Shanwei medical insurance reimbursement ratio

The proportion of medical insurance reimbursement in Shanwei City is jointly determined by the state and local governments. According to different medical items, the reimbursement ratio is different. The specific proportion can be found on the website of the medical insurance bureau or the social security card.

The proportion of medical insurance reimbursement in Shanwei city is jointly formulated by the state and local governments. According to different medical items, the reimbursement ratio is also different. In Shanwei, the scope of medical insurance reimbursement includes basic medical insurance and serious illness insurance. Among them, basic medical insurance includes outpatient, hospitalization, first aid and other medical expenses, while major illness insurance is to reimburse some major diseases with high treatment costs and long treatment time. Taking outpatient service as an example, Shanwei Medical Insurance Fund implements classified management, and classifies drugs into three categories: A, B and C, and the corresponding reimbursement ratio is also different. Among them, the reimbursement rate of Class A drugs is the highest, ranging from 50% to 70%, and the reimbursement rate of Class B drugs is the lowest, only about 10%. In addition, special diseases such as AIDS and tuberculosis also have corresponding reimbursement policies. It should be noted that not all expenses can be reimbursed by medical insurance. Some expenses, such as tooth cleaning and beauty treatment, are not covered by medical insurance and cannot be reimbursed.

What should I do if I lose my medical insurance card? If the medical insurance card is lost or damaged, you need to apply to the local social security bureau for a replacement in time. Please refer to the website of the local social security bureau or consult the relevant personnel of the local social security bureau for specific operation procedures.

The proportion of medical insurance reimbursement in Shanwei City is jointly determined by the state and local governments. According to different medical items, the reimbursement ratio is also different. Everyone should pay attention to the relevant policies of medical insurance and understand the rights they can enjoy when seeking medical treatment. At the same time, we should also pay attention to the limited scope of medical insurance to avoid unnecessary economic losses caused by not understanding the policy.

Legal basis:

"Social Insurance Law of People's Republic of China (PRC)" Article 17 The insured person of basic medical insurance shall pay personal insurance premium, medical insurance fund as a whole and personal account fund.