How much should be reimbursed for 10 thousand hospitalization in top three hospitals

The reimbursement amount of hospitalization 10000 yuan in 3A hospitals is as follows:

800 yuan to 5000 yuan, according to 80% reimbursement; 5000 yuan to 10000 yuan, reimbursed by 85%. Therefore, if the hospitalization expenses are 10000 yuan, 3600 yuan (80% of 4500 yuan) can be reimbursed for the part above the deductible, and 4250 yuan (85% of 5000 yuan) can be reimbursed for the part between 5000 yuan and 10000 yuan. The total amount of reimbursement is 7850 yuan. For retirees, this reimbursement rate will be increased by 5% on the basis of the above, that is, 85% will be reimbursed for the deductible above 5,000 yuan, and 90% for the deductible above 5,000 yuan to 10000 yuan.

Social security reimbursement process:

1, the patient sees a doctor in a designated medical institution and shows his social security card for registration;

2, the hospital according to the patient's condition and treatment needs, provide corresponding medical services;

3. When the medical expenses are settled, the hospital will directly deduct the corresponding expenses from the patient's social security account according to the social security policy;

4. The part beyond the scope of social security payment needs to be borne by the patient himself;

5. When the patient leaves the hospital, the hospital will provide a detailed list of expenses, including the social security reimbursement part and the self-funded part;

6. If patients need follow-up outpatient treatment or purchase medicines, they can also use social security cards for settlement.

To sum up, when the hospitalization expenses in 3A hospitals reach 1 10,000 yuan, the average patient can get a total reimbursement of 7,850 yuan, including 3,600 yuan from 800 yuan to 5,000 yuan and 4,250 yuan from 5,000 yuan to 1 10,000 yuan; On this basis, retirees can get a higher proportion of reimbursement by increasing the reimbursement ratio by 5%, with the above deductible being 4,250 yuan to 5,000 yuan, and the above deductible being 5,000 yuan to10,000 yuan and 4,500 yuan.

Legal basis:

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

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.