Hainan medical insurance reimbursement ratio is as follows:
1, the reimbursement rate of residents' medical insurance, the reimbursement rate of first-class hospitals is 65%, and the reimbursement rate of second-class hospitals above 6000 is 80%.
2, employee medical insurance hospitalization reimbursement ratio, hospitalization expenses between 1300 yuan and 30000 yuan is 85%; The reimbursement rate is 90% for 30,000-40,000 yuan, 95% for 4 4- 10/00,000 yuan and 85% for10-300,000 yuan.
The classification of medical insurance reimbursement and the items included are as follows:
1, general medical insurance. It mainly includes outpatient expenses, medical expenses and inspection expenses.
2. Hospitalization insurance. Mainly the daily hospitalization expenses, hospital equipment use expenses, operation expenses, medical expenses and so on.
3. Surgery insurance. Provide all expenses incurred due to the patient's need for necessary surgery.
4. Comprehensive medical insurance. Its cost range includes all expenses such as medical treatment, hospitalization and surgery.
5. Special disease insurance. Some special diseases often bring disastrous expenses to patients, which ordinary families can't bear. Such as cancer and heart disease. The major diseases that provide protection for the insured can be single diseases, such as malignant tumors, or even some cancers in malignant tumors.
To sum up, the highest payment standard for medical insurance reimbursement in Haikou varies according to different types of reimbursement, including employee medical insurance and urban and rural residents' medical insurance.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 26
The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.