Proportion of reimbursement of medical insurance for urban residents

The proportion of medical insurance reimbursement for urban residents is around 70%.

With the continuous improvement of China's medical security system, the level of people's medical insurance benefits has been continuously improved. According to the data, the reimbursement rate within the scope of employee medical insurance and resident medical insurance policies reached about 80% and 70% respectively; The reimbursement rate of major illness insurance based on basic medical insurance has increased by about 13 percentage points; Medical assistance provides a guarantee. Under the guarantee of the triple system, the actual reimbursement rate of chronic medical expenses for poor people, including rural residents, is stable at around 80%.

The proportion of medical insurance reimbursement for urban residents is only a reference value, and the specific proportion needs to be judged according to the situation of drug use and medical treatment. Eligible expenses can be reimbursed, and the extra expenses cannot be reimbursed. Simply put, all kinds of imported goods or advanced medical insurance cannot be reimbursed if they do not meet the reimbursement conditions.

Importance of medical insurance for urban residents

The coverage and treatment level of medical insurance for urban and rural residents have improved, and the policy settings such as deductible line, capping line and reimbursement ratio are tilted towards rural residents and other people in need. The basic medical insurance shall be subject to territorial management. Considering the differences in the level of medical resources and financial affordability in different regions, various regions have determined corresponding reimbursement policies according to local conditions. At the same time, in order to promote graded diagnosis and treatment, various localities have also formulated different reimbursement policies for different levels of medical institutions.

The government departments will deepen the relevant arrangements for the reform of the medical security system as required, and further guide all localities to optimize the medical insurance deductible line, capping line, reimbursement ratio and other treatment and security policy settings for urban and rural residents on the basis of continuing to do a good job in residents' medical insurance, so as to better protect the medical security rights and interests of all kinds of insured persons, including rural residents, and let the people have more sense of gain, happiness and security.