursement scope of medical insurance:
1. outpatient expenses: including registration fees, medical treatment fees, examination fees, medicine fees, etc.
2. Hospitalization fee: including bed fee, treatment fee, operation fee, medicine fee, examination fee, etc.
3. Special disease expenses: For special diseases, medical insurance may provide additional reimbursement support;
4. Chronic disease expenses: the long-term treatment expenses of patients with chronic diseases can be reimbursed under certain conditions;
5. Vaccination expenses: Some vaccination expenses may be included in the scope of medical insurance reimbursement.
To sum up, the reimbursement rate for medical treatment in different places in Ningbo needs to be determined according to specific medical insurance policies, including different deductible lines and reimbursement rates for township hospitals, county-level designated hospitals, municipal-level designated hospitals, provincial-level designated hospitals and non-designated hospitals outside the province.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 29
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.
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