Eligible Baoji citizens can apply for medical insurance reimbursement in hospital to reduce the economic burden of medical treatment. Then, what is the reimbursement ratio of Baoji Medical Insurance? The highest reimbursement rate of insured patients in local medical insurance institutions is 90%, and the highest reimbursement rate in medical insurance institutions in different places is 60%.
1. Insured patients are hospitalized in medical institutions in the city, and the deductible line for hospitalization in first-class and below medical institutions is 300 yuan. After deducting the deductible line from the expenses included in the reimbursement scope, the reimbursement ratio is unified to 90%; The deductible line for hospitalization in secondary medical institutions is 600 yuan. After deducting the deductible line from the expenses included in the reimbursement scope, the reimbursement ratio is unified to 78%; The deductible line for hospitalization in tertiary medical institutions is 1500 yuan. After deducting the deductible line for expenses included in the reimbursement scope, the reimbursement ratio is unified to 62%.
2. The insured patient is hospitalized in a medical institution agreed outside the city, and the hospitalization deductible line is 1.800 yuan. After deducting the deductible line from the expenses included in the reimbursement scope, the reimbursement ratio is unified to 60%; Insured patients hospitalized in non-agreement medical institutions will not be reimbursed (except for referral procedures according to regulations).
3./KLOC-Insured patients under 0/8 years old (based on the date of discharge, calculated as one year old) and college students agree to be hospitalized in medical institutions within the city. The deductible line for hospitalization in medical institutions of level I and below is 150 yuan. After deducting the deductible line from the expenses included in the reimbursement scope, the reimbursement ratio is unified to 90%; The deductible line for hospitalization in secondary medical institutions is 300 yuan. After deducting the deductible line from the expenses included in the reimbursement scope, the reimbursement ratio is unified to 78%; The deductible line for hospitalization in tertiary medical institutions is 800 yuan. After deducting the deductible line for expenses included in the reimbursement scope, the reimbursement ratio is unified to 62%.
4. If you are hospitalized in a medical institution agreed outside the city and go through the referral procedures according to the grading diagnosis and treatment regulations, the hospitalization deductible line is 1 100 yuan, and after deducting the deductible line from the expenses included in the reimbursement scope, the reimbursement ratio is 60%.
Tip: What is the reimbursement rate of Baoji medical insurance? Insured patients are hospitalized in medical institutions in the city, and 90% are reimbursed by medical institutions at or below the first level; 78% of secondary medical institutions and 62% of tertiary medical institutions; Hospitalization in medical institutions outside the city will be reimbursed by 60%.
The above is the knowledge about the specific proportion of medical insurance reimbursement in Baoji. I hope it helps you. If you have any questions, you can contact a lawyer to answer them.