Among them, in terms of employee medical insurance, the state has not made unified requirements for reimbursement of outpatient expenses. At present, only some big cities such as Beijing, Shanghai and Tianjin have included outpatient expenses in the scope of reimbursement. Chongqing does not reimburse outpatient expenses, and other provinces have not issued a unified outpatient reimbursement policy.

Take Beijing as an example:

Medical insurance for employees: in-service outpatient deductible line 1.800 yuan/year, and retirement outpatient deductible line 1.300 yuan/year, with a maximum of 20,000 yuan/year; The first hospitalization deductible line is 1.300 yuan, followed by 650 yuan, with a maximum of 350,000 yuan;

Residents' medical insurance: outpatient deductible line is in 650 yuan, with a maximum of 2,000 yuan; The first hospitalization deductible is 1.3 million yuan, followed by 650 yuan, and the highest is 1.7 million yuan.

Second, new outpatient diseases

The basic medical insurance has increased the maximum payment limit for outpatient serious diseases.

1, hemophilia, urban and rural residents, urban workers, the maximum payment limit is not limited.

2. The maximum payment limit for urban and rural residents with tuberculosis is 4200-6000 yuan (isoniazid resistant to drug-resistant tuberculosis).

Tip: The payment limit of outpatient fund varies according to local regulations, and there is no unified requirement for reimbursement of outpatient expenses in the country. At present, only some big cities such as Beijing, Shanghai and Tianjin have included outpatient expenses in the scope of reimbursement. Chongqing does not reimburse outpatient expenses, and other provinces have not issued a unified outpatient reimbursement policy. Generally ranging from thousands to tens of thousands.