What is the reimbursement ratio of urban residents’ medical insurance? The second one is the elderly over 70 years old. In one accounting year, first-level hospitals have no minimum payment standard, and the reimbursement ratio is 65%; second-level hospitals have a minimum payment standard of 300 yuan, and third-level hospitals have a minimum payment standard of 500 yuan, and the reimbursement ratio is 60%; first-level hospitals There is no minimum payment standard for urban residents’ basic medical insurance. If you want to know more about the reimbursement standards for urban residents’ medical insurance, follow me. What is the reimbursement ratio of urban residents' medical insurance? The second is the elderly over 70 years old. In one accounting year, first-level hospitals have no minimum payment standard, and the reimbursement ratio is 65%; second-level hospitals have a minimum payment standard of 300 yuan, and third-level hospitals have a minimum payment standard of 500 yuan, and the reimbursement ratio is 60%; first-level hospitals There is no minimum payment standard for urban residents’ basic medical insurance. The minimum payment standard and reimbursement ratio are determined according to the category of insured persons. First, for students, the reimbursement rate is 65%. Third, other urban residents who incur 60,000 yuan of medical expenses that meet the regulations can be reimbursed 32,725 yuan [(60,000 yuan-500 yuan) × 55%]; if they are hospitalized in a first-level hospital and the medical expenses are 5,000 yuan, they can be reimbursed 3,250 yuan ( (5,000 yuan The hospital's minimum payment standard is 300 yuan. For example, if a child is sick, the reimbursement rate is 60%. If urban residents are hospitalized for more than two times in one accounting year, starting from the second hospitalization, the minimum standard fee will no longer be charged. For those who are transferred to another hospital or hospitalized for more than two times, the difference shall be made up according to the prescribed minimum payment standard for transfer or readmission to the hospital. If medical expenses of less than 100,000 yuan are incurred that meet the reimbursement scope, the minimum payment standard for third-level hospitals is 500 yuan, and the reimbursement ratio is 50%. , the reimbursement ratio is 55%; there is no minimum payment standard for first-level hospitals. In one accounting year, if medical expenses of less than 100,000 yuan are incurred that meet the reimbursement scope, the minimum payment standard for third-level hospitals is 500 yuan, and the reimbursement rate is 50%. Children. What is the reimbursement ratio of urban residents' basic medical insurance in a accounting year? The second is the elderly over 70 years old. Within a settlement year, the reimbursement ratio is 55%; the minimum payment standard for secondary hospitals is 300 yuan, and the reimbursement ratio is 60%. The minimum payment standard and reimbursement ratio of urban residents' basic medical insurance are determined by different standards according to the category of insured persons. One is students. In a settlement year, if medical expenses of less than 100,000 yuan are incurred that meet the scope of reimbursement, the minimum payment standard for third-level hospitals is 500 yuan, and the reimbursement ratio is 50%. For example, if a child is sick, the reimbursement rate is 60%; there is no minimum payment standard for first-level hospitals, and the minimum payment standard for third-level hospitals is 500 yuan, and the reimbursement rate is 60%. If urban residents are hospitalized for more than two times in one accounting year, starting from the second hospitalization, the minimum standard fee will no longer be charged. For those who are transferred to another hospital or hospitalized for more than two times, the difference shall be made up according to the prescribed minimum payment standard for transfer or readmission to the hospital, and the reimbursement rate is 55%; there is no minimum payment standard for first-level hospitals; the minimum payment standard for second-level hospitals is 300 yuan, and the reimbursement rate is 300 yuan. is 65%. The third is other urban residents; there is no minimum payment standard for first-level hospitals, and the reimbursement ratio is 65%. If medical expenses below 100,000 yuan are incurred that meet the reimbursement scope, the minimum payment standard for third-level hospitals is 500 yuan, and the reimbursement ratio is 50%. Medical expenses of less than 180,000 yuan and children that meet the scope of reimbursement. In one accounting year, if the medical insurance reimbursement ratio for urban residents hospitalized in a tertiary hospital is more than 10,000 yuan, the excess portion will be "reimbursed" by the critical illness insurance fund at a rate of 55%. The maximum annual personal payment limit for critical illness insurance funds is 250,000 yuan. 4. Reimbursement amount: A maximum of 370,000 yuan can be reimbursed each year. Residents participating in our city's urban residents' medical insurance, and the reasonable self-pay part) exceeds 2, no payment will be accepted. 1. General residents in urban areas and students in primary schools, middle schools and high schools, please bring your payment voucher and medical insurance card cost of 7 yuan to the district social insurance center where your household registration is (or where your family lives) to apply for a medical insurance card. 3. Renewal of insured persons: Please bring your resident ID card or resident medical insurance card, 90%, and secondary reimbursement ratio. After "secondary reimbursement", there may be "re-reimbursement" for medical expenses incurred by insured residents in a single hospitalization. Among them, the part that falls within the payment scope of the basic medical insurance co-ordination fund for urban residents. After the basic medical insurance co-ordination fund pays the proportion, the personal burden exceeds 8,000 yuan, and the excess part will be paid by the critical illness insurance fund at a rate of 55%. reimbursement”. For the medical expenses incurred by insured residents who have been hospitalized multiple times in a year, after payment of basic medical insurance and "secondary reimbursement", the cumulative annual hospitalization medical expenses (including compliance and 80%) paid by the individual. If insured for 10 consecutive years from 2007 From the next day of payment, the inpatient reimbursement rate of the medical insurance fund will increase by 5 percentage points, and there will be no deductible for outpatient reimbursement for general outpatient services. All insured residents will enjoy general outpatient treatment within a medical insurance year. There will be no deductible for outpatient reimbursement. Medical expenses within the payment scope of the overall fund are reimbursed at a rate of 60%, and the maximum annual personal payment limit of the overall fund is 400 yuan.
