Hospitalization health insurance can be reimbursed generally 60%. Hospitalization medical insurance reimbursement ratio: reimbursement scope: medicine: auxiliary examination: electrocardiogram, X-ray fluoroscopy, filming, laboratory tests, physical therapy, acupuncture, CT, nuclear magnetic **** vibration and other examination fees limit 200 yuan; surgery (with reference to the national standard, more than 1,000 yuan reimbursement of 1,000 yuan). 60 years of age or older hospitalized in a health center, the treatment fee and nursing care fee reimbursement of $ 10 per day, a limit of 200 yuan. Reimbursement rates: township health centers reimburse 60%; secondary hospitals reimburse 40%; tertiary hospitals reimburse 30%. Outpatient medical insurance reimbursement ratio: 60% reimbursement for village health office and village center health office, with a limit of RMB 10 per visit for prescription drugs and RMB 50 per visit for temporary rehydration; 40% reimbursement for township health center, with a limit of RMB 50 per visit for examination fees and operation fees and RMB 100 per visit for prescription drugs; 30% reimbursement for level II hospitals, with a limit of RMB 50 per visit for examination fees and operation fees and RMB 50 for prescription drugs; 30% reimbursement for level III hospitals, with a limit of RMB 50 per day for examination fees and operation fees and RMB 50 for prescription drugs. 50 yuan, prescription drug fee limit of 200 yuan; tertiary hospital visit reimbursement of 20%, each visit to the examination fee and surgery fee limit of 50 yuan, prescription drug fee limit of 200 yuan; traditional Chinese medicine invoice attached to the prescription limit of 1 yuan per sticker; township cooperative medical outpatient reimbursement of annual limit of 5,000 yuan
Legal basis:
The Chinese People's Republic and the State Social Insurance Law
Article 2: The state establishes a basic pension insurance system, which is the basic pension insurance system. p>Article 2 The State establishes a social insurance system for basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance, and guarantees the right of citizens to receive material assistance from the State and society in old age, sickness, industrial injury, unemployment and maternity, in accordance with the law.
Article 26 The standards of treatment for basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.
Article 28 Medical expenses that conform to the basic medical insurance drug catalog, diagnostic and treatment items, standards of medical service facilities, as well as those for emergencies and salvages, shall be paid out of the basic medical insurance fund in accordance with the state regulations.
Derivative question:
What is the reimbursement rate of medical insurance for over-transferees?
Reimbursement rate:
The general outpatient emergency expenses incurred in one natural year for the staff exceeds 2000 RMB in total, and the portion of more than 2000 RMB is paid 50% by the Large Medical Mutual Aid Fund, while the individual pays 50% out of his own pocket. The costs that are not reimbursed by the medical insurance are as follows: 1. Service items: registration fee, out-of-hospital consultation fee, medical record cost, etc.; visit fee, examination and treatment expediting fee, surcharge for named surgery, surcharge for named surgery, quality premium fee, self-invited special nurse and other special medical services. 2. Diagnostic and therapeutic equipment and medically useful materials: the application of positron emission tomography (pet), electron beam ct, ophthalmic excimer laser therapy instrument and other large-scale medical equipment for medical treatment, such as the medical equipment. Large-scale medical equipment such as laser therapy instrument for examination, treatment programs. Eyeglasses, denture, eye prosthesis, prosthetic limbs, hearing aids and other rehabilitation devices. All kinds of self-use health care, massage, examination and treatment equipment. Provincial price departments do not charge a separate disposable medical materials. 3, treatment projects: all types of organ or tissue transplantation of organ or tissue source; in addition to kidney, heart valve, cornea, skin, blood vessels, bone, bone marrow transplantation outside the other organs or tissues transplantation; myopia orthopedics; qigong therapy, music therapy, health care nutritional therapy, magnetic therapy and other complementary therapeutic projects.