Changzhou Medical Insurance Reimbursement Policy 2022

Changzhou medical insurance reimbursement policy 2022 is as follows:

1, general outpatient service. If the reimbursement ratio exceeds 200 yuan to 1.500 yuan, the medical insurance fund of the first-visit medical institution will pay 50%, and the secondary and tertiary medical institutions will pay 40% after the referral procedures;

2, outpatient specific diseases:

(1) The residents' medical insurance fund pays 85% to "minor residents" and "college students" and 75% to other personnel for the expenses incurred by using psychotropic drugs in outpatient clinics within 150 yuan every month;

(2) Residents' medical insurance fund pays 85% of the expenses for cataract phacoemulsification and intraocular lens implantation within 3,000 yuan for "minor residents" and "college students", and other personnel pay 75%. ;

3. Serious illness clinic: reimbursement of serious illness medical expenses:

(1) Qifubiaozhun is 17000 yuan;

(2) Reimbursement ratio:

More than 17000 yuan to 50000 yuan, 50% compensation;

60% for the part exceeding 50,000 yuan to100,000 yuan; More than 100000 yuan, 70% compensation.

4. Reimbursement of hospitalization medical expenses for urban workers: the minimum payment standard is RMB/0,000 for tertiary hospitals, 700 yuan for secondary hospitals and 500 yuan for primary hospitals;

5, hospitalization Qifubiaozhun:

(1) 600 yuan, Second Hospital, 500 yuan, and First Hospital, 400 yuan;

(2) The third time was1240 yuan, a tertiary hospital in 60 yuan, 200 yuan, a secondary hospital, and a primary hospital.

Legal basis:

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

Article 26

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 27

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.