The reimbursement rate of medical insurance in different places is generally 88% from the threshold fee to 3000 yuan; 3000-5000 yuan is 90%; 5000- 10000 yuan is 92%; 10000 yuan to 95% of the maximum payment limit. Among them, Class B drugs account for 80%; 70% of expensive drugs; 70% reimbursement for special examination and special treatment. In addition, external medical insurance cannot be reimbursed, which is subject to the local medical insurance policy.

The minimum payment standard is 88% above 3000 yuan, 90% above 3000-5000 yuan, 92% above 5000- 10000 yuan, and 95% above 10000 yuan to the maximum payment limit, including 80% for class B drugs and 70% for expensive drugs, special inspection and special treatment. The reimbursement rate of tertiary hospitals is 55%; The reimbursement rate of secondary hospitals is 65%; The reimbursement rate of first-class hospitals is 75%.

How to reimburse medical insurance in different places?

1。 First of all, the referral certificate of hospitals at or above the county level. Take the medical insurance in a small town as an example. If you want to go to a different place for medical treatment, you must first go to a hospital at or above the county level. There are usually county-level hospitals in the town, where doctors can issue referral certificates.

2。 Stamp the social security window of the hospital. The social security window of a hospital is usually located at the toll gate. Take the referral certificate to the window, and the staff there will naturally know how to help you!

3。 Go to the local social security office to register for outpatient treatment.

4。 Take it back to the county social security bureau for reimbursement after going out for treatment. After completing the above three steps, you can go to a hospital in a big city. When you have cured the invoices, medical books, social security cards and household registration books, you can wait for your superior social security bureau to reimburse you.

I hope the above content can help you. Please consult a professional lawyer if you have any other questions.

Legal basis: Article 30 of the Social Insurance Law of People's Republic of China (PRC), the following medical expenses are not included in the payment scope of the basic medical insurance fund:

(a) shall be paid by the industrial injury insurance fund;

(2) It shall be borne by a third party;

(three) shall be borne by public health;

(4) Go abroad for medical treatment.

Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.