The original outpatient co-ordination and out-patient chronic disease minimum payment standards (ranging from 600 to 2,200 yuan) of employee medical insurance have been cancelled. The new out-patient co-ordination policy does not set a minimum payment standard.
The new outpatient pooling fee payment limit covers the original outpatient pooling and the original outpatient chronic disease fund payment limit, and is an overall increase. The annual outpatient fee limit is increased from the original 3,333 yuan to 12,000 yuan to 15,000 yuan.
The higher the cost of outpatient medical treatment, the higher the proportion of overall fund payment; and it is appropriately tilted towards primary medical institutions and retirees. For expenses below 1,000 yuan (inclusive), the fund payment proportion is 40%-60%; for 1,000 yuan (exclusive)
-Fee of 5,000 yuan (inclusive), fund payment ratio is 60%-85%; fee of 5,000 yuan (exclusive)-15,000 yuan (inclusive), fund payment ratio is 65%-90%.
Outpatient co-ordination of security benefits: Warm reminder: Search the public account Nanjing Local Bao on WeChat, follow it and reply to Employee Medical Insurance in the dialog box. You can view the Nanjing Employee Medical Insurance various treatment standards Qingxin, sporadic reimbursement processing guide, etc.