Outpatient:
General outpatient treatment
The first class of health insurance personal account can be used to pay for medical expenses within the scope of the health insurance catalog, in the social health center to see the outpatient clinic, 70% deducted from the personal account, 30% of social security reimbursement.
Second- and third-tier health insurance participants, the cost of drugs belonging to the health insurance catalog of Class A drugs reimbursement of 80%, reimbursement of Class B drugs reimbursement of 60%; belonging to the health insurance catalog of single diagnosis and treatment or medical materials, reimbursement of 90%, the maximum reimbursement of not more than 120 yuan.
The second and third grades of health insurance participants pay attention to the outpatient medical expenses reimbursed by the annual health insurance does not exceed 1000 yuan, oh, 1000 yuan per year.
Outpatient large equipment examination and treatment costs
The first class participants can be reimbursed 80%
The second and third class reimbursement according to the unit price of general diagnostic and treatment items, up to a maximum of 120 yuan
General outpatient blood transfusion costs
General outpatient blood transfusion costs of the first class can be reimbursed 90%
The second and third level can reimburse 70%.
Outpatient treatment
This reimbursement of three grades of health insurance makes no difference, are based on the length of time of continuous participation in reimbursement of 60% -90%, pay attention to the Oh, is the time of continuous participation in insurance, the break will be recalculated for the duration of the continuous payment.
Hospitalization:
Hospitalization
One of the first two grades of medical insurance hospitalization, more than the starting line of the part of the cost of the reimbursement of 95% or 90%.
Third-grade health insurance participants, you can be hospitalized in the binding social health center settlement hospital, can also be referred to the hospital through the settlement hospital hospital hospital hospitalization, where the costs incurred, the part of the hospitalization over the threshold can be reimbursed, the reimbursement rate is such as, if you live in the first level of hospitals, reimbursement of 85%, live in the second level of hospitals reimbursement of 80%, live in the third level of hospitals reimbursement of 75%.
If you are admitted to a hospital other than a billing hospital without a referral, you will be reimbursed at 90% of the hospitalization payment rate of the attending hospital.
Treatment for out-of-town visits
If you have a first-tier health insurance, you can be reimbursed for general outpatient expenses, major outpatient expenses and hospitalization expenses for out-of-town visits, and a first-tier can be reimbursed for general outpatient, major outpatient and hospitalization expensesha.
If it is the second or third class medical insurance, in the city outside the medical general outpatient is not reimbursed, in line with the major medical outpatient and hospitalization costs can be reimbursed in accordance with the relevant rules.