What is the reimbursement ratio of medical insurance for medical treatment in other places?

The reimbursement ratio of non-local medical insurance is as follows: the reimbursement ratio is 88% for the threshold fee above 3000 yuan, 90% for 3000-5000 yuan, 92% for 5000-10000 yuan, and 95% for more than 10000 yuan to the maximum payment limit, of which 80% for Class B drugs, 70% for valuable drugs, and 70% for special examinations and special **. Medical expenses in the personal account of medical insurance can be regularly transferred to the Zigui Medical Insurance Bureau, and hospitals in other provinces should be designated hospitals for local medical insurance.

[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 facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.

Article 29 of the Social Insurance Law: The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

Article 31 of the Social Insurance Law: Social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and drug business units to regulate medical services. Medical institutions shall provide reasonable and necessary medical services to insured persons.

The above is only the current information combined with my understanding of the law, please refer to it carefully!

If you still have questions about this issue, it is recommended that you organize the relevant information and communicate with a professional in detail.

The reimbursement ratio of NCMS is generally about 30%-40% for inter-provincial medical treatment, and the reimbursement ratio in Anhui Province is referred to below:

1. For hospitalization outside the province and city**, the starting line of the medical erection institution in the city will be doubled, and the reimbursement ratio will be reduced by 10%;

2. For hospitalization in hospitals outside the province, the starting line is calculated at 20% of the total hospitalization cost of the grade (the minimum is 2,000 yuan, the maximum is 10,000 yuan), and the reimbursement ratio is 55%. If you are hospitalized in another place without referral**, the reimbursement rate will be reduced by another 10%.

Social Insurance Law of the People's Republic of China

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency and rescue medical expenses, in accordance with the provisions of the state from the basic medical insurance ** payment. Slow defeat.

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance shall be directly settled by the social insurance agency and the medical institution and the drug business unit.

Summary. Hello <>

Generally speaking, the reimbursement ratio for medical treatment in other places in the province is about 70%, while the reimbursement ratio for medical treatment in other places across provinces is about 60%. However, the specific reimbursement ratio needs to be determined according to the specific local policies and regulations.

What is the reimbursement ratio of medical insurance for medical treatment in other places?

Hello <>

Generally speaking, the reimbursement ratio of medical insurance for remote medical treatment in different places in the province is about 70%, while the reimbursement ratio for medical treatment in other places across provinces is about 60%. However, the specific reimbursement ratio needs to be determined according to the specific local policies and regulations.

The reimbursement ratio for medical treatment in other places refers to the part reimbursed in the medical insurance**, and the remaining part needs to be borne by the individual. For reimbursement of medical treatment in other places, relevant reimbursement materials need to be provided, such as medical invoices, outpatient medical records, etc. In some areas, there will also be a direct settlement service for medical treatment in other places, that is, when you are treated in a remote hospital, you will directly use your medical insurance card for settlement, and you will be reimbursed if you don't need to pay the expenses first.

The calculation of the reimbursement ratio for medical treatment in other places will also be affected by factors such as the hospital where the medical treatment is provided.