1. The reimbursement rate of medical expenses below 5,000 yuan is 55% in a first-class hospital.
2, 5000 yuan to 15000 yuan (including 15000 yuan) payment ratio is 60% for first-class hospitals, 55% for second-class hospitals and 55% for third-class hospitals.
3, 15000 yuan, regardless of the level of medical institutions, according to 65%.
Conditions for reimbursement of medical insurance for urban residents in Leshan:
1. The applicant has gone through the insurance formalities and paid the medical insurance premium in full.
2, cooperative medical designated medical institutions for medical treatment.
3. The medical expenses incurred by the insured in hospitalization in medical institutions shall be paid in cash in advance, and relevant documents and materials shall be kept.
To sum up, the provisions on the reimbursement ratio of medical insurance for urban residents in Leshan City aim to ensure that the insured residents can enjoy the corresponding medical insurance benefits according to the different medical expenses and medical institutions.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, 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.