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in p>219, the proportion of urban and rural medical insurance reimbursement in Foshan, and the process of medical insurance reimbursement for urban and rural residents in Foshan.

The general outpatient medical insurance reimbursement treatment is divided into community health service institutions, town (street) hospitals and first-class hospitals, and the reimbursement rate is 9%; The second-class hospital is a second-class medical institution, with 7% reimbursement; The third-level hospital is a third-class medical institution, with 4% reimbursement.

when the insured person goes to a medical institution for general outpatient treatment, the expenses incurred by the prescribed drug expenses and routine basic medical services (three routines, electrocardiogram, black-and-white B-ultrasound, chest X-ray and blood sugar monitoring) included in the reimbursement scope shall be paid by the pooling fund according to the following provisions: that is, the community health service institutions, town (street) hospitals and first-class hospitals belonging to the first-class medical institutions are 9%; 7% of the secondary hospitals belonging to the second-class medical institutions; 4% of tertiary hospitals belong to the third-class medical institutions.

The hospitalization minimum payment standard for hospitalization medical insurance reimbursement in Gaoming District. The minimum payment standard for pooling funds is: 1,2 yuan per time for the third-class medical institution, 6 yuan for the second-class medical institution and 3 yuan for the first-class medical institution.

the medical expenses incurred by the insured in the designated medical institutions in the city and included in the scope of payment by the overall fund shall be paid by the overall fund to the maximum payment limit according to the types of hospitals: 95% for the first-class medical institutions, 9% for the second-class medical institutions, and 85% for the third-class medical institutions (9% for the funds for surgical treatment of malignant tumors, cardiac and brain diseases and hospitalization for liver, kidney and bone marrow transplantation).

In the treatment of outpatient specific diseases and chronic diseases in Gaoming District, there is no deductible line for outpatient specific diseases, and the reimbursement ratio is the same as that of hospitalization (95% for first-class medical institutions, 9% for second-class medical institutions, 85% for third-class medical institutions, and 9% for serious and serious diseases in third-class hospitals); The annual quota is divided into three grades, the low-grade quota is 4,5 ~ 5,5 yuan, the middle-grade quota is 4, ~ 45, yuan, and the high-grade quota is 1, yuan.

There is no deductible line for chronic diseases in outpatient department, and the reimbursement rates are 85% for first-class medical institutions, 8% for second-class medical institutions and 75% for third-class medical institutions, with an annual limit of 4,5-5,5 yuan.