2023 Wuhan employee health insurance outpatient reimbursement ratio

2023 Wuhan Employee Health Insurance Outpatient Reimbursement Ratio is:

1. The reimbursement ratio for retirees is 60%;

2. The reimbursement ratio for active employees is 50% for the portion of the insurance policy that is more than 3,500 yuan and less than 5,000 yuan; 60% for the portion of the insurance policy that is more than 5,000 yuan and less than 8,000 yuan; 70% for the portion of the insurance policy that is more than 8,000 yuan and less than 10,000 yuan The reimbursement rate is 80% for the portion above 10,000 RMB.

Wuhan employee health insurance outpatient reimbursement process is as follows:

1, the insured person with his ID card to the Wuhan Municipal Health Insurance Bureau window for health insurance payment procedures;

2, to the social security payment hall, third floor, C area, window 7-10 for employee health insurance payment procedures;

3, to the bank to sign the withholding agreement, Wuhan residents can choose industrial and commercial banks, Construction Bank, Agricultural Bank of China, Bank of Wuhan, Bank of Communications, Bank of China, Postal Bank, China Merchants Bank, Hankou Bank, CITIC Bank, Huaxia Bank, Industrial Bank, any one of them. Only once a year, and then do not have to go to the Social Security Bureau to pay;

4, September 1 to December 31 each year for the second year of the unified payment of health insurance costs, if you go to pay the health insurance before December 31 this year, the number of this year's approval applies, and if you pay the health insurance after January 1 next year, the number of the approved next year applies.

In summary, the above is the process of outpatient reimbursement of Wuhan employee health insurance, I hope it helps.

Legal basis:

Article 28 of the Social Insurance Law of the People's Republic of China

Medical expenses that are in line with the basic medical insurance drug directory, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergencies and salvage shall be paid from the basic medical insurance fund in accordance with state regulations.

Article 30

The following medical expenses shall not be included in the scope of payment by the basic medical insurance fund:

(1) those that should be paid from the Workers' Compensation Insurance Fund;

(2) those that should be borne by a third person;

(3) those that should be borne by the public ****health;

(4) those that are sought outside the country. If the medical expenses should be borne by a third person according to law, and the third person does not pay or the third person cannot be identified, the basic medical insurance fund will pay first. The basic medical insurance fund shall have the right to recover from the third party after the first payment.