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Medical insurance reimbursement ratio in Lanzhou Province

1. In the urban residents’ medical insurance in 2015, the threshold for hospital charges for Category III hospitals is 200.

The reimbursement rate of medical insurance is 85%.

2. The charging standard for Class II hospitals starts at RMB 400.

The reimbursement rate of medical insurance is 70%.

3. The starting point for charging standards for first-class hospitals is 600.

The reimbursement rate of medical insurance is 60%.

4. When a first-class hospital is transferred to the province for medical treatment, the starting point of the charging standard is 600.

The reimbursement rate of medical insurance is 60%.

5. For first-class hospitals transferring to other provinces for medical treatment, the starting point for charging standards is 600.

The reimbursement rate of medical insurance is 55%.

6. If you are hospitalized multiple times in one insurance year, the deductible payment standards for the first and second hospitalizations will be borne by the individual.

The deductible standard for hospitalization for the third time and above is paid from the overall fund.

The maximum payment limit for an insurance annual pooled fund is RMB 50,000.