How to reimburse Kunming residents' medical insurance

To participate in the basic medical insurance for urban and rural residents, you can enjoy the basic medical insurance benefits of general hospitalization, special disease outpatient service, outpatient assistance, outpatient surgery, general outpatient service and maternity hospitalization. Hold the medical insurance card and ID card to the county (district) level medical insurance center to which the insured belongs. In the selected medical institutions, 50% of the general outpatient medical expenses are paid by the overall fund, and the maximum payment limit in a natural year is 400 yuan. The first qifubiaozhun for urban and rural residents in the first, second and third-level designated medical institutions in our city is 100, 300 and 600 yuan respectively, and the proportion of medical insurance fund payment within the policy scope is 85%, 75% and 60% respectively. In a natural year, the out-of-pocket expenses within the scope of the insured residents' policy have accumulated more than 20,000 yuan but less than 65,438+10,000 yuan, and the supplementary medical insurance fund for serious illness has paid in proportion. According to the staff of Kunming Medical Insurance Center, although the payment amount is higher than that of 40 yuan last year, the benefits enjoyed remain unchanged, including the cost of critical illness insurance, and the maximum reimbursement for hospitalization is 1 1.8 million yuan.