Scope and proportion of reimbursement for children's social security outpatient service

In a settlement year, medical expenses below RMB 6,543,800+0,800 yuan that meet the scope of reimbursement occurred. The threshold for tertiary hospitals is 500 yuan, and the reimbursement ratio is 55%; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%. The following expenses incurred by the insured in designated medical institutions and retail pharmacies are included in the reimbursement scope of the basic medical insurance fund for urban residents: (1) Hospitalization medical expenses; (two) medical expenses within 7 days before emergency observation and hospitalization; (three) the medical expenses for special diseases in urban residents' outpatient clinics; (4) Other expenses that meet the requirements. What is the proportion of children's social security reimbursement? You can refer to the above answer, hoping to help you.

Legal objectivity:

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, standards of medical service facilities and medical expenses for emergency rescue, and shall be paid from the basic medical insurance fund in accordance with state regulations.