The Beijing Medical Insurance 1800 reimbursement rule means that in Beijing’s medical insurance system, after the insured person’s outpatient medical expenses within one year reach the threshold of 1,800 yuan, the excess can be reimbursed according to a certain proportion.

Specifically, when the insured’s outpatient medical expenses accumulate to 1,800 yuan within one year, the portion exceeding this amount can begin to enjoy medical insurance reimbursement. The reimbursement ratio varies according to different medical projects and hospital levels. Generally speaking, the reimbursement ratio is between 50% and 95%. This means that when insured persons pay medical expenses, they can receive a certain percentage of reimbursement based on actual circumstances, reducing their financial burden. It should be noted that Beijing Medical Insurance 1800 reimbursement rules only apply to outpatient medical expenses and do not include inpatient medical expenses. In addition, different types of medical insurance and the status of insured persons may also have different reimbursement rules and proportions. Therefore, insured persons need to carefully understand the relevant regulations and requirements when enjoying medical insurance reimbursement to avoid unnecessary misunderstandings and troubles.

Advantages of Beijing medical insurance reimbursement:

1. Reduce the burden of medical expenses. After the medical insurance reimburses the insured person's outpatient medical expenses during the year, any part of the personal out-of-pocket amount that exceeds 1,800 yuan will be reimbursed by the medical insurance fund according to a certain proportion.

2. Improve the level of medical security. Beijing Medical Insurance not only protects the basic medical needs of insured persons, but also further improves the level of medical security.

3. Optimize the allocation of medical service resources. It helps guide insured persons to make reasonable choices of medical services and optimize the allocation of medical resources.

4. Promote the healthy development of the medical insurance system. By continuously improving medical insurance policies and improving the level of medical insurance protection, it will help enhance the sense of gain and satisfaction of insured persons and enhance the credibility and influence of the medical insurance system.

To sum up, the Beijing Medical Insurance 1800 reimbursement rules are a system established to protect the basic medical needs of insured persons. By setting deductibles, reimbursement ratios and other measures, medical insurance expenditures can be effectively controlled, the rational use of medical resources can be promoted, and insured persons can receive better medical security services.

Legal basis:

"Social Insurance Law"

Article 28

Comply with the basic medical insurance drug catalog, diagnosis and treatment items, Standards of medical service facilities and medical expenses for emergency and rescue services shall be paid from the basic medical insurance fund in accordance with national regulations.

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 .

The social insurance administrative department and the health administrative department should establish a medical expense settlement system for medical treatment in other places to facilitate insured persons to enjoy basic medical insurance benefits.