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Proportion of reimbursement for medical treatment in Chongqing medical insurance in different places
Subjectivity of law: Recently, many people are interested in the reimbursement rate of medical insurance in different places in Chengdu, but in fact, most people don't know much about the reimbursement rate of medical insurance in different places in Chengdu. I have sorted out the relevant information for you, hoping it will help you. First, the reimbursement rate is 88% when the minimum payment is more than 3,000 yuan, 95% when it is 3,000 yuan to 5,000 yuan, 92% when it is 10000 yuan, and 95% when it is more than 10000 yuan, including 80% for Class B drugs and 70% for expensive drugs. Second, Chengdu special outpatient reimbursement deductible standard 1, urban workers' basic medical insurance participants: first-class hospital 200 yuan, second-class hospital 400 yuan, third-class hospital 800 yuan, community health service center (including township hospitals) 160 yuan. 2. Urban and rural residents' basic medical insurance participants: first-class hospital 100 yuan, second-class hospital 200 yuan, third-class hospital 500 yuan, community health service center (including township hospitals) 100 yuan. 3, a natural year, the first category of diseases excluding Qifubiaozhun; Two or three kinds of diseases are counted as two Qifubiaozhun, which are reduced discontinuously; Calculation of the first payment standard for the fourth kind of diseases. Three. As long as the reimbursement conditions meet the relevant provisions of medical treatment in different places, the insured persons of basic medical insurance for urban workers and urban residents in Sichuan Province, and the participants of the new rural cooperative medical system managed by the human resources and social security departments have gone through the relevant procedures, they can enjoy the convenience of one-card settlement when they seek medical treatment in different cities (states) in Sichuan Province. According to the principle of "medical treatment in different places", the medical expenses incurred in cross-city (state) medical treatment in different places in the province shall be reimbursed according to the policy of the insured place. Legal objectivity: Article 28 of the Social Insurance Law conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations. Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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