The reimbursement rate of medical insurance hospitalization in Dongguan depends on hospitalization expenses. Less than 50 thousand yuan, according to the proportion of 85% to 95% reimbursement. The medical expenses of RMB 500,000 to RMB 654.38+10,000 shall be reimbursed at the rate of 60 to 75%, and the medical expenses of RMB 10 to150,000 shall be reimbursed at the rate of 45 to 55%. Moreover, the level of hospitals outside the city is different, and the same reimbursement ratio is different, generally ranging from 30% to 80%, depending on the specific cost and hospital level.
Reimbursement for Zhongshan: 600 yuan, a first-class hospital, 800 yuan, a second-class hospital, a third-class hospital 1, 000 yuan, and a superior hospital outside the city 1, 200 yuan. For the part exceeding the minimum payment limit, 90% shall be paid by the medical insurance fund of the first-and second-class hospitals in the city, and the individual shall pay 10%. The reimbursement amount assumes that a citizen spent 1000 yuan in a hospital and spent it in a first-class hospital. According to the minimum payment standard, the reimbursement amount is 400 yuan, 400x90% is 360 yuan, and the final reimbursement amount is 360 yuan. To sum up, how much money can be reimbursed is closely related to hospital level, reimbursement ratio, Qifubiaozhun and citizenship. Among them, if the hospitalization expenses are below 10000 yuan, the basic medical insurance fund will pay 80% and the individual will pay 20%.