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What is the reimbursement ratio of medical insurance for urban residents in 223?

The formal integration of the basic medical insurance for urban residents and the new rural cooperative medical system has further strengthened the protection of the insured people, and it is a new policy that benefits the people and the people. So what is the reimbursement ratio of medical insurance for urban residents? Let's take a look. The reimbursement rate of urban residents' medical insurance tells you about urban residents' medical care ... If you want to know more about the reimbursement rate of urban residents' medical insurance, let's take a look with me. What is the reimbursement ratio of urban residents' medical insurance in 222? The basic medical insurance for urban residents and the new rural cooperative medical system are formally integrated, which further strengthens the protection of the insured people and is a new policy that benefits the people and the people. Each region is different. For example, the reimbursement ratio of medical insurance for urban residents in Xi 'an is as follows: the hospitalization medical expenses that meet the requirements above the threshold and below the maximum payment limit are paid in designated medical institutions at different levels according to the following ratios: 1. Community health service institutions for urban non-employed residents pay 7% from the overall fund and 3% from the individual; A hospital, the overall fund to pay 6%, individuals bear 4%; Secondary hospitals, the overall fund pays 5%, and individuals bear 5%; In tertiary hospitals, 4% is paid by the overall fund and 6% is borne by individuals. 2. The proportion of children's overall fund payment shall be increased by 5% according to the corresponding standard of urban non-employed residents. (4) Serious outpatient diseases include: special outpatient diseases (radiotherapy and chemotherapy for malignant tumors, outpatient renal dialysis, taking anti-rejection drugs after organ transplantation) and chronic diseases (hypertension, coronary heart disease, diabetes). The measures for the administration of outpatient treatment of special diseases and chronic diseases shall be implemented with reference to the relevant provisions of the basic medical insurance for urban workers. Outpatient treatment of special diseases: 5% from the overall fund and 5% from the individual; Outpatient treatment of chronic diseases: In one year, if the medical expenses for outpatient treatment of chronic diseases in designated medical institutions exceed 35 yuan, the excess will be paid by the overall fund according to the standard of 5%, and the maximum payment limit of the overall fund is 2, yuan. (five) the medical expenses above the maximum payment limit of the basic medical insurance for urban residents and beyond the scope of payment are no longer borne by the overall fund, which can be solved by establishing large medical subsidies, commercial health insurance or medical assistance. (six) the balance rate of the basic medical insurance fund for urban residents shall not exceed 15%, and the risk reserve shall not be less than 15%. Notice on Printing and Distributing the Interim Measures of Basic Medical Insurance for Urban Residents in Xi 'an Chapter III Basic Medical Insurance Benefits Article 15 The basic medical insurance for urban residents mainly guarantees hospitalization and outpatient medical treatment for serious diseases. Sixteenth basic medical insurance for urban residents, the scope of medication, diagnosis and treatment items, the scope of service facilities and the catalogue of inpatient diseases are temporarily implemented according to the relevant provisions of the basic medical insurance for urban employees, and may be revised in a timely manner according to the actual situation. Appropriately increase the proportion of payment from the overall fund for the treatment of insured residents with traditional Chinese medicine, and appropriately increase the drugs, diagnosis and treatment projects and service facilities suitable for children and adolescents. The specific measures shall be formulated separately by the municipal labor and social security administrative department in accordance with the relevant provisions of the state and province. Article 17 The basic medical insurance for urban residents shall be managed by designated medical institutions (including designated community health service institutions). If the insured urban residents meet the requirements and need hospitalization, they can choose the designated medical institutions for the basic medical insurance for urban employees in Xi 'an for medical treatment. Emergency and rescue patients are not subject to this restriction, but they should go through the examination and approval procedures at the district medical insurance agency within 3 working days. Article 18 The medical expenses incurred by insured urban residents in designated medical institutions for hospitalization (including family beds) that meet the requirements of medical insurance settlement and payment shall be paid in proportion to the hospital level and the maximum payment limit shall be controlled. (a) Qifubiaozhun according to different types of designated medical institutions are divided into: community health service institutions in 25 yuan; 35 yuan, a first-class hospital; 5 yuan, a secondary hospital; 7 yuan, a tertiary hospital. (2) Annual cumulative maximum payment limit (total expenses of serious illness in hospitalization and outpatient service): 35, yuan for urban non-employed residents and 4, yuan for children (if the insured urban residents have paid for 1 years continuously, the maximum payment limit can be appropriately increased from next year). (3) The hospitalization medical expenses that meet the requirements from the minimum threshold to the maximum payment limit shall be paid in the following proportions in designated medical institutions at different levels: 1. Community health service institutions for urban non-employed residents shall pay 7% from the overall fund and bear 3% from the individual; A hospital, the overall fund to pay 6%, individuals bear 4%; Secondary hospitals, the overall fund pays 5%, and individuals bear 5%; In tertiary hospitals, 4% is paid by the overall fund and 6% is borne by individuals. 2. The proportion of children's overall fund payment shall be increased by 5% according to the corresponding standard of urban non-employed residents. (4) Serious outpatient diseases include: special outpatient diseases (radiotherapy and chemotherapy for malignant tumors, outpatient renal dialysis, taking anti-rejection drugs after organ transplantation) and chronic diseases (hypertension, coronary heart disease, diabetes). The measures for the administration of outpatient treatment of special diseases and chronic diseases shall be implemented with reference to the relevant provisions of the basic medical insurance for urban workers. Outpatient treatment of special diseases: 5% from the overall fund and 5% from the individual; Outpatient treatment of chronic diseases: In one year, if the medical expenses for outpatient treatment of chronic diseases in designated medical institutions exceed 35 yuan, the excess will be paid by the overall fund according to the standard of 5%, and the maximum payment limit of the overall fund is 2, yuan. (five) the medical expenses above the maximum payment limit of the basic medical insurance for urban residents and beyond the scope of payment are no longer borne by the overall fund, which can be solved by establishing large medical subsidies, commercial health insurance or medical assistance. (six) the balance rate of the basic medical insurance fund for urban residents shall not exceed 15%, and the risk reserve shall not be less than 15%.