How much does 20 17 medical insurance pay?

Medical insurance for urban residents is aimed at non-employed residents under 18 years old and over 18 years old. What is the payment standard of medical insurance for urban residents in 20 17 years? The payment standards for urban residents are divided into household registration and non-household registration in this city. For example, no one pays the annual medical insurance for urban residents registered in this city 120 yuan, and the annual medical insurance for non-local residents is 509 yuan.

Payment standard of medical insurance for urban residents 20 17

First, the general population payment standard

1. Household registration in this city: the medical insurance payment standard for urban residents is 120 yuan per person per year;

2. Non-local household registration: the payment standard for urban residents' medical insurance is 509 yuan.

Second, the payment standard for special people

Special groups such as low-income households, five-guarantee households, orphans, severely disabled people, and pure two-woman ligation households are fully subsidized by the government, and individuals do not pay fees.

Qifubiaozhun of medical insurance for urban residents 20 17

Designated medical institution level

Provincial designated medical institutions

Municipal designated medical institutions

County fixed point

(Level 2, Level 1)

villages and small towns

clinic

Three levels

assistant

Three levels

assistant

First, the basic medical treatment above the hospitalization Qifubiaozhun and below the maximum payment limit

Proportion of medical insurance pooling fund payment

Qifubiaozhun

1200 yuan

600 yuan

900 yuan

600 yuan

400 yuan

Two hundred yuan

Reimbursement ratio

65%

75%

65%

75%

80%

85%

The second is the proportion of outpatient co-ordination fund payment.

Reimbursement ratio

50%

55%

60%

60%

Three, outpatient chronic disease fund payment ratio

85% of uremia is treated by hemodialysis, and 80% of malignant tumor patients pay for radiotherapy and chemotherapy. The reimbursement rate for other diseases is 70%.

Four, the maximum payment limit of basic medical insurance in the natural year.

65438+500,000 yuan

Five, urban residents insured hospitalization and outpatient chronic disease medical expenses.

After the reimbursement of medical insurance for urban residents, the deductible line is within one insured year.

:/kloc-the cumulative burden of individual residents over 0/8 years old exceeds10.5 million yuan.

; /kloc-primary and secondary school students, children and others aged 0/8

The cumulative burden of individual residents on compliance medical expenses is more than 6,543,800 yuan.

Use, by the commercial insurance company according to the level of medical expenses to give "second reimbursement".

The part above the deductible to 50,000 yuan (inclusive) shall be reimbursed by 0.5; 50,000 yuan to 6,543,800 yuan (inclusive), reimbursed by 0.7; 65,438+the part above 10,000 yuan,

Reimbursement according to 0.9. In an insurance year, the maximum payment limit of serious illness insurance for urban residents is 200,000 yuan. Fees: compliance of serious illness insurance for urban residents.

Medical expenses refer to the actual, reasonable and necessary expenses of drugs and diagnosis and treatment items needed for clinical symptomatic treatment.

The reimbursement rate of medical insurance for urban residents is 20 17.

First, the proportion of outpatient reimbursement

If the drugs used in outpatient service are within the scope of drug reimbursement, they will be reimbursed by 55% and 45% respectively.

Second, the proportion of hospitalization reimbursement

1, the proportion of reimbursement for medical treatment in the city

1) 90% of the first-level hospital fund;

2) 75% of secondary hospitals;

3) 60% of tertiary hospitals.

2. The proportion of reimbursement for medical treatment outside the city

1) 80% of the first-class hospitals;

2) 65% of secondary hospitals;

3) 50% of tertiary hospitals