According to the Regulations on Basic Medical Insurance for Urban Workers in Hunan Province, the reimbursement rate of medical insurance in Changsha in 2023 will be 60%, of which the reimbursement rate of outpatient serious illness will be increased to 80%, that is, the highest reimbursement rate of outpatient serious illness can reach 80% if it meets the conditions. The proportion of outpatient reimbursement for chronic diseases has also increased, and will gradually increase to 60%. At the same time, a differentiated reimbursement policy is implemented for special groups such as women and children. In addition, in 2023, Changsha also stipulated a series of medical insurance-related policies, such as further compressing drugs outside the catalogue, implementing a total medical expenses control system, and improving medical insurance payment methods. At the same time, Changsha has also launched the "Internet+Medical Health" service, which is convenient for residents to make online appointments, inquire about medical service information and understand medical security policies. It should be noted that the proportion of medical insurance reimbursement refers to the proportion that some eligible expenses are paid by the medical insurance fund, and residents still have to pay a certain amount of out-of-pocket expenses. At the same time, the specific reimbursement ratio of different medical items is also different. For details, please consult local medical insurance institutions or relevant departments.
Do I need to participate in medical insurance payment again to apply for a new medical insurance card? When the individual medical insurance payment has been continuously completed for 12 months, you can apply for a new medical insurance card without re-participating in medical insurance payment. It should be noted that while replacing the medical insurance card, it may be necessary to update relevant information, such as household registration address and contact information. At the same time, medical insurance policies and standards are different in different regions. It is recommended to know in advance to ensure that your rights and interests are effectively protected.
The proportion of medical insurance reimbursement is an important part of medical insurance policy. In 2023, the proportion of medical insurance reimbursement in Changsha will be 60%, of which the proportion of outpatient reimbursement for serious illness will increase to 80%, and the proportion of outpatient reimbursement for chronic diseases will also increase. At the same time, a differentiated reimbursement policy will be implemented for some special groups. When applying for a new medical insurance card, the individual pays the medical insurance fee for more than 12 months, and does not need to participate in the medical insurance payment again.
Legal basis:
Article 29 of the Social Insurance Law of People's Republic of China (PRC), the medical and military expenses of the insured paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.