Hospitalization deductible standard 1. The hospitalization deductible standard for urban employees and residents in the municipality's overall planning area. Medical institutions below the second level (including the second level) will continue to implement the past hospitalization deductible standard, that is: medical institutions at the first level and below

300 yuan, 600 yuan for secondary medical institutions; 1,500 yuan for tertiary medical institutions; for urban employees and residents who are approved to be transferred to hospital outside the city's coordinated area, the hospitalization deductible standard is 1,800 yuan.

2. The hospitalization deductible standard for students and children in medical institutions below the second level (including second level) within the city's overall planning area will continue to implement the past hospitalization deductible standard, that is: 150 yuan for first-level and lower medical institutions, and 150 yuan for second-level medical institutions.

300 yuan; tertiary medical institutions 800 yuan; for students and children who are approved to be transferred to hospital outside the city's coordinated area, the hospitalization deductible standard is 1,100 yuan.

3. After the implementation of the hierarchical diagnosis and treatment system for hospitalization deductibles for persons resettled in other places, if people who are approved to be resettled in other places are hospitalized in the resettlement place, the hospitalization deductibles for urban employees in the city's overall coordination area will be implemented.

Hospitalization fee medical insurance fund payment ratio 1. Urban employees’ hospitalization fee medical insurance fund payment ratio within the city’s overall planning area. Medical institutions below the second level (including second level) will continue to implement the past hospitalization fee medical insurance fund payment ratio, that is: first-level and below medical treatment

92% for medical institutions, 90% for secondary medical institutions; 85% for tertiary medical institutions; for urban employees who are approved to be transferred and hospitalized outside the city's coordinated area, the fund payment ratio is 83%.

If a retired employee is hospitalized, the fund payment ratio will be increased by two percentage points.

2. The payment ratio of medical insurance fund for hospitalization expenses of urban residents (including students and children) in the municipality's overall planning area. Medical institutions below the second level (including second level) will continue to implement the payment ratio of the medical insurance fund for hospitalization expenses in the past, that is: medical institutions at the first level and below

90%, 78% in secondary medical institutions; 62% in tertiary medical institutions.

For urban residents (including students and children) who are approved to be transferred to hospital outside the city's coordinated area, the fund payment ratio is 60%.

3. After the implementation of the hierarchical diagnosis and treatment system for the payment ratio of the medical insurance fund for hospitalization expenses of persons resettled in other places, if the approved persons resettled in other places are hospitalized in the resettlement place, the fund payment ratio shall be based on the payment ratio of the medical insurance fund for the hospitalization expenses of urban employees in the city's overall coordination area.

10. If referrals are strictly implemented in accordance with the requirements of the hierarchical diagnosis and treatment system, what discounts can patients enjoy?

When hospitalized in the city's coordinated area and the cost exceeds the deductible standard: If hospitalization is transferred to a primary-level, first-level or second-level medical insurance medical institution, the deductible line of the higher-level medical insurance medical institution shall be the difference between the deductible lines of the two-level medical insurance medical institutions.

; If hospitalization is transferred to a third-level medical insurance medical institution, the individual will no longer pay the deductible fee for the primary or second-level medical insurance medical institution.