The reimbursement ratio of urban and rural residents’ medical insurance for primary and secondary school students and infants: outpatient and emergency care (including family hospital beds) 1. The minimum payment standard for outpatient and emergency care is 300 yuan; 2. The minimum payment standard for village clinics is not included; 3. Medical expenses below the minimum payment standard are covered by
Individual payment; 4. For medical expenses exceeding the minimum standard, the individual is responsible for 30% of the medical expenses in the first-level hospital and the resident insurance fund pays 70%; the individual is responsible for 40% of the medical expenses in the second-level hospital and the resident insurance fund pays 60%; the individual in the third-level hospital pays out of pocket
50%, and the resident insurance fund pays 50%; the village clinic pays 20% out of pocket, and the resident insurance fund pays 80%.
Hospitalization (including emergency observation room stay) 1. There is a minimum payment standard for medical expenses incurred for each hospitalization, specifically: 50 yuan for first-level hospitals, 100 yuan for second-level hospitals, and 300 yuan for third-level hospitals; 2. Minimum payment standards
The following medical expenses are paid by the individual; 3. For medical expenses exceeding the minimum standard, the individual is responsible for 20% of the medical expenses in the first-level hospital and the resident insurance fund pays 80%; the individual is responsible for 25% of the medical expenses in the second-level hospital and the resident insurance fund pays 75%;
Individuals in tertiary hospitals pay 40% out of pocket, and the resident insurance fund pays 60%.
College students: outpatient and emergency services (including family hospital beds) 1. On-campus outpatient clinics: no less than 90% of the medical expenses incurred in on-campus outpatient clinics shall be paid by each institution, and the remaining part shall be borne by the individual; 2. Off-campus outpatient and emergency services: primary and secondary school students under the residence insurance policy
Payment of outpatient and emergency benefits, specifically: a minimum payment threshold of 300 yuan for outpatient and emergency medical expenses. The annual cumulative amount exceeding the threshold is: 30% is borne by the individual in the first-level hospital, and 70% is paid by the resident insurance fund; 40% is paid by the individual in the second-level hospital.
%, and the resident insurance fund pays 60%; in tertiary hospitals, individuals pay 50% out of their own pocket, and the resident insurance fund pays 50%; in village clinics, individuals pay 20% out of their own pocket, and the resident insurance fund pays 80%.
Hospitalization and emergency observation room stay for observation 1. There is a minimum payment standard for medical expenses incurred for each hospitalization, specifically: 50 yuan for first-level hospitals, 100 yuan for second-level hospitals, and 300 yuan for third-level hospitals; 2. For patients below the minimum payment standard
Medical expenses are paid by the individual; 3. For medical expenses exceeding the minimum standard, the individual is responsible for 20% of the first-level hospital and the resident insurance fund pays 80%; the individual is responsible for 25% of the second-level hospital and the resident insurance fund pays 75%; the third-level hospital
The hospital pays 40% out of pocket and the resident insurance fund pays 60%.
Persons aged 19 to 59 years old: outpatient and emergency care (including family hospital beds) 1. The minimum payment standard for outpatient and emergency care is 500 yuan; 2. The minimum payment standard for village clinics is not included; 3. Medical expenses below the minimum payment standard shall be paid by the individual; 4. For medical expenses exceeding the minimum payment standard,
For medical expenses above the minimum standard, the individual is responsible for 30% of the medical expenses in the first-level hospital, and the resident insurance fund pays 70%; the individual is responsible for 40% of the second-level hospital, and the resident insurance fund pays 60%; the individual pays 50% of the third-level hospital, and the resident insurance fund pays 70%.
Pay 50%; the village clinic pays 20% out of pocket, and the resident insurance fund pays 80%.
Hospitalization (including emergency observation room stay) 1. There is a minimum payment standard for medical expenses incurred for each hospitalization, specifically: 50 yuan for first-level hospitals, 100 yuan for second-level hospitals, and 300 yuan for third-level hospitals; 2. Minimum payment standards
The following medical expenses are paid by the individual; 3. For medical expenses exceeding the minimum standard, the individual is responsible for 20% of the medical expenses in the first-level hospital and the resident insurance fund pays 80%; the individual is responsible for 25% of the medical expenses in the second-level hospital and the resident insurance fund pays 75%;
Individuals in tertiary hospitals pay 40% out of pocket, and the resident insurance fund pays 60%.
Persons aged 60 to 69 years old: outpatient and emergency care (including family hospital beds) 1. The minimum payment standard for outpatient and emergency care is 300 yuan; 2. The minimum payment standard for village clinics is not included; 3. Medical expenses below the minimum payment standard shall be paid by the individual; 4. For medical expenses exceeding the minimum payment standard,
For medical expenses above the minimum standard, the individual is responsible for 30% of the medical expenses in the first-level hospital, and the resident insurance fund pays 70%; the individual is responsible for 40% of the second-level hospital, and the resident insurance fund pays 60%; the individual pays 50% of the third-level hospital, and the resident insurance fund pays 70%.
Pay 50%; the village clinic pays 20% out of pocket, and the resident insurance fund pays 80%.
Hospitalization (including emergency observation room stay) 1. There is a minimum payment standard for medical expenses incurred for each hospitalization, specifically: 50 yuan for first-level hospitals, 100 yuan for second-level hospitals, and 300 yuan for third-level hospitals; 2. Minimum payment standards
The following medical expenses are paid by the individual; 3. For medical expenses exceeding the minimum standard, the individual is responsible for 10% of the medical expenses in the first-level hospital and the resident insurance fund pays 90%; the individual is responsible for 20% of the medical expenses in the second-level hospital and the resident insurance fund pays 80%;
In tertiary hospitals, individuals pay 30% out of pocket, and the resident insurance fund pays 70%.