Jiujiang medical insurance reimbursement ratio 2023

The reimbursement ratio of Jiujiang city's medical insurance in 2023 is 60%, with a cap of 300,000 yuan for major illnesses, a reimbursement threshold of no more than 10,000 yuan, and reimbursement ratios fluctuating according to the type of drug and grade.

According to the Regulations on Basic Medical Insurance for Urban and Rural Residents of Jiujiang City, the reimbursement ratio of Jiujiang City's medical insurance in 2023 will be 60%. The reimbursement rate is divided according to specific drug grades, with the reimbursement rate for general drugs reaching up to 75 percent, while it is lower for imported high-priced drugs and special therapeutic drugs. At the same time, for major diseases, Jiujiang city health insurance to implement the "first reimbursement, after settlement" approach, the hospital first advance part of the cost, the maximum reimbursement ceiling of 300,000 yuan, effectively alleviate the pressure on patients. In addition, Jiujiang city medical insurance also has clear provisions on the threshold. The reimbursement threshold is below 10,000 yuan of medical expenses can be fully reimbursed, while higher than 10,000 yuan of expenses only exceeding 10,000 yuan part can enjoy reimbursement. In addition, in order to facilitate the patients to seek medical treatment, Jiujiang City medical insurance has also set up a special direct settlement window, significantly reducing the economic pressure on patients. It is worth noting that the reimbursement standard of Jiujiang city medical insurance is not set in stone. The reimbursement rate fluctuates according to the type and grade of the drug, so it is necessary for the patient to know the specifics before seeking medical treatment in order to make financial preparations and choose the appropriate treatment plan.

What are the other special features of the JJMP? In addition to the above measures, Jiujiang City Health Insurance has also adopted a series of other special measures. For example, for poor families, people with disabilities and other difficult groups, in addition to enjoying the health insurance treatment of ordinary participants, you can also enjoy the subsidies and certain preferential policies; for elderly patients, the health insurance has set up a special reimbursement window, shortening the reimbursement cycle. In addition, Jiujiang city medical insurance has also strengthened the verification and approval work, resolutely crack down on irregularities, and effectively safeguard the safety of the medical insurance fund and legitimate rights and interests.

The reimbursement rate of Jiujiang Municipal Health Insurance in 2023 is 60%, with a reimbursement ceiling of 300,000 yuan, and a "first reimbursement, later settlement" approach has been adopted for major diseases. At the same time, the threshold, drug levels and other clear provisions, and introduced a number of special measures, aimed at better serving the majority of patients, improve the level of health insurance treatment.

Legal basis:

"The People's Republic of China*** and the State urban and rural residents of the basic medical insurance regulations" Article 18 The basic medical insurance treatment, including outpatient, hospitalization, major medical insurance and other related protection, of which the treatment of major medical insurance is not less than 60% of the actual burden of medical expenses, monthly reimbursement limit, annual cumulative reimbursement limit and the starting line and other standards by the provinces, autonomous regions, municipalities directly under the Central People's Government.