Wuxi medical insurance reimbursement

When it comes to health insurance, people are most concerned about the reimbursement rate of health insurance. So, how much is the Wuxi medical insurance reimbursement? This is mainly divided into two parts of the population of urban workers and urban residents. For the health insurance reimbursement strategy, I just happened to organize the relevant content, I hope to help you: 2020 national social security health insurance application reimbursement process!

Urban workers

1, hospitalization medical expense reimbursement

Starting standard: 200, 600, 700 yuan for primary, secondary and tertiary hospitals respectively;

Starting standard for the number of hospitalizations: the second hospitalization within the year is reduced by 100 yuan.

Maximum payment of the integrated fund: 100,000 yuan for basic medical insurance, 400,000 yuan for large-scale assistance, and 500,000 yuan for *** counting each year;

Reimbursement ratio:

(1) General hospitalization: 90%, 85%, and 80% for first-, second-, and third-level hospitals, respectively (for expenses within the scope of the policy), and the reimbursement ratio for retired persons is increased by 5%, respectively.

(2) Outside the city and province, the designated hospitals outside the province and the non-designated public hospitals outside the city: 10%, 15% and 25% respectively of the first out-of-pocket.

(3) Large amount reimbursement rate: 80%, 70%, 60%, 50% for between 100,000 yuan and 200,000 yuan, 200,000 yuan and 300,000 yuan, 300,000 yuan and 400,000 yuan, and 400,000 yuan and 500,000 yuan, respectively (expenses within the scope of the policy).

2. Reimbursement of outpatient medical expenses

Starting standard: 1,500 yuan;

Reimbursement rate: 60% above the payment standard.

Urban residents

1. Reimbursement of inpatient medical expenses

Starting standard: 100 yuan for first-level hospitals (including designated community-based primary health care institutions); 400 yuan for second-level hospitals; 600 yuan for third-level hospitals; and 100 yuan for family hospital beds.

Reimbursement rates: 80% for level 1 hospitals; 70% for level 2 hospitals; 60% for level 3 hospitals; and 60% for family beds.

2. Reimbursement of outpatient medical expenses

The maximum payment amount is 300 yuan; there is no starting line for general outpatient services, and medical expenses within the scope of payment of the Outpatient Coordination Fund will be reimbursed at a rate of 50%.

Bao tips: Wuxi medical insurance reimbursement? Urban workers are reimbursed 90%, 85%, 80% ranging from hospitalization fees, outpatient reimbursement of 60%; urban residents are reimbursed 80%, 70%, 60% ranging from hospitalization fees, outpatient reimbursement of 50%.