1. reimbursement scope: the reimbursement scope includes diagnosis, treatment, rehabilitation and nursing of Parkinson's disease;
2. Reimbursement standard: the reimbursement standard is in accordance with the reimbursement ratio stipulated by the state, and the reimbursement expenses shall not exceed the reimbursement standard;
3. Reimbursement conditions: the reimbursement conditions include that the patient must hold a valid medical insurance card, and the patient must see a doctor in a regular medical institution, and the reimbursement expenses must meet the reimbursement standards stipulated by the state;
4. Reimbursement process: The reimbursement process includes the patient's seeing a doctor in a regular medical institution, submitting an application for reimbursement, and the medical insurance bureau reviewing it. After approval, patients can reimburse expenses in designated medical institutions;
5. Reimbursement limit: the reimbursement limit shall be in accordance with the reimbursement ratio stipulated by the state, and the reimbursement expenses shall not exceed the reimbursement limit;
6. Reimbursement time: Reimbursement time is in accordance with the reimbursement ratio stipulated by the state, and reimbursement expenses must be reimbursed within the reimbursement time.
The proportion of medical insurance reimbursement is as follows:
1. According to the level of hospitalization expenses, the proportion of medical insurance reimbursement for employees is 85% between 1300 yuan and 30,000 yuan, 90% between 30,000 yuan and 40,000 yuan, and 95% between 40,000 yuan and 100000 yuan.
2. Residents' medical insurance consists of urban residents' medical insurance and the new rural cooperative medical system. The reimbursement ratio is: the reimbursement ratio of the first-class hospital is 65%, and the deductible line is 300 yuan; The reimbursement rate of secondary hospitals below 6000 yuan is 65%, and that of hospitals above 6000 yuan is 80%, of which the deductible line of county secondary hospitals is 400 yuan, and the deductible line of municipal secondary hospitals is 600 yuan; Third-level hospitals and county third-level hospitals pay in 600 yuan, and the reimbursement rate is 65%. The reimbursement rate of more than 6000 yuan is 80%, and the deductible line of the municipal tertiary hospital is 800 yuan. 12000 yuan, the reimbursement rate is 55%. 1.2 million yuan or more, the reimbursement rate is 75%.
To sum up, the proportion of medical reimbursement depends on the situation.
Legal basis:
Article 28 of People's Republic of China (PRC) Social Insurance Law
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 30
The medical expenses that should be borne by the third party are not included in the payment scope of the basic medical insurance fund; 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.