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Can hospitalization in Nanjing be reimbursed?

Hospitalization in Nanjing can be reimbursed.

The specific standards for medical insurance reimbursement are as follows: 1. The reimbursement ratio of employee medical insurance is divided based on the actual medical expenses incurred by the insured. Usually the minimum reimbursement ratio for hospitalization is 85% and the maximum reimbursement ratio is 95%; the reimbursement ratio of urban and rural residents' medical insurance is based on the hospital's

The grades are divided between 50% and 80%.

Due to different economic levels in different regions, the medical reimbursement ratio may also be slightly different.

"2. Medical insurance card reimbursement is generally based on proportion, and generally reimburses 60%-70%. In a settlement year, if medical expenses of less than 100,000 yuan are incurred that meet the reimbursement scope, the minimum payment standard for third-level hospitals is 659 yuan, and the reimbursement

The proportion is 50%, and the upper limit is 2,000 yuan. The minimum payment standard for hospitalization in second-level hospitals is 300 yuan, and the reimbursement rate is 55%. There is no minimum payment standard for first-level hospitals, and the reimbursement rate is 60%. The medical insurance reimbursement rate is as follows: Medical insurance reimbursement.

The proportion is determined according to local policies and regulations, and the reimbursement proportions in different regions may differ. Generally speaking, the reimbursement proportion of medical insurance includes two aspects: 1. Basic medical insurance payment proportion: The basic medical insurance payment proportion refers to the payment from the medical insurance fund.

The proportion of medical expenses generally ranges from 70% to 80%; 2. Personal out-of-pocket proportion: The personal out-of-pocket proportion refers to the proportion of medical expenses that an individual needs to bear, generally ranging from 20% to 30%. Medical insurance reimbursement process:

1. Confirm the scope of reimbursement: During the treatment process, you need to confirm whether your treatment items are within the scope of medical insurance reimbursement; 2. Collect reimbursement materials: collect relevant treatment records, drug receipts, medical expense lists and other related materials; 3. Arrive at

The social security department handles reimbursement: submit relevant materials to the local social security department and go through the medical insurance reimbursement procedures; 4. Waiting for review: the social security department will conduct relevant reviews and comparisons to confirm the reimbursement ratio and amount; receive reimbursement: after passing the review,

Medical insurance reimbursements can be received at designated banks. To sum up, the reimbursement ratio of medical insurance in Nanjing is generally 50% to 95%. The reimbursement ratios of medical insurance in various regions are different. For urban and rural residents who live in different places for a long time,

For urban and rural residents over 60 years old for men and 55 years old for women, as well as urban and rural residents working in other places, as well as students and children living with them, who have registered for medical treatment in other places, the hospitalization deductible standard for medical treatment in the registered place is 400 for a first-level hospital.

Yuan, 800 Yuan for the second level and 2,000 Yuan for the third level. The reimbursement ratio is based on the local designated hospital reimbursement ratio. Legal basis: Article 28 of the "Social Insurance Law of the People's Republic of China" complies with the basic medical insurance drug catalog, diagnosis and treatment items,

Medical service facility standards and emergency and rescue medical expenses shall be paid from the basic medical insurance fund in accordance with national regulations. Article 29 The part of the medical expenses of the insured persons that shall be paid by the basic medical insurance fund shall be paid by the social insurance agency.

Direct settlement with medical institutions and pharmaceutical business units. Social insurance administrative departments and health administrative departments should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.