1, within one year, the minimum payment standard for general outpatient service is 1200 yuan; The limit of medical expenses paid by the overall fund is 4,000 yuan for employees, 5,000 yuan for retirees and 6,000 yuan for old workers who participated in revolutionary work before the founding of the People's Republic of China;

Medical expenses exceeding Qifubiaozhun and within the payment limit shall be paid by the overall fund for 70% in the first-visit medical institutions, and 60% and 50% in the second-and third-class medical institutions according to regulations.

2. On the basis of the above treatment, those who meet the conditions for the first diagnosis and referral shall be paid 50% of the medical expenses exceeding 6000 yuan and 65438+ 10,000 yuan by the employee's large medical expenses subsidy fund. If it is not handled according to the regulations, it will be reduced by 10 percentage point.

3. The fees include inspection fees (CT, ultrasound, magnetic vibration, etc. ), treatment costs (acupuncture, massage, etc. ) and medical expenses (Chinese medicine, western medicine, Chinese patent medicine, etc. ).

4. Compliance medical expenses, such as magnetic resonance imaging (MRI), X-ray computed tomography (CT), digital angiography, and cardiac color Doppler examination, which need to be carried out in the outpatient department due to illness, should be included in the general outpatient department as a whole.

Extended data:

The general outpatient department will fully implement the first-visit referral system;

1, the general outpatient department implements the first-visit referral system as a whole. The insured shall be treated in the prescribed first-visit medical institution, and if referral is needed due to illness, the first-visit medical institution shall be responsible for referral to other medical institutions in the city; Need outside referral, in accordance with the relevant provisions of the outside referral.

2, the first diagnosis and referral of medical institutions. The first-time medical institutions are determined to be in primary medical institutions such as first-class township hospitals; Referral medical institutions in the city are determined by designated medical institutions at or above the second level.

3. If the insured fails to go through the referral procedures according to the provisions of the first diagnosis and local referral, medical expenses will occur in designated medical institutions above the second level, and the proportion of fund payment will be reduced by 10%. Emergency rescue of insured persons and medical treatment in different places. Insured persons seeking medical treatment in different places are not restricted by the first visit and referral.

4, the insured in accordance with the provisions for the first diagnosis, referral procedures, referral medical institutions in this city has not changed, referral procedures continue to be effective; If the medical institutions referred in the city change, it is necessary to re-apply for the first consultation and referral procedures.