According to "Notice of the State Council on Further Strengthening the Basic Medical Insurance for Urban and Rural Residents" and "National Medical Insurance Drug List", Nanchong City has made relevant provisions for insured persons to seek medical treatment in different places. Nanchong adopts the method of "fixed subsidy plus proportional reimbursement", in which the standard of medical insurance fixed subsidy is 500 yuan/year. The specific reimbursement rate varies according to different provinces, as shown in the following figure: Medical treatment in different places in the province: the reimbursement rate is 80%, of which the reimbursement rate for outpatient service can reach up to 90% and the reimbursement rate for hospitalization can reach up to 95%. Inter-provincial medical treatment in different places: the reimbursement rate is 70%, of which the highest reimbursement rate for outpatient service is 80% and the highest reimbursement rate for hospitalization is 85%. It should be noted that Nanchong City has only made a general provision on the reimbursement ratio, and the specific value may change due to the influence of local government, hospitals and other factors.
What are the restrictions on Nanchong's reimbursement policy for medical treatment in different places? Nanchong City has implemented some restrictive measures for reimbursement of medical treatment in different places, such as the need to designate hospitals and the need to include medical expenses in the medical insurance catalogue. Nanchong City has also implemented different quota standards for each medical item.
Nanchong City provides medical reimbursement services for insured persons in different places, and clearly stipulates the reimbursement ratio. For the insured who seek medical treatment in different places, it is recommended to carefully understand the local medical insurance policy before seeking medical treatment to avoid difficulties in subsequent reimbursement. In case of doubt, it is recommended to consult relevant departments in time.
Legal basis:
"Notice of the General Office of the State Council on Printing and Distributing the National Insurance Payment Standard, the Individual Payment Standard of Basic Medical Insurance and the Upper Limit of Payment" Article 7 If the insured persons of basic medical insurance for urban and rural residents seek medical treatment outside the local overall planning area, their reasonable and necessary medical expenses shall be paid by the basic medical insurance fund of the place where they seek medical treatment, and the proportion and limit of payment shall be implemented in accordance with the relevant provisions of direct settlement across provinces (including below the provincial level).