The details are as follows:
1. Students and children
In a billing year, medical expenses under 180,000 yuan that meet the scope of reimbursement are incurred, the starting standard for tertiary hospitals is 650 yuan, the reimbursement rate is 50%, and the upper limit is 2,000 yuan; the starting standard for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; tertiary hospitals don't have a starting standard, and the reimbursement rate is 65%. The reimbursement rate is 65%.
2. For medical expenses of less than 100,000 RMB incurred within one billing year and eligible for reimbursement when aged 70 or above
The starting rate for Level 3 hospitals is 650 RMB, with a reimbursement rate of 50% and an upper limit of 2,000 RMB; for Level 2 hospitals, the starting rate is 300 RMB, with a reimbursement rate of 60%; and for Level 1 hospitals, there is no starting rate, with a reimbursement rate of 65%.
3. For other urban residents
In a billing year, for medical expenses of less than 100,000 RMB incurred that are eligible for reimbursement, the starting standard for third-level hospitals is 659 RMB, and the reimbursement rate is 50% with an upper limit of 2,000 RMB; for hospitalization in second-level hospitals, the starting standard is 300 RMB, and the reimbursement rate is 55%; and for first-level hospitals, there is no starting standard and the reimbursement rate is 60%.
Expanded InformationThe scope of urban medical insurance reimbursement refers to all employers in towns and cities, as follows:
1, including enterprises (state-owned, collective, foreign-invested, private enterprises, etc.);
2, organs, institutions, social organizations, private non-enterprise units and their employees, are required to participate in the basic medical insurance;
3, some towns require township enterprises and their employees to participate in the basic medical insurance;
4, some towns require township enterprises and their employees to participate in the basic medical insurance.
3. Some cities and towns require that township and village enterprises and their employees, as well as owners of urban self-employed economic organizations and their employees, be gradually included in the scope of basic medical insurance (the last of which is subject to different policies in different localities), so that they can enjoy medical reimbursement.
Medical reimbursement in cities and towns mainly refers to hospital visits, medication, hospitalization, surgery, etc., can be reimbursed through the medical insurance card in accordance with the relevant provisions of the medical expenses, urban medical insurance is more specialized, the scale of the project and coverage is larger, but it is limited to the major diseases or accidents in the payment.
Diagnostic and therapeutic equipment and medical materials category:
1, the application of X-ray computed tomography device (CT), stereotactic radiography device (γ-knife, χ-knife), cardiac and angiography X-ray machine (including digital subtraction equipment), nuclear magnetic *** vibration imaging Device (MEI), single photon emission computer scanning device (SPECT), color Doppler, medical linear gas pedal and other large-scale medical equipment for examination, treatment projects;
2, extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy;
3, pacemakers, artificial joints, artificial crystals, vascular scaffolds in vivo replacement of artificial organs, body placement materials;
4, the provincial price department can be charged separately for disposable medical materials.
Baidu Encyclopedia - health insurance reimbursement rate