Since January 1, 223, Nanjing has implemented the economic security mechanism for medical insurance outpatient service for employees, which means that medical insurance for employees can reimburse outpatient expenses. What is the reimbursement ratio for medical insurance outpatient service for employees in Nanjing?
The reimbursement rate of medical insurance outpatient service for employees in Nanjing in 223
The following is the reimbursement rate of medical insurance outpatient service for employees in Nanjing:
The expenses below p>1 yuan (inclusive) will be paid by the fund 4%-6%; 1 yuan (excluding)-5, yuan (including), and the fund pays 6%-85%; 5, yuan (excluding)-15, yuan (including), and the fund pays 65%-9%.
In addition, the outpatient co-ordination of Nanjing employees' medical insurance cancels the deductible standard, the original outpatient co-ordination and outpatient chronic disease deductible standard (ranging from 6 to 2,2 yuan), the new outpatient co-ordination policy does not set the deductible standard, and the new outpatient co-ordination fee payment limit covers the original outpatient co-ordination and the original outpatient chronic disease fund payment limit, which is generally improved, and the annual outpatient fee limit is increased from 33.33 to 12, yuan to 15, yuan.
In addition, the personal account entry policy in Nanjing will also be adjusted. From January, 223, the personal account of employees will be included in the basic medical insurance premium paid by individuals every month, and the inclusion standard is 2% of the base of my insurance payment.
from January, 223, the personal account of retirees (retired) will be transferred according to the amount allocated in my personal account in December, 222. In 223, the new retirees in that year were approved to transfer the amount according to 5.4% of the pension in the month of retirement, and they were included in the monthly quota. If the employee's medical insurance insured person turns to retirement on the job, after completing the relevant formalities, the employee's medical insurance retiree's personal account will be included in the implementation method from the next month.
Generally speaking, Nanjing has implemented the medical insurance outpatient service economic security mechanism, which has improved the outpatient reimbursement treatment and reduced the burden of outpatient medical expenses for the insured. That's all. I hope it will help you.