Proportion of medical insurance reimbursement for in-service civil servants in Heilongjiang Province

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(a) diagnosis and treatment equipment and medical materials

1.X-ray computed tomography (CT), stereotactic radiation devices (γ knife, χ knife), * * and angiography X-ray machines (including digital subtraction equipment), nuclear magnetic resonance imaging devices (MEI), single photon emission computer scanning devices (SPECT), color Doppler instruments, medical linear accelerators, etc.

2. Extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy;

3. Artificial organs and internal materials replaced by pacemakers, artificial joints, intraocular lenses and vascular stents;

4, the provisions of the provincial price department can be charged separately for disposable medical materials.

(2) Treatment items

1, hemodialysis, peritoneal dialysis;

2, kidney, * * valve, cornea, skin, blood vessels, bones, * * transplantation;

3, * * laser drilling, anti-tumor cell immunotherapy and fast neutron therapy projects.

Proportion of civil servants' medical insurance reimbursement:

(1) Proportion of reimbursement for outpatient expenses of on-the-job personnel (calculated by combining medical expenses on campus and off-campus in the current year): less than or equal to 3,000 yuan: 80% of reimbursement for public medical expenses and 20% of personal burden; More than 3,000 yuan: 90% for medical reimbursement at public expense and10% for personal burden; Proportion of reimbursement for hospitalization expenses of on-the-job employees (during the year): less than or equal to 1 10,000 yuan: 90% of medical expenses are reimbursed at public expense, and 10% of personal burden; /kloc-more than 0/10,000 yuan: 94% for medical reimbursement at public expense and 6% for personal burden;

(2) the proportion of reimbursement for outpatient expenses of retirees (the combined calculation of on-campus and off-campus medical expenses during the year):

Less than or equal to 3,000 yuan: 90% of medical expenses are reimbursed, and the personal burden is10%; More than 3,000 yuan: 95% for medical reimbursement at public expense and 5% for personal burden; Reimbursement ratio of retirees' hospitalization expenses (during the year): less than or equal to 10000 yuan: 95% for medical reimbursement at public expense and 5% for personal burden; /kloc-more than 0/10,000 yuan: 97% for medical reimbursement at public expense and 3% for personal burden;

(3) 90% of the outpatient expenses of students who enjoy free medical care are reimbursed, and the personal burden is10%; The hospitalization expenses are reimbursed by 95%, and the personal burden is 5%.

(4) The reimbursement ratio of retired personnel and medical staff is still implemented according to the original relevant regulations.