According to the title you provided, I understand that you want to know the three reimbursement ratios of A, B and C in medical insurance reimbursement. In China, the proportion of medical insurance reimbursement is determined according to the medical insurance policy and specific medical items.
Generally speaking, the proportion of medical insurance reimbursement refers to the proportion of medical insurance payment in medical expenses. The specific proportion varies according to different medical insurance types and regions. In China, medical insurance is divided into three types: basic medical insurance for urban workers, basic medical insurance for urban and rural residents and new rural cooperative medical system. Each kind of medical insurance has a corresponding reimbursement ratio.
Take the basic medical insurance for urban workers as an example. Under normal circumstances, medical insurance will divide it into different reimbursement categories according to different medical items, such as Class A, Class B, Class C, etc ... Different categories have different reimbursement ratios. Generally speaking, the proportion of reimbursement for Class A projects is higher, followed by Class B and Class C. The specific proportion can be inquired according to the local medical insurance policy.
It should be noted that the proportion of medical insurance reimbursement may also be affected by some restrictions, such as the reimbursement ceiling and the out-of-pocket part. In addition, the medical insurance policies in different regions may be different, so the specific reimbursement ratio may be different.
In short, the proportion of medical insurance reimbursement depends on the medical insurance policy and specific medical projects. If you need to know the specific reimbursement ratio, it is recommended that you consult the local medical insurance institution or consult the relevant medical insurance policy documents to obtain accurate information.
The cost sharing method of medical insurance reimbursement refers to the proportion of expenses that Party A, Party B and Party C need to bear in the process of medical expense reimbursement. According to the medical insurance policy, the sharing methods of medical insurance reimbursement expenses among Party A, Party B and Party C will be different. Under normal circumstances, medical insurance will set different reimbursement rates according to different medical items and drugs. For example, for basic medical insurance, the proportion of reimbursement for Class A drugs is higher, and the proportion of reimbursement for Class B drugs is lower. In addition, medical insurance may also set a certain self-payment ratio, that is, individuals need to bear part of their own expenses. Therefore, when applying for medical insurance reimbursement, the cost sharing methods of Party A, Party B and Party C should be accounted according to the specific situation.
Legal basis:
Regulations on the handling of medical accidents:
Chapter V Compensation for Medical Accidents
Article 50 The compensation for medical accidents shall be calculated according to the following items and standards: \n (1) Medical expenses: The medical expenses incurred in the treatment of personal injury caused by medical accidents shall be calculated and paid according to the facts, but excluding the medical expenses of the primary disease. If it is really necessary to continue treatment after closing the case, it shall be paid according to the basic medical expenses. \n (2) Lost time: if the patient has a fixed income, it will be calculated according to the fixed income reduced by his own absenteeism, and if the income is more than three times the average annual salary of the employees in the place where the medical accident occurred, it will be calculated according to three times; If there is no fixed income, it shall be calculated according to the average annual salary of employees on the ground where the medical accident occurred. \n (3) Hospitalization food allowance: calculated according to the standard of food allowance for ordinary staff of state organs where the medical accident occurred. \n (4) Escort fee: If the patient needs special escort during hospitalization, it shall be calculated according to the average annual salary of employees in the place where the medical accident occurred. \n (5) Disability living allowance: according to the disability level and the average annual living expenses of residents in the place where the medical accident occurred, the maximum compensation is 30 years from the month of disability; However, those over 60 years old shall not exceed 15 years old; More than 70 years of age, not more than 5 years. \n (6) Disability appliance fee: If it is necessary to configure compensation functional appliances due to disability, it shall be calculated according to the general appliance fee with the certificate of medical institution. \n (7) Funeral expenses: calculated according to the subsidy standard of funeral expenses stipulated in the place where the medical accident occurred. \n (8) Living expenses of the dependents: limited to the actual dependents of the deceased before his death or the disabled person loses the ability to work, and calculated according to the minimum living standard of the residents in his domicile or residence. 16 years old, raised to 16 years old. Those who have reached the age of 16 but have no ability to work will be supported for 20 years; However, those over 60 years old shall not exceed 15 years old; More than 70 years of age, not more than 5 years. \n (9) Transportation expenses: calculated according to the actual transportation expenses of patients, and paid according to the credentials. \n (10) Accommodation fee: calculated according to the standard of accommodation allowance for ordinary staff of state organs in the place where the medical accident occurred, and paid by credentials. \n (1 1) Mental damages: calculated according to the average annual living expenses of residents in the place where the medical accident occurred. If the patient dies, the compensation period shall not exceed 6 years at the longest; Disabled, the compensation period shall not exceed 3 years.