1, inpatient and outpatient diseases
For those who are hospitalized in designated medical institutions and treated for serious illness in outpatient clinics due to illness, the reimbursement ratio of medical expenses within the scope of overall payment and above Qifubiaozhun is: 90% for first-class medical institutions, 85% for second-class medical institutions and 80% for third-class medical institutions. Outpatient serious diseases are divided into quota management diseases and non-quota management diseases, of which quota management diseases set the annual maximum reimbursement limit.
2, outpatient treatment as a whole
Implement outpatient co-ordination and fixed-point signing and quota management. In designated community medical institutions (including streets, town health centers, village clinics, etc.). ), in line with the scope of outpatient co-ordination payment of general outpatient medical expenses, by the basic medical insurance co-ordination fund in accordance with the proportion of 40% payment, of which basic drugs in accordance with the proportion of 50% payment, the highest payment of 300 yuan within one year.