Residents' health insurance can be integrated reimbursement, the integrated reimbursement of residents' health insurance, mainly based on the contribution status of the participants, in the payment platform for the reimbursement of the location of the change, can be changed to their own place of residence, in the centralized levy period to make changes can be changed, after the change of the success of the reimbursement of outpatient medical treatment in the place of residence can enjoy the right to enjoy the reimbursement of the right to.
Urban and rural residents' medical insurance outpatient reimbursement ratio:
Beginning in 2020, urban residents' medical insurance in most areas implemented residents' outpatient co-ordination, urban and rural residents' medical insurance reimbursement does not set a starting line, and the expenses that meet the requirements, up to 400 yuan, are reimbursed at 60%, according to the rules of the insured place.
Whether it is employee health insurance or urban and rural residents health insurance, the hospital level is not the same, the level of medical care and medical equipment level is not the same, so the reimbursement rate can not be the same, relatively speaking, the higher the level of the hospital, the lower the reimbursement rate.
In summary, the effect of the implementation of the policy on the harmonization of residents' health insurance is a topic of great concern. The implementation of this policy aims to improve the level of medical protection for residents by integrating various types of medical insurance resources. After a period of implementation, preliminary observations show that the policy of harmonization of residents' health insurance has achieved some positive results. First, the policy has led to a more rational distribution and utilization of health insurance funds, and reduced the burden of medical expenses on residents. Second, the integrated policy has promoted the optimal allocation of medical resources and improved the quality and efficiency of medical services. However, it is also necessary to note some problems, such as the administrative difficulties that may arise during the implementation of the harmonization policy and the sustainability of health insurance funds. Therefore, further study and improvement of the co-ordination policy is needed to ensure its long-term feasibility and continuous improvement of its effectiveness.
Legal basis:
The Social Insurance Law of the People's Republic of China
Article 25
The State establishes and improves the basic medical insurance system for urban residents.
Basic medical insurance for urban residents is a combination of individual contributions and government subsidies.