What is the reimbursement ratio of social security and medical insurance in Wuhan?

Insurance Bian Xiao helps you answer, and more questions can be answered online.

Residents' medical insurance: reimbursement of outpatient expenses has been raised to 90 yuan.

Previously, in an insurance year, the reimbursement standard for general outpatient medical expenses of insured residents in designated medical institutions was 100 yuan and below 30%. The New Deal stipulates that the general outpatient medical expenses will be increased to 30% of the expenses in 300 yuan and below, and the reimbursement amount of residents' medical insurance outpatient expenses will be increased to 90 yuan per person per year.

The New Deal also stipulates that the reimbursement ratio of residents' medical insurance fund for hospitalization expenses above Qifubiaozhun and below the annual maximum payment limit is adjusted as follows: the hospitalization of tertiary medical institutions is increased from 50% to 60%, the hospitalization of secondary medical institutions is increased from 65% to 70%, and the hospitalization ratio of community health service centers, primary medical institutions and Huimin Hospital remains unchanged at 80%; The proportion of medical insurance reimbursement for employees in tertiary, secondary and primary medical institutions is 86%, 89% and 92% respectively.

Medical insurance for employees: the maximum reimbursement is raised to 200,000.

The New Deal raised the annual maximum payment limit of urban basic medical insurance. Before the adjustment, the maximum annual reimbursement limit of medical insurance for Wuhan residents was 654.38+10,000 yuan. According to the requirements, the maximum annual reimbursement for residents' medical insurance is raised to 654.38+065.438+00,000 yuan.

Previously, the maximum annual reimbursement for employees' medical insurance was 654.38+10,000 yuan, and the New Deal adjusted the maximum annual reimbursement for employees' medical insurance to 200,000 yuan.

The New Deal proposes that the large-scale medical insurance fund for urban workers and the insured should share the hospitalization expenses of 65,438+10,000 yuan to 200,000 yuan according to the current large-scale medical insurance policy, and the current large-scale medical insurance policy for urban workers should continue to be implemented above 200,000 yuan. The person in charge of the medical insurance department of Wuhan Municipal Bureau of Human Resources and Social Security explained that this means hospitalization of 654.38+10,000 yuan to 200,000 yuan, and individuals pay 4%. For the part exceeding 200,000 yuan, the individual pays 2%.

Hospital delivery: maximum reimbursement for 700 yuan.

The New Deal will include residents' reproductive medical expenses in the scope of residents' medical insurance reimbursement. Insured residents will combine outpatient prenatal medical expenses with general outpatient medical expenses, and if they meet the requirements of the national family planning policy, they will implement the provisions on outpatient medical insurance reimbursement.

According to the New Deal, 30% of general outpatient medical expenses are reimbursed in 300 yuan and below, and the highest outpatient prenatal medical expenses can also be reimbursed to 90 yuan.

Specific to the insured who meet the requirements of the family planning policy, the medical expenses of hospital delivery, including natural delivery, midwifery and cesarean section, are paid by the residents' medical insurance fund according to the highest 700 yuan standard in each case.