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Nanning employees' medical insurance hospitalization medical treatment standard

Hospitalization treatment

Take Aunt Wang as an example:

Aunt Wang participated in the basic medical insurance for employees and enjoyed the medical retirement treatment. At the beginning of this year, she was hospitalized for 1 days for the first time in a tertiary hospital in Nanning because of coronary heart disease, and the medical expenses amounted to 3, yuan, which was divided according to the payment scope stipulated by the relevant policies of employee medical insurance in Nanning, including the bed fee of 5 yuan and Class A medical expenses of 15, yuan. According to the payment proportion stipulated in the relevant policies of employee medical insurance in Nanning:

(1) The payment of Class A medical expenses from the overall fund: 15,× 9% = 13,5 yuan;

(2) Payment of Class B medical expenses by pooling funds:

5, yuan × 8% = 4, yuan;

(3) Payment of Class I medical expenses from the fund:

3, yuan × 7% = 2,1 yuan;

(4) Payment of Class C 2 medical expenses from the overall fund:

5, yuan × 55% = 2,75 yuan;

(5) out-of-pocket expenses for medicine: 1,5 yuan;

bed fee paid by the fund: 3 yuan ×1 days =3 yuan;

(6) minimum payment standard for funds: 6 yuan;

(7) basic medical insurance fund payment: (13,5+4,+2,1+2,75+3)-6 = 22,5 yuan.

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