1. Drug reimbursement ratio: The reimbursement ratio of medical insurance for urban residents in Hubei Province generally ranges from 50% to 90%, depending on the types of drugs and treatment costs;
2. Reimbursement ratio of examination and treatment: The reimbursement ratio of outpatient examination, diagnosis and treatment, rehabilitation treatment and other expenses of urban residents in Hubei Province generally ranges from 50% to 80%, and the specific ratio depends on the treatment expenses;
3. The reimbursement rate of outpatient special diseases: the reimbursement rate of urban residents' medical insurance in Hubei Province for outpatient special diseases generally ranges from 50% to 90%, depending on the disease type and treatment cost.
Medical insurance reimbursement process:
1. The parties shall go to the hospital to go through the medical insurance networking formalities with valid certificates such as medical insurance card or ID card and household registration book, and go through the settlement formalities directly when they leave the hospital;
2. Or bring all relevant materials to the relevant departments of the local social security center. Those who meet the requirements after the completion of the audit can be settled immediately.
To sum up, the above reimbursement rates are for general reference only, and the actual reimbursement rates may be different due to different regions and medical insurance policies. If you are the insured of urban residents' medical insurance in Hubei Province, it is recommended to consult the local medical insurance institution or the local health and wellness committee for detailed reimbursement ratio and scope.
Legal basis:
Article 26 of People's Republic of China (PRC) Social Insurance Law
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.
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, 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.