In other designated medical institutions or retail pharmacies in the city, 65% of employees are reimbursed and 70% of retirees are reimbursed. The qifubiaozhun for general outpatient service is 400 yuan, and the maximum payment limit is 5,000 yuan.
For the expenses within the scope of hospitalization and outpatient service policies for special diseases, the overall fund shall be reimbursed according to the following proportions: if the minimum deductible is more than 50,000 yuan, 85% of on-the-job employees will be reimbursed in primary medical and health institutions, and 90% of retirees will be reimbursed; In other medical institutions, employees are reimbursed 80% and retirees 85%.
The part of more than 50,000 yuan to 654.38+10,000 yuan is treated in primary medical and health institutions, and 90% of the employees are reimbursed and 95% of the retirees are reimbursed; In other medical institutions, employees are reimbursed 85% and retirees are reimbursed 90%. For the part exceeding 654.38+10,000 yuan to 250,000 yuan, 90% of the employees are reimbursed and 95% of the retirees are reimbursed. For the part exceeding 250,000 yuan, 90% will be reimbursed, and there is no upper limit.
Extended data outpatient basic medical insurance covers employees of state organs, institutions, social organizations, enterprises, private non-enterprise units, individual economic organizations and other economic organizations within the administrative area of this Municipality, and urban and rural residents with household registration in this Municipality (excluding employees, the same below);
Non-local registered personnel who have participated in the basic medical insurance in this city and reached the national statutory retirement age and non-local registered students in various full-time universities and secondary vocational schools.
Baidu encyclopedia-outpatient medical insurance