Proportion of reimbursement for medical treatment in different places in the province

Legal analysis: the reimbursement rate of medical insurance in different places is generally 88% from the threshold fee to 3000 yuan; 3000-5000 yuan is 90%; 5000- 10000 yuan is 92%; 10000 yuan to 95% of the maximum payment limit. Among them, Class B drugs account for 80%; 70% of expensive drugs; 70% reimbursement for special examination and special treatment. In addition, external medical insurance cannot be reimbursed. Specific to the local medical insurance policy.

In addition, the insured did not go through the referral procedures and went to the designated medical institutions outside the medical insurance co-ordination, and the reimbursement rate was about 30% lower than that in the designated medical institutions in the co-ordination area. Therefore, before seeking medical treatment in a different place, you must go through the formalities of filing and referral for medical treatment in a different place.

Legal basis: Article 26 of the Social Insurance Law of People's Republic of China (PRC), the basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.