The reimbursement rate of medical insurance for hospitalization expenses ranging from 1,3 yuan to 3, yuan is 85%; The reimbursement rate is 9% between 3, yuan and 4, yuan, 95% between 4, yuan and 1, yuan, and 85% between 1, yuan and 3, yuan. The reimbursement rate of residents' medical insurance is 65% in first-class hospitals and 8% in second-class hospitals with more than 6, yuan.
the insured person needs to pay the hospitalization deductible first. The deductible lines of the first, second and third level hospitals are 2, 4 and 6 yuan respectively; Only one deductible line is implemented according to the level of designated medical institutions in one year, and no deductible line is set for the second radiotherapy and chemotherapy hospitalization; There is no deductible for psychiatric hospitalization.
medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks. The medical insurance fund is established through the payment of employers and individuals. After the insured person suffers from medical expenses, the medical insurance institution will give him some economic compensation.
The establishment and implementation of the basic medical insurance system gathers the economic strength of units and social members, and with the government's funding, the sick social members can get the necessary material help from the society, reduce the burden of medical expenses, and prevent the sick social members from "poverty due to illness".
Legal basis:
Article 28 of the Social Insurance Law
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue shall be paid from the basic medical insurance fund in accordance with state regulations.
article 29: the part of the medical expenses of the insured that should be paid by the basic medical insurance fund shall be directly settled by the social insurance agency, the medical institution and the pharmaceutical trading entity. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places, so as to facilitate the insured to enjoy the basic medical insurance benefits.