No out-of-pocket means these items are reported directly according to the reimbursement ratio.

Personal out-of-pocket expenses refer to all expenses that are borne by the individual outside the scope of reimbursement (such as self-paid drugs outside the catalog and expenses that exceed the maximum reimbursement limit).

Personal self-pay refers to the expenses that are within the scope of reimbursement but require the individual to bear part of the cost (generally Class B drugs or Class B medical services, the individual is required to pay part of it out of pocket. If "B 10%" is printed in the drug details on the invoice, it means that the individual pays for Class B drugs.

10%) Personal responsibility refers to the expenses within the scope of reimbursement that are not reimbursed according to the medical insurance policy and must be borne by the individual, which is generally the deductible line.

Extended information Article 28 of the Social Insurance Law of the People's Republic of China: Medical expenses that meet the basic medical insurance drug catalog, diagnosis and treatment item catalog, medical service facility standards, and emergency and rescue medical expenses shall be deducted from the basic medical insurance fund in accordance with national regulations.

payment in.

Inpatient medical treatment within the scope of the "Qinghai Province Basic Medical Insurance Work-related Injury Insurance and Maternity Insurance Drug Catalog", "Qinghai Province Public Hospital Medical Service Project Guidance Prices", and "Qinghai Province Medical Institution Service Facilities Catalog" (hereinafter referred to as the "three catalogs")

Expenses will be reimbursed by Xining Basic Medical Insurance in proportion.

Expenses outside the "three catalogs" are self-pay expenses, and personal self-pay expenses are not included in the scope of serious illness reimbursement.