What is the reimbursement rate of Guangzhou Mente?

1. Guangzhou outpatient medical insurance reimbursement ratio

202 1 reimbursement policy for special disease clinics

1, reimbursement ratio

Medical insurance for employees: within a medical insurance year, the reimbursement rate of medical expenses that meet the prescribed treatment scope is the same as that of ordinary hospitalization. In 400 yuan, the deductible line of special disease outpatient service.

Medical insurance for urban and rural residents: within a medical insurance year, the proportion of reimbursement for medical expenses that meet the prescribed treatment scope is the same as that of ordinary hospitalization. In 400 yuan, the deductible line for special disease clinics.

2. Reimbursement formula:

Total outpatient expenses during a treatment period-all at their own expense-Qifubiaozhun-individual pays first) * compensation ratio

2 Guangzhou medical insurance outpatient co-ordination reimbursement limit

Chronic disease outpatient community health service institutions and designated primary medical institutions are reimbursed 85%, and other medical institutions are reimbursed 65%. The maximum payment limit of the overall fund is 150 yuan per month for each disease; On-the-job employees and flexible employees are reimbursed by 90% of the first-level designated medical institutions, 85% by the second-level designated medical institutions and 80% by the third-level designated medical institutions.

3 Guangzhou general outpatient medical insurance reimbursement ratio

Guangzhou medical insurance reimbursement ratio: grass-roots community hospitals (small points): 80% large general hospitals (large points): 55% after referral from small points; 45% had no referral report. 2. 20 17 Guangzhou Medical Insurance General Outpatient Reimbursement Limit Employee Medical Insurance: 300 yuan/month Residents Medical Insurance Minors and Students: 1000 yuan/month Other urban and rural residents Medical Insurance: 600 yuan/month.

4 Guangzhou medical insurance designated outpatient reimbursement ratio

Monthly fixed-point outpatient service co-ordinates the highest payment of 300 yuan. At present, the maximum payment limit of 300 yuan/person-month for the Guangzhou employee medical insurance general outpatient co-ordination fund, that is, the maximum monthly reimbursement of 300 yuan, in which the reimbursement rate of designated hospitals at the grass-roots level is very high, with the prescribed standard of 80%, and the reimbursement rate of drugs sold with the basic drug system and zero difference rate can be increased to 88%.

5. Proportion of reimbursement for outpatient treatment with social security card in Guangzhou.

Proportion of reimbursement for general outpatient medical insurance in Guangzhou

1. 75%-55% per employee per month/300 yuan;

2. The reimbursement rate for retirees and flexible employees is 65%-45%.

3. The proportion of reimbursement for minors and students in school is 80%-50%.

4. The reimbursement rate for non-employed residents and elderly residents is 60%/ 100 yuan per person per month.