Proportion of medical insurance reimbursement for orthopedic surgery
Dear hello, the social security reimbursement rate of orthopedic hospitals in the province is between 70% and 80%. 1. The proportion of hospitalization reimbursement for fracture patients is generally between 70% and 80%, mainly depending on the reimbursement level in different regions. Take up to 80% reimbursement as an example. Some treatments and drugs for fracture patients cannot be reimbursed. After careful calculation, the total reimbursement is about 50% to 60%. 2. Legal basis: Article 29 of the Social Insurance Law of People's Republic of China (PRC) stipulates that the part of the medical expenses of the insured person that should be paid by the basic medical insurance fund shall be directly settled by the social insurance agency, medical institution and pharmaceutical business unit. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.