What is the reimbursement scope of medical insurance for urban residents?

Updated on society 2024-07-29
4 answers
  1. Anonymous users2024-02-13

    There are many diseases covered by the reimbursement of urban residents' medical insurance, ranging from cold and fever to cancer and serious illness. According to the current backbone regulations, the following items incurred by insured persons in designated medical institutions and designated retail pharmacies are included in the reimbursement scope of basic medical insurance for urban residents.

    1. Medical expenses for hospitalization**.

    2. Medical expenses within 7 days before emergency observation and transfer to hospitalization**.

    3. Medical expenses that meet the requirements of special diseases in urban residents' outpatient clinics.

    4. Other expenses that meet the regulations.

  2. Anonymous users2024-02-12

    The reimbursement scope of medical insurance for urban residents is: medical expenses for hospitalization**; Medical expenses within 7 days prior to emergency observation and transfer to hospitalization**; 3. Medical expenses that meet the requirements of special diseases in urban residents' outpatient clinics. Other fees that meet the regulations. The scope of non-reimbursement is:

    1. Medical expenses for hospitalization**.

    2. Medical expenses within 7 days before emergency observation and transfer to hospitalization**.

    3. Medical expenses that meet the requirements of special diseases in urban residents' outpatient clinics.

    4. Other expenses that meet the regulations.

    2. The scope of non-reimbursement is:

    1. Purchasing drugs from high-level dismantling; should be paid out of work-related injury insurance**;

    2. It should be borne by a third party; should be borne by public health; Those who seek medical treatment abroad;

    3. Other circumstances stipulated by laws and regulations that will not be reimbursed.

    4. In addition, work-related injuries and occupational diseases; Female workers give birth; hooligan brawls; alcoholism-induced injuries; traffic accidents; intentional injury by another person; medical malpractice; Beauty and health check-ups are also not covered by the basic medical insurance for residents.

    Because of the different economic and social development in various places, the payment standards of basic medical insurance for urban residents are also different, resulting in different reimbursement standards for basic medical insurance for urban residents.

    The scope of urban residents' pension insurance is that urban and rural residents who are at least 16 years old (excluding school students), who are not employees of state organs and institutions and urban and rural residents who are not covered by the basic pension insurance system for employees, can participate in the urban and rural residents' pension insurance in the place of household registration.

    3. The pension insurance for urban and rural residents is composed of individual contributions, collective subsidies and subsidies.

    1) Individual payment. Urban and rural residents pension insurance participants shall pay pension insurance premiums in accordance with the regulations, and the payment standards are 100 yuan, 200 yuan, 300 yuan, 400 yuan, 500 yuan, 600 yuan, 700 yuan, 800 yuan, 900 yuan, 1000 yuan, 1500 yuan, 2000 yuan, 3000 yuan 13 grades. The Autonomous Region's Department of Human Resources and Social Security, in conjunction with the Department of Finance, shall adjust the standards for payment grades in a timely manner on the basis of the increase in the income of urban and rural residents.

    The insured chooses the grade to pay the premium, and the more you pay, the more you get.

    2) Collective subsidy. Qualified Gacha village collective economic organizations shall give subsidies to the insured to pay contributions, and the subsidy standards shall be democratically determined by the Gacha villagers' committee convened by the Gacha villagers' meeting, and the qualified communities shall be encouraged to include the collective subsidies in the scope of community public welfare fundraising. Encourage other social and economic organizations, public welfare charitable organizations, and individuals to provide financial assistance for the payment of the insured.

    The amount of subsidy and subsidy shall not exceed the maximum payment level standard set by the local government.

    3) ** Subsidies. **The basic pension shall be paid in full to the insured persons who meet the conditions for receiving pension insurance benefits for urban and rural residents. **Subsidies will be given according to 13 payment grades from 100 yuan to 3,000 yuan, and 30 yuan, 35 yuan, 40 yuan, and 45 yuan will be subsidized respectively for those who choose 100 yuan to 400 yuan payment grades; Those who choose the payment level of 500 yuan to 1,000 yuan will be subsidized 60 yuan, 65 yuan, 70 yuan, 75 yuan, 80 yuan and 85 yuan respectively; If you choose 1,500 yuan, 2,000 yuan, or 3,000 yuan payment grades, you will receive a subsidy of 85 yuan.

  3. Anonymous users2024-02-11

    There are many diseases covered by the reimbursement of urban residents' medical insurance, ranging from cold and fever to cancer and serious illness. According to the current backbone regulations, the following items incurred by insured persons in designated medical institutions and designated retail pharmacies are included in the reimbursement scope of basic medical insurance for urban residents.

    1. Medical expenses for hospitalization**.

    2. Medical expenses within 7 days before emergency observation and transfer to hospitalization**.

    3. Medical expenses that meet the requirements of special diseases in urban residents' outpatient clinics.

    4. Other expenses that meet the regulations.

  4. Anonymous users2024-02-10

    Summary. The reimbursement scope of urban medical insurance refers to all employers in urban areas, as follows:

    1.Including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises, private enterprises, etc.);

    2.Organs, institutions, social organizations, private non-enterprise units and their employees must participate in basic medical insurance;

    3.Some cities and towns stipulate that township enterprises and their employees, as well as owners of urban individual economic organizations and their employees, must be gradually included in the scope of basic medical insurance (the last one depends on the different policies of each locality) to enjoy medical reimbursement.

    What is the reimbursement scope of basic medical insurance for urban residents?

    The reimbursement scope of urban medical insurance refers to all employers in urban areas, as follows:1Including enterprises (state-owned enterprises, collective enterprises, foreign-invested enterprises, private enterprises, etc.); 2.

    Organs, institutions, social organizations, private non-enterprise units and their employees must participate in basic medical insurance; 3.Some cities and towns stipulate that township enterprises and their employees, as well as owners of urban individual economic organizations and their employees, must be gradually included in the scope of basic medical insurance (the last one depends on the different policies of each locality) to enjoy medical reimbursement.

    General insurance for urban residents who are hospitalized after an ectopic pregnancy.

    OK. Because the resident medical insurance I bought was from the Corps.

    It's about 280 per year.

    Yes, it is also part of the urban resident insurance.

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