1, urban workers:
Outpatient urban workers pay medical expenses with medical insurance IC card.
Severe chronic diseases:
Reimbursement = (total outpatient medical expenses-Class B at its own expense-Class C) ×70% (on-the-job)
Reimbursement = (total outpatient medical expenses-Class B self-care-Class C) ×75% (retirement)
Hospitalization:
Reimbursement portion = (total medical expenses-Class B self-expense-Class C threshold fee) ×83% (on-the-job)
Reimbursement portion = (total medical expenses-Class B self-expense-Class C threshold fee) ×88% (retirement)
Class B: Specialist is conceited, such as MRI 20%, CT20%, B-ultrasound 20%, drugs 5- 10%.
Class c: 100% pays by itself.
Threshold fee: First hospitalization in 600 yuan, second hospitalization in 420 yuan and third hospitalization in 240 yuan.
2, medical insurance for urban residents:
Reimbursement ratio = (total outpatient medical expenses-Class B conceit-Class C) ×35%
Hospitalization reimbursement = (total medical expenses-Class B-Class C -300) × 65%
Birth is included in the medical insurance diseases of residents, and the quota reimbursement is implemented, with 400 deliveries and 700 caesarean sections.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.