Job Recruitment Website - Social security inquiry - Reimbursement standard of medical service fee

Reimbursement standard of medical service fee

Legal analysis: 1, separation of medicine, cancellation of 15% drug addition, cancellation of registration fees for outpatient and emergency services, outpatient and emergency services and hospitalization fees, and establishment of medical service fees. The hospital system will be switched at 0: 00 on July 1 day. The outpatient medical service fee is determined according to the doctor's level. The general outpatient service is 42 yuan, deputy chief physician 60 yuan, chief physician 80 yuan, and well-known expert outpatient service 100 yuan. The amount of medical insurance is paid to everyone in 40 yuan, and the expenses that medical insurance patients need to pay are 2 yuan, 20 yuan, 40 yuan and 60 yuan. 2. The medical service fee also includes emergency and hospitalization expenses. Among them, the hospitalization medical service fee is reimbursed according to the hospitalization ratio for each bed of 80 yuan every day. The emergency medical service fee is 62 yuan per person, 60 yuan is reimbursed for medical insurance, and 2 yuan is paid by the individual. Before the implementation of medical service fee, the personal expenditure of emergency medical insurance patients was around 3 yuan, with a decrease of 1 yuan. 3. After the medical service fee, the reimbursement process for pregnant women remains basically unchanged. However, according to the medical insurance standard, maternity insurance will reimburse 40 yuan for medical services every time, and the average number of prenatal examinations for pregnant women is about 10, so maternity insurance will reimburse medical services for no more than 10. When pregnant women who enjoy maternity insurance give birth in hospital or have family planning operations, they can use social security cards for real-time reimbursement. The hospitalization medical service fee will be reimbursed in 80 yuan every day for a maximum of 5 days.

Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund according to state regulations.