Guangzhou medical insurance reimbursement ratio

Guangzhou medical insurance reimbursement ratio is as follows:

1, in-service workers hospitalization medical insurance reimbursement ratio:

(1) first-class hospital reimbursement rate of 90%, the individual out-of-pocket payment of 10%;

(2) second-class hospital reimbursement rate of 85%, the individual out-of-pocket payment of 15%;

(2) the reimbursement rate for the third-class hospitals 80%, the individual out-of-pocket payment of 20%;

. Medical insurance reimbursement rate:

(1) Level 1 hospital reimbursement rate 72%, with 28% out-of-pocket payment by the individual;

(2) Level 2 hospital reimbursement rate 68%, with 32% out-of-pocket payment by the individual;

(4) Level 3 hospital reimbursement rate 64%, with 36% out-of-pocket payment by the individual;

4. Outpatient medical insurance reimbursement rate:

(1) For active employees 75% to 55% / 300 yuan per person per month;

(2) 65% to 45% reimbursement rate for retired flexible employees;

(3) 80% to 50% reimbursement rate for minors and schoolchildren;

(4) 60% reimbursement rate for non-employed residents and elderly residents / 100 yuan per person per month.

Legal basis: Article 31 of the Social Insurance Law of the People's Republic of China

Social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and drug business units to regulate the behavior of medical services.

Medical institutions shall provide reasonable and necessary medical services to insured persons.

Article 32

If an individual is employed across the integrated area, his basic medical insurance relationship shall be transferred with him, and the years of contribution shall be accumulated.