Disabled people's health insurance is the same as the able-bodied, but with corresponding subsidies.
Reimbursement ratio: First, students and children. In a billing year, incurring medical expenses of less than 180,000 yuan that meet the scope of reimbursement, the starting standard for tertiary hospitals is 500 yuan, and the reimbursement rate is 55%; the starting standard for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; and primary hospitals do not have a starting standard, and the reimbursement rate is 65%.
Elderly people over 70 years old. For medical expenses under 100,000 RMB incurred within one billing year and eligible for reimbursement, the starting standard is 500 RMB and the reimbursement rate is 50% for tertiary hospitals, 300 RMB and the reimbursement rate is 60% for secondary hospitals, and there is no starting standard for tertiary hospitals, and the reimbursement rate is 65%.
Other urban residents. For medical expenses under 100,000 yuan in a billing year, the starting standard is 500 yuan and the reimbursement rate is 50% for third-level hospitals; the starting standard for hospitalization in second-level hospitals is 300 yuan and the reimbursement rate is 55%; and there is no starting standard for first-level hospitals and the reimbursement rate is 60%.
Urban residents who are hospitalized for more than two times in one billing year will no longer be charged the starting standard fee from the second hospitalization. If they are transferred to another hospital or hospitalized for more than two times, the difference will be made up in accordance with the stipulated starting standard for the hospital to which they are transferred or re-admitted.
For example, a child who is sick and incurs 60,000 yuan of eligible medical expenses can be reimbursed 32,725 yuan [(60,000元-500元)×55%]] if he or she is admitted to a tertiary care hospital, and 3,250 yuan (5,000 yuan × 65%) if he or she is admitted to a primary care hospital and incurs 5,000 yuan of medical expenses.
Expanded Information:
p>1, medical insurance premiums should be paid by the individual exemption if he / she has a "1653 poor family court assistance certificate" or "People's Republic of China *** and the State Disabled Person's Certificate", "level 2 or above during the period of 4102 validity and to participate in the basic medical insurance for urban workers, urban residents, basic medical insurance Medical Insurance, Urban Resident Basic Medical Insurance or New Rural Cooperative Medical Insurance in his/her personal capacity.
2, holding the validity of the "difficult family assistance certificate" or level 2 or above certificate of the people's Republic of China **** and the country of the disabled flexible employment, reaching the legal retirement age when the contribution period is less than 20 years of medical insurance for its employees, payment procedures, payment of the basis of the province based on the previous year's salary of 60% to determine the outpatient outpatient start-up funds for the overall 2038 yuan (the general standard is 3396 yuan). (The general standard is 3396 yuan).
3, for the disabled who participate in the basic medical insurance for urban residents, the reimbursement rate is still the same as the able-bodied, but the corresponding basic medical insurance for the disabled in urban areas receive certain subsidies. Medical insurance is not fully reimbursable, and individuals must pay a portion of it, subject to a ceiling.
Baidu Encyclopedia - Medical Insurance for Urban Residents