Legal analysis: hospitalization reimbursement:
1. Scope of reimbursement: medicine expenses: auxiliary examinations: electrocardiogram, X-ray fluoroscopy, radiography, laboratory tests, physical therapy, acupuncture, CT, The limit for MRI and other examination fees is 200 yuan; the operation fee (refer to national standards, if it exceeds 1,000 yuan, it will be reimbursed at 1,000 yuan).
2. If an elderly person over 60 years old is hospitalized in a health center, the treatment and nursing fees will be compensated 10 yuan per day, with a limit of 200 yuan.
3. Reimbursement ratio: Town health center reimburses 60%; second-level hospitals reimburse 40%; third-level hospitals reimburse 30%.
Legal basis: "Opinions of the Ministry of Labor and Social Security, the State Planning Commission, the Ministry of Finance, the Ministry of Health, and the State Administration of Traditional Chinese Medicine on Determining the Scope and Payment Standards of Medical Service Facilities and Payment Standards for Basic Medical Insurance for Urban Employees" II , The scope of diagnosis and treatment items for which basic medical insurance pays part of the cost
(1) Diagnostic and treatment equipment and medical materials
Vibration imaging device (MRI), single photon emission electronic computer scanning device (SPECT) ), color Doppler, medical linear accelerator and other large medical equipment for inspection and treatment projects.
Extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy.
Pacemakers, artificial joints, intraocular lenses, vascular stents and other artificial organs for internal replacement, and materials placed inside the body.
Disposable medical materials that can be charged separately as stipulated by the price departments of each province.