The scope of medical insurance reimbursement in Inner Mongolia is clearly defined. Those who do not meet the requirements cannot be reimbursed, and the proportion of medical insurance reimbursement for employees and urban residents will increase to about 85% and 75% this year. The average reimbursement rate of hospitalization expenses in the medical insurance policy for urban workers in Inner Mongolia Autonomous Region is 83.88%, and the medical insurance for residents is 7.92%. It ranks in the top 1 in China, generally higher than neighboring provinces and regions. The average reimbursement rate of hospitalization expenses in the medical insurance policy for urban workers in Inner Mongolia Autonomous Region is 83.88%, and the medical insurance for residents is 7.92%. It ranks in the top 1 in China, generally higher than neighboring provinces and regions. This year, the proportion of employee medical insurance and urban residents' medical insurance reimbursement will increase to about 85% and 75%.

Six kinds of medical expenses are not included in the payment scope of the basic medical insurance pooling fund:

1. Medical expenses beyond the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards;

2. It should be paid from the industrial injury insurance fund;

3. It shall be borne by a third party;

4. It should be borne by public health;

5. seeking medical treatment abroad;

6. Other expenses not paid as stipulated by the state and the autonomous region.

Maximum reimbursement for medical insurance

In a medical year, the overall fund will compensate the insured for the hospitalization expenses and outpatient medical expenses for chronic diseases that do not exceed the maximum payment limit of 25, yuan. If necessary, the relevant departments can adjust the maximum payment limit according to regulations.

materials required for reimbursement of medical insurance in inner Mongolia

1. invoice (stamp) for hospitalization

2. detailed list of hospitalization expenses (stamp)

3. discharge record (stamp)

4. copy of volunteer letter (stamp) for using drugs and special medical treatment items outside the catalogue

5. legal basis of medical insurance card

. Social insurance agencies shall pay social insurance benefits in full and on time. ;

article 8 of the social insurance law of the people's Republic of China provides social insurance services, and is responsible for social insurance registration, personal rights and interests recording, social insurance benefits payment, etc.

article 28 medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards, and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.