How much can icu medical insurance reimbursement cost

Legal analysis: ICU ward costs can be reimbursed by health insurance, but generally only about 40%, and ICU drugs are generally expensive new drugs or imported drugs, this health insurance is not reimbursed, so the part of the health insurance reimbursement is very little, if the patient's condition improves some of the ordinary wards can be transferred.

The medical insurance reimbursement rate for ICU is 60%, 55% and 50%.

Participating residents in different categories of designated medical institutions hospitalized in accordance with the provisions of the medical costs incurred in different categories of designated medical institutions, above the starting standard of payment below the maximum payment limit, in accordance with the following proportions:

1, a class of designated medical institutions (including community health service institutions), the coordinated fund to pay 60%, the individual to bear 40%;

2, a second class of designated medical institutions. The coordinated fund pays 55% and the individual bears 45%;

3. Class III designated medical institutions, the coordinated fund pays 50% and the individual bears 50%;

4. The insurance year of the residents' medical insurance is calculated on the basis of a natural year, and the accumulated maximum payment limit of the coordinated fund is 25,000 yuan (including the costs of inpatient and outpatient prescribed diseases) within a natural year.

Legal basis: The Social Insurance Law of the People's Republic of China

Article 28 Medical expenses that conform to the basic medical insurance drug list, diagnostic and therapeutic items, standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.

Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be settled directly by the social insurance administrative organization with the medical institutions and drug business units. The social insurance administrative department and the health administrative department shall establish a settlement system for medical expenses for medical treatment in other places to facilitate the enjoyment of basic medical insurance by insured persons.