The new policy of Anhui medical insurance reimbursement is as follows:

1, the reimbursement rate within the scope of medical insurance policy is stable at around 75%.

2. On the basis of the full implementation of serious illness insurance for urban and rural residents, measures such as lowering the deductible, increasing the reimbursement ratio, and reasonably determining the scope of compliant medical expenses will be taken to improve the accuracy of serious illness insurance payment for people in need. On the basis of doing a good job in medical assistance for low-income families, the elderly, minors, severely disabled people, seriously ill patients and other low-income families, as well as seriously ill patients from families poor due to illness, will be included in the scope of assistance and play a helping role.

Medical Insurance Reimbursement Policy of Anhui Provincial Hospital of Traditional Chinese Medicine

How to stipulate the reimbursement policy of Anhui medical insurance general outpatient service, how to stipulate that the reimbursement ratio of medical expenses for general outpatient service in medical institutions at or below the county level is 55%, how to stipulate the reimbursement policy of Anhui medical insurance, how to stipulate the reimbursement policy of Anhui medical insurance by household or person, and set the annual deductible line and reimbursement limit can expand the reimbursement scope of general outpatient service to county-level medical institutions.

The reimbursement rate of outpatient medical expenses for common chronic diseases in medical institutions in the province is 60%. At the same time, the annual deductible line and reimbursement limit are set according to the disease type, and the outpatient medical expenses of common chronic diseases in medical institutions outside the province can be included in the scope of reimbursement according to the regulations, which are specifically stipulated by the municipalities themselves.

Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks according to the reimbursement policy of medical insurance in Anhui Province.

The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation.

The establishment and implementation of the basic medical insurance system has gathered the economic strength of units and social members. With the government's funding, sick social members can get the necessary material help from society, reduce the burden of medical expenses, and prevent sick social members from becoming poor due to illness.

Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the contributions of employers and individuals. After the insured person has medical expenses, the medical insurance institution will give certain economic compensation.

The establishment and implementation of the basic medical insurance system has gathered the economic strength of units and social members. With the government's funding, sick social members can get necessary material help from the society, reduce the burden of medical expenses, and prevent sick social members from "poverty due to illness".

Medical insurance has the basic characteristics of social insurance, such as compulsion, mutual assistance and sociality. The medical insurance system is usually legislated and enforced by the state, and a fund system is established. The expenses are paid jointly by the employer and the individual, and the medical insurance premium is paid by the medical insurance institution to solve the medical risks caused by the illness or injury of the employees.

Medical insurance, like other types of insurance, collects medical insurance premiums from people threatened by diseases in advance in the form of contracts and establishes medical insurance funds; When the insured goes to a medical institution for medical treatment, the medical insurance institution will give him some economic compensation. Therefore, medical insurance also has two functions of insurance: risk transfer and compensation transfer. That is, the economic losses caused by individual disease risks are distributed to all members threatened by the same risks, and the economic losses caused by diseases are compensated by centralized medical insurance funds.

legal ground

People's Republic of China (PRC) social insurance law

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Article 3 The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.