Suzhou city health insurance reimbursement rate

Suzhou city health insurance reimbursement rate is as follows:

1, outpatient reimbursement rate standard:

(1) village center health clinic visit, reimbursement rate standard is 60%;

(2) township health center visit, reimbursement rate standard is 40%;

(3) secondary hospital visit, reimbursement rate standard is 30%;

(4) tertiary hospital visit, reimbursement rate standard is 20%.

(4) The reimbursement rate for tertiary hospitals is 20 percent.

2. Hospitalization reimbursement rate:

(1) Reimbursement rate for auxiliary examination: the reimbursement rate for EKG, X-ray, radiography, laboratory tests, physiotherapy, acupuncture, CT, MR*** vibration and other examinations is limited to the reimbursement rate;

(2) Surgical expenses Reimbursement rate standard: refer to the national standard, more than 1,000 yuan will be reimbursed according to 1,000 yuan; the elderly over 60 years old hospitalized in health centers, treatment and nursing care costs are compensated on a daily basis;

(3) hospitalization at all levels of hospital reimbursement rate standard: township health centers reimbursement rate of 60 percent; second-level hospitals reimbursement rate of 40 percent; tertiary hospitals reimbursement rate of 30 percent.

3. Standard reimbursement rate for major illnesses:

(1) If you participate in the health insurance contribution, the reimbursement rate for major illnesses will be compensated in segments for a one-time or yearly annual medical expenses exceeding 5,000 yuan;

(2) If you participate in the health insurance contribution, the reimbursement rate for major illnesses will be compensated in segments for a one-time or yearly annual medical expenses exceeding 5,000 yuan;

(3) The reimbursement rate for major illnesses is 60 percent for town health centers; 40 percent for secondary hospitals; and 30 percent for tertiary hospitals. (3) participated in the health insurance contributions, the township cooperative medical hospitalization and uremia outpatient hemodialysis, oncology outpatient radiotherapy and chemotherapy reimbursement for one year reimbursement rate limit.

Legal basis: "Chinese People's **** and the State Social Insurance Law" Article 23

Employees should participate in the basic medical insurance for employees, by the employer and the employee in accordance with the provisions of the State **** with the payment of basic medical insurance premiums.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations.