qifubiaozhun is: 1 yuan, a tertiary medical institution; 65 yuan, a secondary medical institution; First-class medical institutions (including medical institutions below the first level, the same below) 4 yuan. If the insured is hospitalized for many times in a natural year, the Qifubiaozhun will be gradually reduced, and the second and above hospitalization will be calculated according to 5% of the stipulated hospitalization Qifubiaozhun, but the minimum is not lower than that in 15 yuan.
in a natural year, the maximum payment limit of medical expenses paid by the basic medical insurance pooling fund at one time or cumulatively is 4 times of the average social wage of employees in this city last year. For the expenses above Qifubiaozhun and below the maximum payment limit, if the employees seek medical treatment in tertiary medical institutions, the fund will pay 88% and the individual will pay 12%; For medical treatment in secondary medical institutions, the fund pays 92% and the individual pays 8%; In the first-class and below medical institutions, the fund pays 94% and the individual pays 6%. The individual sharing ratio of retired (post) personnel is 7% (8%) of the on-the-job employees respectively; Before the founding of the people's Republic of China, the proportion of retired old workers who participated in revolutionary work was 5% of the employees.
Persons suffering from outpatient specific diseases are hospitalized due to outpatient specific diseases, and the hospitalization Qifubiaozhun is exempted; HIV-infected people and AIDS patients who are hospitalized for AIDS diseases are exempted from hospitalization Qifubiaozhun, and the basic medical expenses paid by individuals in medical insurance coverage are subsidized by the serious illness relief fund by 65%; Mental patients due to mental illness hospitalization, exempt from hospitalization Qifubiaozhun, occurred in the basic medical insurance coverage according to the provisions of the individual pays part of the medical expenses, by the serious illness relief fund, employers and individuals each pay one third.