Hubei medical insurance reimbursement is how to reimburse

The reimbursement rate is 88% above the threshold fee up to RMB 3,000, 90% for RMB 3,000-5,000, 92% for RMB 5,000-10,000, and 95% for RMB 10,000 and above up to the maximum payment limit, with 80% for Class B drugs, 70% for expensive drugs, and 70% for special examinations and special treatments. The reimbursement rate for tertiary hospitals is 55 percent; for secondary hospitals, 65 percent; and for primary hospitals, 75 percent.

How is the health insurance reimbursed?

The rate of reimbursement for hospitalization is related to the level of the hospital where the participant is staying. For example, if the participant is staying in a third-level hospital, the employee pays 15 percent of the cost from the starting standard to 30,000 yuan, or 85 percent of the reimbursement.

Medicare reimbursementThe scope of urban medical insurance reimbursement is as follows:

1, including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises, private enterprises, etc.);

2, organs, institutions, social organizations, private non-enterprise units and their employees, are required to participate in the basic medical insurance;

3, some towns and cities stipulate that the township enterprises and their employees, owners of urban individual economic organizations, and their employees, are required to participate in the basic medical insurance. Some cities and towns require that township and village enterprises and their employees, as well as owners of self-employed economic organizations and their employees, be gradually included in the scope of basic medical insurance (the last of which varies according to the policies of each locality), so that they can enjoy medical reimbursement.

The urban medical reimbursement mainly refers to is in the hospital to see a doctor, medicine, hospitalization, surgery, etc., can be through the medical insurance card in accordance with the relevant provisions of the medical cost reimbursement, urban medical insurance is more specialized, the project size and coverage is larger, but its in the major illnesses or accidents in the payment is limited, the author suggests that the participant can be separately purchased commercial catastrophic medical supplement insurance and social security The combination of the way to reduce their financial losses.

Legal basis: "Chinese People's **** and State Social Insurance Law"

Article 2 of the State to establish a basic pension insurance, basic medical insurance, industrial injury insurance, unemployment insurance, maternity insurance and other social insurance system, to protect the citizens in the old age, disease, industrial injury, unemployment, childbirth and other situations in accordance with the right to obtain material help from the State and society.

Article 26: The standards of treatment for basic medical insurance for workers, new rural cooperative medical care and basic medical insurance for urban residents shall be carried out in accordance with the provisions of the State.

Article 28: Medical expenses in accordance with the basic medical insurance drug list, diagnostic and therapeutic items, standards of medical service facilities, as well as emergency and rescue medical expenses shall be paid out of the basic medical insurance fund in accordance with state regulations.