The 2023 Suzhou medical insurance reimbursement policy is as follows: 1. The medical insurance reimbursement ratio is increased.
In order to improve the level of medical insurance protection, Suzhou may further increase the proportion of medical insurance reimbursement to reduce the burden of medical expenses on patients.
2. Strengthen the scope of medical insurance payment.
Suzhou City may further expand the scope of medical insurance payment in the future, and the scope of medical services and medications involved will be wider.
For example, certain medications for serious illnesses may be included in the payment scope of Suzhou’s medical insurance.
3. Promote medical insurance and medical reform.
Suzhou will continue to promote medical insurance and medical reform to improve medical services and protect people's health.
In the future, more policies may be introduced to improve the quality of medical services and protect residents’ health rights.
Conditions for reimbursement of medical insurance in other places: 1. Insured status: Reimbursement of medical insurance in other places is only applicable to those who participate in the basic medical insurance for urban employees, basic medical insurance for urban and rural residents, new rural cooperative medical care and other medical insurance systems; 2. Payment record: when applying for reimbursement in other places, apply
People must have paid medical insurance fees and meet the payment time and standard requirements; 3. Reimbursement scope: Policies such as the reimbursement scope and reimbursement ratio of medical insurance in other places shall be subject to the relevant policies and regulations of the insured place.
It should be noted that the reimbursement policies for out-of-town medical insurance may be different in different regions, and applicants need to apply according to local policies and regulations; 4. Hospital selection: When seeking medical treatment in another place, applicants must choose a medical insurance designated medical institution, otherwise they cannot
Enjoy medical insurance reimbursement benefits; 5. Reimbursement application materials: Applicants need to prepare complete reimbursement application materials, including medical bills, expense lists, proof of medical treatment in other places, reimbursement application forms, etc.
To sum up, the reimbursement ratio and reimbursement scope of medical insurance in other places may also be different. The reimbursement ratio of medical insurance in other places may be lower than the reimbursement ratio of local medical insurance. Specific information can be inquired at the local medical insurance department.
Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" that meets the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be deducted from the basic medical insurance fund in accordance with national regulations.
Pay.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.