1, the general outpatient medical expenses will be increased to 30% of the expenses in 300 yuan and below, and the reimbursement amount of residents' medical insurance outpatient expenses will be increased to 90 yuan per person per year;
2. For hospitalization expenses above Qifubiaozhun and below the annual maximum payment limit, the reimbursement ratio of residents' medical insurance fund: 86% in tertiary medical institutions, 89% in secondary medical institutions, and 92% in community health service centers, primary medical institutions and Huimin hospitals; The proportion of medical insurance reimbursement for employees in tertiary, secondary and primary medical institutions is 82%, 85% and 88% respectively;
3. The hospitalization expenses shared by the large medical insurance fund for urban workers and the insured according to the current large medical insurance policy are 654.38+10,000 yuan to 200,000 yuan, and the part exceeding 200,000 yuan will continue to implement the current large medical insurance policy for urban workers;
4, to participate in the urban basic medical insurance in Wuhan and enjoy the treatment of the disabled hospitalization, there is no Qifubiaozhun, while the urban basic medical insurance fund payment ratio increased by 2% on the basis of the current policy.
legal ground
People's Republic of China (PRC) social insurance law
Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations. Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope:
(a) shall be paid by the industrial injury insurance fund;
(2) It shall be borne by a third party;
(three) shall be borne by public health;
(4) Go abroad for medical treatment.
Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.