Proportion of reimbursement for medical treatment and medical insurance in Lianyungang city

In Lianyungang City, the reimbursement rate for outpatient medical treatment in different places is 60%, and the reimbursement rate for hospitalization is 70%. You can apply for reimbursement directly at a medical institution in a different place.

According to the Interim Measures for the Administration of Settlement of Medical Insurance for Urban and Rural Residents in Lianyungang, medical insurance for urban and rural residents in Lianyungang can directly apply for reimbursement in medical institutions in different places when they seek medical treatment in different places in the province. The specific reimbursement rate is 60% for outpatient service and 70% for hospitalization. However, you need to meet certain conditions to enjoy the treatment of reimbursement in different places, such as filing and registering with the local social security agency within the specified time and holding a social security card. In addition, the method of "advance first and then charge to the account" can also be adopted, that is, when the insured person goes to a different hospital for medical treatment, he will advance part of the expenses himself, and then apply for reimbursement to the local social security agency, and the social security agency will transfer the corresponding expenses to the local social security agency through the settlement center.

Can residents go directly to tertiary hospitals other than primary medical institutions for medical treatment in different places? A: According to the relevant regulations of China, when the insured seek medical treatment in different places, they should give priority to the local social security designated medical institutions for medical treatment. If it is really necessary to go to a tertiary hospital outside the province due to illness, it can be reimbursed through the application and review procedures of medical insurance institutions. However, it should be noted that in some areas, the reimbursement rate of such cases will be reduced.

Lianyungang residents who seek medical treatment in different places in the province can enjoy the reimbursement rate of 60% for outpatient service and 70% for hospitalization, and can directly apply for reimbursement in medical institutions in different places. You need to meet certain conditions to enjoy the treatment of reimbursement in different places, such as filing and registering with the local social security agency within the specified time and holding a social security card. The insured in different places for medical treatment, should give priority to the local social security designated medical institutions for medical treatment. If it is really necessary to go to a tertiary hospital outside the province due to illness, it can be reimbursed through application and review procedures.

Legal basis:

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