The reimbursement rate of medical insurance for medical treatment in other places is as high as 90%.
1. Outpatient reimbursement ratio: There is no deductible for general outpatient services and all insured residents enjoy general outpatient treatment.
Within a medical insurance year, there is no deductible for general outpatient services. Medical expenses within the payment range of the outpatient overall fund are reimbursed at a rate of 60%. The maximum annual individual payment limit of the overall fund is 400 yuan.
2. Hospitalization reimbursement ratio: The longer the continuous insurance period, the greater the reimbursement ratio. For every five years of continuous payment by insured residents, the hospitalization reimbursement ratio of the medical insurance fund will increase by 5 percentage points, and the total will not exceed 10 percentage points.
If you participate in the insurance for 10 consecutive years from 2007, the hospitalization reimbursement ratio in third-level, second-level, and first-level hospitals will reach 70%, 80%, and 90% respectively.
3. Secondary reimbursement ratio: After "secondary reimbursement", there may be "reimbursement". Among the medical expenses incurred by insured residents for a single hospitalization, the part that is within the payment scope of the urban residents' basic medical insurance co-ordination fund is included in the basic medical insurance co-ordination fund.
After the fund pays proportionately, if the personal burden exceeds 8,000 yuan, the critical illness insurance fund will provide "secondary reimbursement" at a rate of 55% for the excess portion.