Recently, a movie "I'm Not the God of Medicine" was screened and received very high reviews. The issue of medical expenses attracted much attention. Medical insurance was also mentioned at the end of the movie. In fact, my country's medical insurance has been adjusted many times. So in 2018 What is the latest medical insurance reimbursement ratio standard in 2018? How long is the period? The latest medical insurance period in 2018 medical reimbursement should be reimbursed within six months after diagnosis and treatment.

Under normal circumstances, medical insurance reimbursement is reimbursed in the second half of the year and reimbursed in the first half of the year, and the first half of this year is reimbursed in the second half of the previous year.

The patient will be reimbursed in time when he is discharged from the hospital, and only needs to pay the non-reimbursed portion.

The latest medical insurance reimbursement ratio in 2018. The medical insurance reimbursement ratio changes according to different places. The reference reimbursement ratio is as follows: The main content of urban employee policy adjustment 1. Hospitalization deductible.

The minimum payment standard for each hospitalization within the coordinating area within one accounting year is: 800 yuan for a third-level hospital; 500 yuan for a second-level hospital; 300 yuan for a first-level hospital; 100 yuan for township health centers and community service centers; for transfers outside the coordinating area within one accounting year

The minimum payment standard for each hospitalization is 1,200 yuan.

2. Maximum limit.

The maximum actual payment limit of the unified fund within a settlement year is 450,000 yuan, of which the maximum actual payment limit for basic medical care is 150,000 yuan. If the maximum actual payment limit for basic medical care exceeds the maximum actual payment limit for basic medical care, it will be resolved through mutual aid for serious illness medical care. The maximum actual payment limit for mutual aid for critical illness medical treatment is 300,000 yuan.

Yuan.

3. The proportion of external reimbursement.

(1) When seeking medical treatment in hospitals within or outside the province, the regional basic medical fund will pay 80%, and the critical illness mutual aid fund will pay 85%.

(2) For medical treatment in hospitals outside the province, the local basic medical fund will pay 70%, and the critical illness mutual aid fund will pay 75%.

(3) If you transfer to a hospital outside the city for medical treatment, you should make direct online settlement at the hospital where you are receiving treatment; if you return to the back office of the insured place for verification, the fund payment will be 10% less than the network payment of the hospital where you are receiving treatment.

(4) In principle, no reimbursement will be made if the transfer procedures are not completed as required.

4. Resettlement in another place.

If the insured person needs to live outside the insured place for a long time or work abroad for more than one year due to retirement or work, he or she can apply for long-term residence procedures.

If a person resettled in another place is hospitalized in an agreed medical institution at the municipal level in the insured place or place of residence, the report shall be reported in accordance with the regulations of the insured place; if a person is hospitalized in a provincial third-level agreed medical institution, the report shall be reported in accordance with the regulations of a hospital transferred to a hospital outside the province or city.

The main contents of policy adjustments for urban and rural residents are 1. Individual payment.

The individual payment standard for urban and rural residents has been raised to 180 yuan/person.

2. Hospitalization in primary medical institutions.

For insured persons who are hospitalized in grass-roots contracted medical institutions, payment will be made from the time the hospitalization is cancelled. Each hospitalization will be 100 yuan as out-of-pocket medical expenses. Each hospitalization will be paid on a lump sum of 800 yuan. The insured person will pay 100 yuan out of pocket and the medical insurance fund will pay

700 yuan.

If the hospitalization medical expenses are less than 800 yuan, the actual payment will be made. If the insured person's out-of-pocket payment does not exceed 100 yuan, the balance will be returned to the insured person. If the insured person's out-of-pocket payment exceeds 100 yuan, the excess portion will be borne by the grassroots contracted medical institution; hospitalization

If the medical expenses exceed 800 yuan, the excess part will be borne by the grassroots contracted medical institutions.

3. Transfer within the medical consortium.

When insured persons receive their first consultation at a medical institution at or below the county level in the insured area, one-stop settlement will be implemented for transferred inpatients who meet the regulations within the medical consortium, without double calculation of hospitalization deductibles.

(The actual hospitalization deductible when transferring to a higher-level hospital = the hospitalization deductible of the higher-level medical institution - the hospitalization deductible of the transferred medical institution.) 4. Transfer to a hospital outside the city on your own.

In principle, insured persons will be referred step by step within the city. For those who transfer outside the city for treatment on their own, the hospitalization reimbursement rate will be reduced by 15%.

5. Simplify hospital transfer procedures.

The transfer approval procedures will be simplified. If the insured person really needs to be transferred to a hospital at or above the county level for treatment due to his or her condition, the medical institution will approve the transfer, and the insured person will go to the medical insurance agency in the insured place to go through the settlement procedures for out-of-town medical treatment.