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Proportion of medical insurance reimbursement for employees in Xiangyang City
Reimbursement ratio:

1. The first-class standard insured personnel are: 80% paid by the first-class and below medical institutions, 60% paid by the second-class medical institutions, and 50% paid by the third-class and above medical institutions;

2. The second-level standard insured personnel are: 85% paid by the first-level and below medical institutions, 70% paid by the second-level medical institutions, and 60% paid by the third-level and above medical institutions.

First, medical insurance reimbursement conditions:

1. Insured persons must go to the designated medical institutions of basic medical insurance or to the designated retail pharmacies determined by social insurance institutions with medical prescriptions issued by doctors in designated hospitals.

2. The medical expenses incurred by the insured in the process of medical treatment must conform to the scope and payment standards of the basic medical insurance drug list, medical treatment items and medical service facilities standards, and can be paid by the basic medical insurance fund according to regulations.

3. Among the medical expenses that the insured meets the scope of payment of basic medical insurance, the part that is higher than the Qifubiaozhun of social medical co-ordination fund and lower than the maximum payment limit shall be paid by social medical co-ordination fund in a unified proportion.

Two, the following medical expenses are not included in the basic medical insurance fund payment:

1. should be paid from the industrial injury insurance fund;

2. Should be borne by a third person;

3. Should be borne by public health;

4. Go abroad for medical treatment.

Legal basis: Article 26 of the Social Insurance Law of People's Republic of China (PRC), the treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.