Medical reimbursement rate in 2023

Legal subjective:

When it comes to medical insurance, I believe we are no strangers, usually cold and fever, hospitalization need to deal with medical insurance, it occupies a fairly important position in our lives. First, 2022 medical insurance reimbursement ratio is how much 1, outpatient reimbursement ratio of urban workers basic medical insurance insured employees, to the hospital outpatient, emergency visit, more than 2,000 yuan of medical expenses can be reimbursed, the reimbursement rate is 50%. In the case of retirees under the age of 70, expenses above 1,300 yuan can be reimbursed, and the reimbursement rate is 70%. If the retiree is over 70 years old, expenses over $1,300 can be reimbursed the reimbursement rate is 80%. And no matter which category you are in, the maximum amount of expenses paid for outpatient and emergency major medical expenses is $20,000 dollars. For example, if you are an active employee and spend 2,500 yuan on an outpatient visit, the 500 yuan portion can be reimbursed at 50%, which is 250 yuan.2. Hospitalization Reimbursement RatioCurrently, the starting amount is 1,300 yuan for the first time when you use the basic medical insurance to pay for the first time in a year, regardless of whether you are an active employee or a retiree. For the second and subsequent hospitalization, the starting amount is set at 50%, which is RMB 650. And the maximum payment amount of the Basic Medical Insurance Co-ordination Fund (hospitalization expenses) in one year is currently 70,000 yuan. Secondly, what does not belong to the medical insurance reimbursement scope at present, not included in the urban basic insurance diagnostic and treatment items catalog of diagnostic and treatment items have five categories, including service items, non-disease treatment items, diagnostic and therapeutic equipment and medical materials, treatment items. Medical insurance is not reimbursed in addition to the cost of orthodontics, but also includes non-disease treatment projects category, namely, all kinds of cosmetic, orthopedic surgery, etc.; a variety of weight loss, fertilization, all the costs of the project; preventive, the project; a variety of non-therapeutic consulting, appraisal of the cost; diagnostic and therapeutic equipment and medical materials, namely, ophthalmology excimer laser therapeutic instrument, such as large-scale equipment for the inspection, treatment projects; a variety of self-use, nudging, inspection and treatment The price part of the provisions of the disposable medical materials can not be charged separately. Third, the medical insurance query specifically what 1, the local query participants can directly carry their own identity documents and residents of the medical insurance card to the local social security bureau service hall to print the list of contributions, you can check the relevant information in detail. This method is more direct, suitable for people who do not know how to access the Internet, will not use the telephone self-service and have time, more suitable for the use of the elderly of a certain age. 2, telephone query participants can directly call the social security bureau telephone number 12333 to query. According to the voice prompts to operate, you need to enter the social security card number and account password. This kind of query is also more convenient and fast, is the first choice of many people. 3, online query online query is suitable for people who know how to operate the computer, and do not have too much leisure time to operate. First online to find the local social security bureau web site, open the web site page, enter the personal social security card account number, query password and ID number and other personal information, you can query to their latest account information, convenient and fast. This is the entire content of this article, from which we can learn what the 2022 Medicare reimbursement rate is, what does not belong to the Medicare reimbursement scope, as well as what are the specific ways to check Medicare. They are online 24 hours a day and can answer legal queries anytime.