Can medical insurance reimburse 18,000 for a broken arm How much can I reimburse?

Broken arm. After spending 18,000 yuan, medical insurance can reimburse about 70% of the cost, which is about 12,600 yuan. This reimbursement is okay, which shows that medical insurance is still very practical.

However, the regulations in each place are different, and the level of reimbursement is also different, depending on what kind of local policies are implemented. If you are hospitalized for a fracture, the reimbursement will be even higher.

Nowadays, many people will buy medical insurance, because the insurance is provided by the state, and the annual fee is not very high, but in the end, the reimbursement is a lot of money. What we are talking about here is the basic medical insurance for urban and rural residents.

It is paid once a year, and basically 200,400 yuan will be paid every year. According to netizens, the fracture cost 18,000 yuan, which must be hospitalized, and if it is not hospitalized, the medical insurance for urban and rural residents cannot be reimbursed. However, the fracture to the arm is more serious, and it must be hospitalized for observation for a period of time, so it can spend so much money, otherwise there will not be so much cost for just a fracture bandaging or subsequent stitch removal**.

Only fractures will cost more than 1,000 yuan a day, and 18,000 yuan in ten days.

There is also a situation that the netizen pays employee medical insurance, and the reimbursement of this insurance will be higher, even if he is not hospitalized, he can be reimbursed. After all, employee medical insurance is paid every month, and a few hundred yuan may need to be paid a month, which is equivalent to the cost of urban and rural basic medical insurance paid by one person every year. In addition, the insurance can also be used in pharmacies and other places, and you can directly purchase drugs by card.

Therefore, the more money you pay, the more reimbursement you will enjoy in the end, the more preferential it will be, and the more you pay, the more you can get in return.

Many people feel that the reimbursement of medical insurance is not particularly strong, so they will buy additional supplementary commercial medical insurance, so that they can enjoy better reimbursement, which is also what most workers will do, because their wages are relatively high compared to farmers.

Yes, it can be reimbursed, generally about 70%, and the situation is different in each city, so you have to ask the local social security department.

In such cases, insurance can be reimbursed; It will be reimbursed according to the proportion of 60%, and the reimbursement cost is about 10,800 yuan.

Legal analysis: about 70% of the fracture medical insurance can be reimbursed. Under normal circumstances, the outpatient clinic of rural cooperative medical insurance can be reimbursed a little, and if the hospitalization exceeds three days, the medical expenses exceed 1,000 yuan, and the reimbursement can be given according to 60%.

Only urban workers can be reported for medical hospitalization, but generally not for outpatient services. The limit for each examination and surgery fee is generally 50 per visit, and the limit for prescription drugs is usually 100.

Legal basis: "Opinions on Determining the Scope and Payment Standards of Medical Service Facilities for Basic Medical Insurance for Urban Employees" Basic medical insurance medical service facilities refer to the life service facilities provided by designated medical institutions and necessary for insured persons in the process of receiving diagnosis, ** and nursing, mainly including inpatient bed fees and outpatient (emergency) observation bed fees.

Summary. Hello, in general, NCMS is 60% in the reimbursement system, and 85% of the employees' medical insurance is reimbursed according to the local ** medical insurance policy. Depending on what kind of social security you have, whether it is NCMS or urban residents or urban workers, the reimbursement ratio is different, urban employees are reimbursed the most, NCMS reimbursement is the least, urban residents are in the middle, and it is also related to the hospital level of **, provincial hospitals are reimbursed the least, district and county hospitals reimburse the most, look at your second-class A words are generally district and county hospitals, go out and do not reimburse the part, generally you have to spend more than half of it, more than 60,000 words, it is estimated that the reimbursement is about 20,000 yuan.

The fracture cost 60,000, how much can it be reimbursed.

Dear hello, in general, NCMS is 60% of the employees, and 85% of the medical insurance is reimbursed according to the local ** medical insurance policy. It depends on what kind of social security you are, whether it is NCMS or urban residents or urban workers, the reimbursement ratio is not the same, urban employees are reimbursed the most, NCMS reimbursement is the least, urban residents are in the middle, and it is also related to the hospital level of **, the provincial hospital reimbursement is the least, and the district and county hospitals are reimbursed the most.

You refer to the pro.

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It depends:

1. Under normal circumstances, the hospitalization reimbursement ratio of fracture patients can reach up to 70% to 80%, and the reimbursement ratio varies from region to region.

2. The outpatient clinic of rural cooperative medical insurance can be reported a little, if the hospitalization is more than 3 days, the medical expenses exceed 1,000 yuan, and 60% can be reported.

3. Only urban employees can report for medical hospitalization, but generally not for outpatient treatment.

4. The examination fee and surgery fee limit for each visit is 50 yuan, and the prescription drug fee is limited to 100 yuan; 30% reimbursement for visits to secondary hospitals, 50 yuan for examination and surgery fees for each visit, and 200 yuan for prescription drugs.

The typical manifestations of fracture patients are local deformation after injury, abnormal movement of limbs, etc., and bone fricatives can be heard when moving limbs. In addition, the wound is severely painful, locally swollen, bruised, and there is movement disorder after the injury.

**The ultimate goal of a fracture is to maximize the recovery of the injured limb. 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.

Town medical reimbursement mainly refers to the hospital to see a doctor, medication, hospitalization, surgery, etc., can be reimbursed for medical expenses through the medical insurance card in accordance with the relevant regulations, urban medical insurance is more specific, the project scale and coverage is larger, but its compensation for major diseases or accidents is limited, it is recommended that the insured can purchase a combination of commercial serious illness medical supplementary insurance and social security to reduce their economic losses.

Legal basis: Opinions on the management of diagnosis and treatment projects of basic medical insurance for urban employees

Article 5. The labor and social security departments of the co-ordinating areas should strictly implement the catalogue of basic medical insurance diagnosis and treatment items in the province. For the basic medical insurance diagnosis and treatment items listed in the basic medical insurance catalogue of the province to pay part of the cost of the diagnosis and treatment items, the overall regional labor and social security administrative departments should be based on the actual local provisions of the specific individual self-payment ratio, and can be combined with regional health planning, hospital level and specialty characteristics, clinical indications, medical and technical personnel qualifications and other limited use and development of corresponding approval measures.

Large-scale medical equipment that is not included in the local regional health plan and unqualified technical testing in accordance with the relevant national quality management regulations shall not be included in the scope of basic medical insurance payment.

Seventh, the bustling bar.

The scope of diagnosis and treatment items of national basic medical insurance should be adjusted in a timely manner according to the ability to pay for basic medical insurance and the development of medical technology. The basic medical insurance diagnosis and treatment project catalogue of each province should be adjusted accordingly on the basis of the adjustment of the scope of the national medical insurance diagnosis and treatment project.