If you don't know the scope of medical insurance reimbursement, you can read this article: "What's the use of the latest analysis of social security? 》
So what is the reimbursement ratio of outpatient medical insurance?
1, reimbursement ratio of employee medical insurance outpatient service:
After the on-the-job employees go to the hospital for emergency treatment, the medical expenses of more than 2,000 yuan can be reimbursed, and the reimbursement ratio is 50%. For retirees under the age of 70, expenses above 1.300 yuan can be reimbursed, and the reimbursement rate is 70%.
For retirees over 70 years old,180% of the expenses above 300 yuan can be reimbursed. No matter what kind of people, the maximum payment limit for outpatient and emergency medical expenses is 20,000 yuan.
2, residents' medical insurance outpatient reimbursement ratio:
In an insurance year, if the total outpatient expenses are below 50 yuan, the medical insurance fund will pay 4 o%, and the expenses above 50 yuan will be borne by individuals.
3, rural medical insurance outpatient reimbursement ratio:
60% of the medical expenses of village clinics and village center clinics are reimbursed, and the prescription drug fee limit for each visit is 10 yuan, and the prescription drug fee limit for temporary rehydration of hospital doctors is 50 yuan.
40% reimbursement for medical treatment in the town health center, with the limit of examination fee and operation fee for each visit, and the limit of prescription drug fee 100 yuan.
The reimbursement for medical treatment in secondary hospitals is 30%, with the limit of each examination fee and operation fee in 50 yuan and the limit of prescription drug fee in 200 yuan.
Third-level hospitals will be reimbursed 20%, with the examination fee and operation fee for each visit limited to 50 yuan and prescription drug fee limited to 200 yuan.
Chinese medicine invoice with prescription, limit 1 yuan.
The annual compensation limit for rural cooperative medical clinics is 5000 yuan.