The reimbursement ratio of medical insurance in Fujian Province: the reimbursement ratio of employee medical insurance is 75%, and the minimum reimbursement ratio of new rural cooperative medical insurance is 70%.

The maximum payment limit of funds within the scope of employee medical insurance and urban residents' medical insurance will be increased to 6 times the average annual salary of local employees and residents' disposable income respectively.

In principle, each coordinating area determines the annual minimum payment line and ceiling line based on 1% and 25% of the average salary of employees in local full-scale urban units.

The reimbursement ratio for current employees will be increased to 75%, for retirees to 80%, and for those seeking treatment in primary medical institutions, it will be increased by another 10 percentage points.

Taking Fuzhou City as an example, the minimum payment line for outpatient medical insurance for employees has been reduced from 1,500 yuan to 800 yuan, the reimbursement ratio for employees has increased from 60% to 75% (85% for primary medical institutions), and the reimbursement ratio for retirees has increased from 60% to 75%.

70% is increased to 80% (90% for primary medical institutions), and the cap is increased from the original 10,000 yuan to 20,000 yuan.

The number of special disease types in employee medical insurance outpatient clinics has been adjusted uniformly across the province to 29.

Special outpatient diseases refer to inpatient management. In principle, the minimum payment line is determined by about 1% of the average salary of employees in local full-scale urban units. The cap line and hospitalization are combined for calculation (hypertension and diabetes are listed separately, and the limit is 6,000 yuan).

, the overall fund payment ratio is set in principle with reference to employee medical insurance hospitalization benefits.

It is worth mentioning that when the insured uses basic drugs that have been included in the medical insurance drug catalog at designated grassroots public medical institutions, there is no deductible for general outpatient services and outpatient special diseases, and the overall payment is paid by the overall fund on a proportional basis (excluding

The deductibles for general outpatient services and special outpatient services are accumulated).