let's take a look at how the reimbursement rate of medical insurance in Suzhou is stipulated. 1, in line with the provisions of Suzhou medical insurance payment of general outpatient medical expenses paid from the personal account first. After the personal account is used up, in each settlement year, after the on-the-job employees are conceited by 6 yuan and the retirees are conceited by 4 yuan, they will be paid by the local supplementary medical insurance pooling fund in proportion within the limit of 2,5 yuan. Among them, the outpatient expenses incurred by using the Social Insurance Card in the designated community health service stations, outpatient departments, unit health clinics and township hospitals at grade B and above in urban areas shall be settled according to the standard of 7% for on-the-job employees and 8% for retirees; Outpatient expenses incurred in other B-level and above designated medical institutions and retail pharmacies in urban areas shall be settled according to the standard of 6% of on-the-job employees and 7% of retirees. 2. Every time Suzhou medical insurance insured is hospitalized, the medical expenses within Qifubiaozhun shall be borne by the individual, and can also be offset by the balance of personal account in previous years. (1) The Qifubiaozhun for the first hospitalization of Suzhou medical insurance insured personnel in the settlement year is determined according to different levels of hospitals, namely, hospitals at or above the municipal level: 8 yuan, an on-the-job employee, and 7 yuan, a retiree; District hospitals and specialized hospitals: 6 yuan, an on-the-job employee, and 5 yuan, a retiree; Grassroots hospitals such as villages and towns: both employees and retirees are from 4 yuan. (2) When the year is the second hospitalization Qifubiaozhun for 5% of the first Qifubiaozhun; Qifubiaozhun for the third and above hospitalization is unified as 2 yuan. (3) If the patient has been hospitalized for more than 18 days in a row, the hospitalization settlement shall be made every 18 days, and the part exceeding 18 days shall be treated as re-hospitalization. (4) Where the insured who has been treated in Guangji Hospital, Psychiatric Rehabilitation Hospital, High-tech Zone Ankang Hospital and Taicang Ankang Hospital in this city is diagnosed as mentally ill, the hospitalization expenses that meet the requirements of medical insurance settlement and payment will be settled directly in accordance with the method of hospitalization settlement and payment. (5) When the hospital needs to be transferred to the city for continuous hospitalization due to illness, it can be calculated with the settlement voucher and invoice to the municipal social security center according to the Qifubiaozhun of high-grade hospitals after discharge.
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