The new regulations for medical insurance reimbursement in Inner Mongolia in 2023 are as follows: 1. Unified medical insurance reimbursement ratio.

After the new regulations are implemented, the medical insurance reimbursement ratio will be adjusted to 80%, and the items covered mainly include hospitalization expenses, outpatient expenses, drug expenses, etc.; 2. Increase hospitalization reimbursement items.

After the new regulations are implemented, medical insurance institutions will add large-scale equipment inspections, medical institution management fees, etc. to hospitalization reimbursement items to better protect patients’ rights and interests in medical treatment; 3. Increase the proportion of drug reimbursement.

In order to better protect patients’ rights and interests in drug use, the new regulations will increase the reimbursement ratio of drugs to 90%, and divide drugs into three categories (chronic disease drugs, conventional drugs, and anti-infective drugs).

Set different reimbursement ratios by type; 4. Strengthen reimbursement supervision.

After the new regulations are implemented, medical insurance institutions will strengthen the supervision of reimbursement items, conduct timely reviews of any reimbursement applications that do not meet the medical insurance reimbursement standards, and hold irresponsible persons accountable.

Medical insurance reimbursement process: 1. Diagnosis and treatment in medical insurance designated hospitals: There are medical insurance designated hospitals in every city. Only when you are diagnosed and treated in a medical insurance designated hospital can you use medical insurance to reimburse.

Therefore, if you want to use medical insurance, you must go to a medical insurance designated hospital and complete the relevant registration procedures; 2. Prepare discharge information: Prepare discharge information in advance when you are discharged, for example

Disease diagnosis certificate, discharge record and medical record sheet, etc.

Generally, during treatment, we tell the doctor that we need these materials, and the doctor will help us prepare them. It is best to make a copy after getting these materials.

Submit one copy to the medical insurance reimbursement office and keep the other for backup; 3. Discharge settlement: Take the hospitalization list and invoice and complete the settlement procedures in the hospital.

After that, you can take the relevant information to the medical insurance reimbursement department for reimbursement and review; 4. Wait for the reimbursement to arrive: After the information is handed over, you will receive a receipt, and the reimbursement amount will arrive within 15 days.

Yes, everyone just needs to wait patiently.

To sum up, when the Inner Mongolia employee medical insurance participants enjoy the general outpatient co-ordination treatment, they will be paid by the co-ordination fund in proportion. The payment proportion of third-level medical institutions is 60%, and the payment rate of second-level and below medical institutions is 80%. The number of retirees has increased.

5 percentage points.

Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" that meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be deducted from the basic medical insurance fund in accordance with national regulations.

Pay.

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.

The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.