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What is the reimbursement rate of rural medical insurance in Guizhou?
In 2023, Guizhou medical insurance outpatient reimbursement regulations are as follows: the reimbursement rate of first-level medical institutions is 75%. The reimbursement rate of employees in secondary medical institutions is 60%, and that of retirees is 65%. The reimbursement rate of employees in tertiary medical institutions is 50%, and that of retirees is 55%. Outpatient medical expenses need to be between 150 yuan and 2000 yuan to apply for reimbursement.
Reimbursement scope of rural medical insurance:
1. outpatient expenses: including registration fees, medical treatment fees, examination fees, medicine fees, etc.
2. Hospitalization fee: including bed fee, operation fee, nursing fee, examination fee, medicine fee, etc.
3. Outpatient expenses for special diseases: For specific chronic diseases or serious diseases, rural medical insurance can provide special outpatient reimbursement;
4. Vaccination expenses: some vaccination expenses may be included in the scope of reimbursement;
5. Rehabilitation expenses: Rehabilitation expenses of some diseases may be reimbursed.
To sum up, in 2023, the reimbursement ratio of rural medical insurance clinics in Guizhou will vary according to the level of medical institutions and personnel status. The reimbursement rate of first-level institutions is 75%, that of second-level institutions is 60%, that of employees and retirees is 65%, and that of third-level institutions is 50%. The outpatient expenses must be within the range of 150 to 2,000 yuan.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 24
The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.
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