After applying for a medical insurance card, you can use the medical insurance card to reimburse part of the medical premiums when you go to the hospital.
However, some Bozhou citizens are not sure what the reimbursement ratio of Bozhou's medical insurance is. According to national regulations, the town health center reimburses 60%; the second-level hospital reimburses 40%; the third-level hospital reimburses 30%.
See below for details: Regarding the guide to medical insurance reimbursement, I have just compiled the relevant content. I hope it will be helpful to you: 2020 National Social Security and Medical Insurance Application Reimbursement Process!
Outpatient reimbursement ratio (1) Village clinics and village center clinics are reimbursed 60% for visits, with a limit of 10 yuan for prescription drugs per visit, and a limit of 50 yuan for prescription drugs for temporary rehydration by doctors at the health center.
(2) The town health center will reimburse 40% of the fees for each visit, with a limit of 50 yuan for examination fees and surgical fees, and a limit of 100 yuan for prescription drugs.
(3) 30% reimbursement for visits to secondary hospitals, with a limit of 50 yuan for examination fees and surgical fees for each visit, and a limit of 200 yuan for prescription drugs.
(4) 20% reimbursement for visits to tertiary hospitals, with a limit of 50 yuan for examination fees and surgical fees for each visit, and a limit of 200 yuan for prescription drugs.
(5) There is a limit of 1 yuan per prescription attached to the traditional Chinese medicine invoice.
(6) The annual compensation limit for town-level cooperative medical outpatient clinics is 5,000 yuan.
Hospitalization reimbursement ratio (1) Reimbursement scope: A. Medication expenses: auxiliary examinations: ECG, X-ray, film, laboratory tests, physical therapy, acupuncture, CT, MRI and other examination fees are limited to 200 yuan;
Surgery fee (refer to national standards, if it exceeds 1,000 yuan, it will be reimbursed at 1,000 yuan).
B. For elderly people over 60 years old who are hospitalized in Xingta Town Health Center, treatment and nursing fees will be compensated 10 yuan per day, with a limit of 200 yuan.
(2) Reimbursement ratio: 90% for major diseases; 60% for town health centers; 40% for second-level hospitals; 30% for third-level hospitals.
Reimbursement ratio for serious illness and cancer (1) Town risk fund compensation: All inpatients participating in cooperative medical care whose one-time or annual cumulative medical expenses exceed 5,000 yuan will be compensated in stages, that is, 65% compensation for 5,001-10,000 yuan, and 65% compensation for 10,001-18,000 yuan.
Compensation 70%.
The annual limit of compensation for town-level cooperative medical inpatient and uremia outpatient hemodialysis, cancer outpatient radiotherapy and chemotherapy is 11,000 yuan.
Brother Bao’s tip: What is the reimbursement ratio of Bozhou’s medical insurance?
60% reimbursement for visits to village clinics and village central clinics, 40% reimbursement for visits to town health centers, 30% reimbursement for visits to secondary hospitals, and 20% reimbursement for visits to tertiary hospitals.
Elderly people over 60 years old who are hospitalized in Xingta Town Health Center will be compensated 10 yuan per day for treatment and nursing fees.
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