What is the reimbursement ratio of Siping medical insurance?
It is understood that the proportion of medical insurance reimbursement in Siping City is related to the hospital level of the insured. Among them, if students and children seek medical treatment in a first-class hospital, the reimbursement rate of medical expenses is 65%, and there is no threshold. The following is a detailed introduction.
1, students and children. In a settlement year, medical expenses below RMB 6,543,800+0,800 yuan that meet the scope of reimbursement occurred. The threshold for tertiary hospitals is 500 yuan, and the reimbursement ratio is 55%; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%.
They are old people in their seventies. In a settlement year, medical expenses below RMB 6,543,800+that meet the scope of reimbursement occur, and the threshold of tertiary hospitals is 500 yuan, and the reimbursement ratio is 50%; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%.
3. Other urban residents. In a settlement year, medical expenses below RMB 6,543,800+that meet the scope of reimbursement occur, and the threshold of tertiary hospitals is 500 yuan, and the reimbursement ratio is 50%; The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.
Urban residents hospitalized for more than two times in a settlement year, starting from the second hospitalization, no longer charge Qifubiaozhun fees. Transfer or hospitalization for more than two times, make up the difference of Qifubiaozhun in accordance with the provisions of transfer or hospitalization again.
Tip: What is the reimbursement rate of Siping medical insurance? In first-class hospitals, the reimbursement rate of medical insurance for students, children and elderly people over 70 years old is 65%, and that for other urban residents is 60%; In secondary hospitals, students, children and elderly people over 70 are reimbursed 60%, and other urban residents are reimbursed 55%; In tertiary hospitals, except for students and children, all other objects are reimbursed 55%.
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