1, bed fee (the highest is township hospitals 12 yuan/day, and municipal and above medical institutions 15 yuan/day);
2. Drug expenses (the scope of drug use shall be subject to the provisions of the provincial drug catalogue);
3, inspection fees (inspection, testing, etc. , limit 600 yuan);
4. Treatment expenses (settled according to the facts within 300 yuan, and 50% of the above parts in 300 yuan are included in the scope of reimbursement);
5. Surgery fee (charged according to regulations);
6. Blood transfusion fee (the maximum amount of surgery or rescue and hospitalization is in 500 yuan);
7, material costs (the maximum limit of 2000 yuan per hospitalization);
8, all kinds of tumor patients with radiotherapy, chemotherapy and renal failure need dialysis outpatient expenses, as hospitalization expenses for compensation.
Reimbursement ratio
After excluding non-reimbursable expenses, the reportable expenses are discounted according to different levels of medical institutions: township hospitals in this city 100%, municipal hospitals in this city 90%, outside the city 80%, and 60% without referral certificate. The maximum amount of compensation per person per year shall not exceed 30,000 yuan.
Materials, procedures and processes required for reimbursement of medical expenses
(a) the required materials are:
1, original hospitalization invoice;
2. Discharge record;
3, medical expenses list or doctor's advice (provided by the hospital);
4. My identity certificate (copy of ID card or household registration certificate);
5. Others (recommendation certificate, work place certificate, etc.). )
legal ground
People's Republic of China (PRC) social insurance law
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.