Proportion of medical insurance reimbursement for Foshan residents

The reimbursement rate of rural subsistence medical insurance is a local policy, which is the same in every region, and the reimbursement rate of rural subsistence medical insurance is also different. Generally speaking, the hospitalization expenses of rural low-income households can be reimbursed to 800 yuan at the highest; The reimbursement rate for hospitalization is 40%, and the maximum reimbursement can be 6000 yuan a year. When reimbursing, you can bring relevant materials to the social security agency. The reimbursement rate of rural subsistence allowances in Chongqing is: 40% for the first grade, 45% for the second grade, and 60% for the remaining expenses within the scope of medical insurance reimbursement for low-income households. After medical insurance reimbursement, Nanjing low-income households can give assistance according to 70% of their actual burden, and the maximum accumulated annual medical assistance does not exceed 40,000 yuan; Marginal households can be given assistance according to 70% of the actual personal burden after medical insurance reimbursement, and the maximum annual medical assistance is no more than 20,000 yuan. However, expenses incurred in non-medical insurance designated medical institutions, expenses outside the catalogue of medical insurance drugs and medical services, injuries caused by illegal acts, traffic accidents and medical accidents caused by third parties are not included in the scope of medical assistance. /kloc-Since July, Foshan has increased the reimbursement rate of rural minimum medical insurance: the reimbursement rate of serious illness medical assistance in designated medical institutions with first-class medical insurance is not less than 90%, the reimbursement rate of serious illness medical assistance in designated medical institutions with second-class medical insurance is not less than 80%, the reimbursement rate of serious illness medical assistance in designated medical institutions with third-class medical insurance is not less than 70%, and the reimbursement rate of serious illness medical assistance in designated medical institutions outside the city is not less than 45%. The maximum annual reimbursement is not less than 60,000 yuan. How to reimburse rural low-income medical care? What is the medical insurance reimbursement process for rural low-income households? Like ordinary citizens, the medical insurance reimbursement for low-income households can be reimbursed according to the following four steps. 1. Pay the hospitalization deposit first. In the process of hospital examination, the outpatient department will pay by itself and settle in cash.

2. Before leaving the hospital, go through the medical insurance formalities at the hospital medical insurance office, and copy the hospital medical records, discharge summary, diagnosis certificate and other materials.

3. Go through the discharge formalities, settle the accounts, and get the audit notice five working days later.

4. After receiving the notice, check out in the inpatient department again. The hospital will deduct the reimbursement from the original hospitalization deposit, and the hospitalization balance and the money paid by itself will be returned to the inpatients.

Legal basis:

People's Republic of China (PRC) Social Insurance Law Article 25 The State establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.