What is the proportion of medical insurance reimbursement in Fuzhou?

1, general outpatient compensation: reimbursement ratio: 50%, annual maximum payment limit (400 yuan/person calculated according to actual reimbursement amount).

2. Special disease outpatient compensation treatment: the reimbursement rate of special disease outpatient service is 60%, and the outpatient expenses of major diseases (within 60,000 yuan (including 60,000 yuan): 70%; More than 60,000 yuan to 6.5438+0.4 million yuan (including 40% of the reimbursement ratio of 6.5438+0.4 million yuan)

3. Hospitalization compensation: the basic expenses in medical insurance coverage are ≤ 60,000 yuan (the reimbursement ratio ranges from 55% to 90%); 60,000 yuan

What are the application materials for sporadic reimbursement of medical expenses in Fuzhou?

1, the original of my social security card or ID card;

2. For sporadic reimbursement of outpatient medical expenses, it is necessary to provide: valid charging documents, medical expenses list (the above materials need to be stamped with the official seal of the hospital), original and photocopy of outpatient medical records of designated medical institutions (only for outpatient medical insurance for employees with special diseases and reimbursement of medical expenses for female employees with outpatient abortion and family planning operations);

3. For sporadic reimbursement of hospitalization medical expenses, it is necessary to provide: valid charging documents, general list of medical expenses, discharge summary, and hospitalization medical identity checklist of Fuzhou basic medical insurance participants (the above materials need to be stamped with the official seal of the hospital);

4. My settlement account number of China Agricultural Bank (other banks need to provide specific bank names).

Legal basis:

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

Article 25 The state establishes and improves the basic medical insurance system for urban residents.

The basic medical insurance for urban residents combines individual contributions with government subsidies.

People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.