1. Clarify the hospitalization qifubiaozhun

The employees insured by the basic medical insurance at the provincial level are hospitalized in the designated medical institutions of the first, second and third levels of medical insurance, and the hospitalization qifubiaozhun is 5 yuan, 65 yuan and 8 yuan respectively. If an employee is hospitalized for many times in the same level medical institution within one year, and the last hospitalization medical expenses exceed the Qifubiaozhun, it will be reduced by 2% in turn on the basis of the Qifubiaozhun of the medical institution where he lives, with a minimum of not less than 2 yuan.

2. Adjust the proportion of hospitalization reimbursement

The hospitalization threshold of the basic medical insurance at the provincial level is above, and the proportion of hospitalization reimbursement of the medical insurance pooling fund is adjusted as follows: the on-the-job employees are hospitalized in designated medical institutions at the first, second and third levels, and the amount paid by the pooling fund is 3, yuan (inclusive), and the reimbursement proportion within the policy scope is 91%, 88% and 83%; Overall fund payment is 3,-7, yuan (inclusive), and the reimbursement ratio within the policy scope is 93%, 9% and 85%; As a whole, the fund payment is 7,-2, yuan (inclusive), and the reimbursement ratio within the policy scope is 95%, 92% and 87%. In the above payment sections, the reimbursement ratio of medical insurance retired employees will be increased by 1 percentage point.

3. Adjust the proportion of reimbursement for hospitalization in different places

After filing in accordance with the relevant regulations on medical treatment in different places at the provincial level, the insured employees of basic medical insurance in Beijing, Tianjin, Shanghai, Guangzhou and Shenzhen (hereinafter referred to as "Beijing-Tianjin-Shanghai-Guangzhou-Shenzhen") are hospitalized for medical treatment (except those medical institutions in Beijing and Tianjin that are included in the mutual recognition scope of provincial-level medical insurance), and the proportion of reimbursement for hospitalization in basic medical insurance is reduced at all payment stages. The proportion of hospitalization reimbursement will not be reduced if you are hospitalized in the first-and second-level medical insurance designated points in Beijing, Tianjin, Shanghai, Guangzhou and Shenzhen, or in the designated medical institutions outside Beijing, Tianjin, Shanghai, Guangzhou and Shenzhen.

The new policy of medical treatment in different places in 222:

In fact, there are two major directions for medical treatment in different places. The first is to see whether the outpatient service can swipe the medical insurance card, and the second is whether the hospitalization can be settled in different places. Let's talk about the new policy of medical treatment in different places in 222 from the two parts of outpatient service and hospitalization:

1. Outpatient service: On February 1, 222, the National Health Insurance Bureau announced, On February 1st, 27 provinces (autonomous regions and municipalities) across the country launched a pilot project of direct settlement of general outpatient expenses across provinces, which covered:

2. Hospitalization: At present, more than 2 co-ordination areas have been realized, in the following places: < P > Shanxi, Inner Mongolia, Liaoning, Jilin, Huai 'an, Xuzhou, Zhejiang, Jiangxi, Shandong and Hunan.

although reimbursement can be made in different places, the reimbursement ratio is still in accordance with the policy of the insured place (hometown).

medical insurance will be opened nationwide in 222

since February 1, 222, 27 provinces, municipalities and autonomous regions in China have opened the trial operation of inter-provincial settlement of general outpatient expenses (excluding outpatient chronic diseases). The inter-provincial settlement of outpatient expenses depends on the unification of the national medical insurance settlement system. Therefore, as long as we go through the filing procedures for hospitalization in different places before going to see a doctor in different places, the direct settlement service for ordinary outpatient expenses will be opened simultaneously. Medical expenses incurred in outpatient clinics in different places can also be settled directly with medical insurance cards, and the insured person does not need to pay medical expenses in advance.