Medical insurance for urban residents can only be reimbursed in designated community hospitals, with an annual limit of 500 yuan. The specific hospital is up to you to choose, and then go to the community or street to do medical insurance and sign an agreement for designated outpatient hospitals.
Other outpatient clinics in non-agreement hospitals are not reimbursed, and only hospitalization can be reimbursed at ordinary times. In the case of reimbursement, many top three hospitals have realized real-time reimbursement, that is, the part you reimburse is directly sent to the municipal medical insurance center for payment, and you only need to pay the part of the money that cannot be reimbursed to the hospital. Each hospital has a reimbursement center, which can be consulted.
Regarding the reimbursement ratio: community hospitals have the highest reimbursement ratio, about 70-75%; Secondary hospitals are second, about 55-65%; The reimbursement of tertiary hospitals is the least, about 45%-55%. The specific proportion will be slightly different according to the different medical insurance drugs and inspection items. I hope I can help you.
In addition, you can go to the website of Xi Human Resources and Social Security Bureau to understand the medical insurance policy of Xi urban residents, and you can go to the community to inquire about the medical insurance policy of residents. Every year, the policy changes, and the reimbursement ratio also changes after the changes in individual payment standards and municipal government subsidies.