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Limit and proportion of reimbursement for hospitalization medical expenses of medical insurance in Hebei Province
Jurisprudence analysis: the reimbursement limit and proportion of hospitalization medical expenses in Hebei Province are implemented in accordance with the following provisions: First, the annual maximum reimbursement limit of hospitalization medical expenses from the basic medical insurance pooling fund is 200,000 yuan (inclusive). Two, hospitalization deductible standard for the insured in the first, second and third level medical institutions in 500 yuan, 650 yuan, 800 yuan. Since the second hospitalization, it has decreased by 20% in turn, and the lowest is not lower than that of 200 yuan. 3. Proportion of reimbursement by stages from the basic medical insurance pooling fund above the hospitalization deductible line: If the on-the-job employee is hospitalized in a first-,second-and third-level medical institution, and the amount paid by the pooling fund is less than 30,000 yuan (inclusive), the personal burden ratio is 12%, 14% and17%; The overall fund pays 30,000 to 70,000 yuan (inclusive), and the personal burden ratio is 10%, 12% and17%; The overall fund payment is 700,000 to 200,000 yuan (inclusive), and the personal burden ratio is 10%, 10% and 13%. Fourth, if the above payment periods are retired employees, the proportion of personal burden will be reduced by one percentage point.

Legal basis: Article 1 of the Medical Insurance Treatment Standards and Administrative Measures for Employees at the Same Level in People's Republic of China (PRC) and Hebei Province, the reimbursement limit of hospitalization medical expenses paid by the basic medical insurance pooling fund and the proportion of reimbursement by stages:

(a) the annual maximum amount of hospitalization expenses reimbursed by the basic medical insurance fund is 200,000 yuan (inclusive).

(two) hospitalization deductible standard, the insured in the first, second and third level medical institutions were five hundred yuan, six hundred and fifty yuan, eight hundred yuan. Since the second hospitalization, it has decreased by 20% in turn, and the lowest is not lower than that of 200 yuan.

(3) Proportion of reimbursement by stages from the basic medical insurance pooling fund above the hospitalization deductible line: If the on-the-job employee is hospitalized in a first-,second-and third-level medical institution, and the amount paid by the pooling fund is less than 30,000 yuan (inclusive), the personal burden ratio is 12%, 14% and17%; The overall fund pays 30,000 to 70,000 yuan (inclusive), and the personal burden ratio is 10%, 12% and17%; The overall fund payment is 700,000 to 200,000 yuan (inclusive), and the personal burden ratio is 10%, 10% and 13%.

(4) For the above-mentioned payment, the proportion of individual burden of retired workers is reduced by one percentage point.