2. Hospitalization reimbursement ratio: The longer you have been continuously insured, the greater the reimbursement ratio. Every insured resident who has paid continuously for 5 years must go through the insurance registration procedures; 2. After 5 working days, please bring your household registration book or resident ID card to the nearest For payment at a bank outlet, the cumulative amount does not exceed 10 percentage points. Children and adolescents participating in the insurance for the first time: Please bring the original and copy of your household registration book (or resident ID card). The annual payment limit of the basic medical insurance is 120,000 yuan, and the maximum annual payment limit for the insured is Reimbursed 370,000 yuan. Urban Resident Medical Insurance Payment Processing From August 1, 2018 to November 30, 2018, the overdue payment system will be closed. 3. So at the third level, what is the reimbursement ratio of urban residents’ medical insurance in the community where the household registration is (or family residence)? First, students and children. In one accounting year, if medical expenses of less than 180,000 yuan are incurred that meet the reimbursement scope, the minimum payment standard for third-level hospitals is 500 yuan, and the reimbursement ratio is 55%; the minimum payment standard for second-level hospitals is 300 yuan, and the reimbursement ratio is 60%; There is no minimum payment standard for first-level hospitals, and the reimbursement rate is 65%. The second is senior citizens over 70 years old. In one accounting year, if medical expenses of less than 100,000 yuan are incurred that meet the reimbursement scope, the minimum payment standard for third-level hospitals is 500 yuan, and the reimbursement ratio is 50%; the minimum payment standard for second-level hospitals is 300 yuan, and the reimbursement ratio is 60%; There is no minimum payment standard for first-level hospitals, and the reimbursement rate is 65%. The third is other urban residents. In one accounting year, if medical expenses of less than 100,000 yuan are incurred that meet the reimbursement scope, the minimum payment standard for third-level hospitals is 500 yuan, and the reimbursement ratio is 50%; the minimum payment standard for hospitalization in second-level hospitals is 300 yuan, and the reimbursement ratio is 55%. ; There is no minimum payment standard for first-level hospitals, and the reimbursement rate is 60%. If urban residents are hospitalized for more than two times in one accounting year, starting from the second hospitalization, the minimum fee will no longer be charged. If you are transferred to another hospital or hospitalized for two or more times, the difference will be made up according to the prescribed minimum payment standard for transfer or readmission to the hospital. For example, if a child is sick and is hospitalized in a third-level hospital and incurs 60,000 yuan of medical expenses that meet the regulations, he can be reimbursed 32,725 yuan [(60,000 yuan-500 yuan) × 55%]; if he is hospitalized in a first-level hospital, the medical expenses 5,000 yuan, you can be reimbursed 3,250 yuan (5,000 yuan × 65%). I am a member of the resident medical insurance. What is the threshold fee and reimbursement ratio for hospitalization? The answer given by netizens is: the starting point of the charging standard is 600. The reimbursement rate of medical insurance is 60%. 5. For first-class hospitals transferring to other provinces for medical treatment, the starting point for charging standards is 600. The reimbursement ratio of medical insurance is 60%, and the reimbursement ratio is 55%; there is no minimum payment standard for first-class hospitals, and the threshold fee and reimbursement ratio standards are 1. First-class hospitals transfer to the province for medical treatment, and urban residents’ medical insurance, third-class The hospital's hospital fee standard threshold is 200. The maximum payment limit for an insurance annual pooled fund is RMB 50,000. The reimbursement rate of medical insurance is 85%. 2. The charging standard for Class II hospitals starts at RMB 400. The reimbursement ratio of medical insurance is 70%. The reimbursement ratio for residents is: 60% for town health centers; 40% for secondary hospitals; and 30% for tertiary hospitals. 2. For urban residents who incur medical expenses of less than 100,000 yuan within the scope of reimbursement within a accounting year, the minimum payment standard for third-level hospitals is 659 yuan, and the reimbursement ratio is 50% and the upper limit is 2,000 yuan. 3. The starting point for charging standards for first-class hospitals is 600. 5. The deductible standard for hospitalization for the third time and above is paid from the overall fund. The reimbursement rate of medical insurance is 55%. The above is the compiled knowledge.