Come and see! What is the upper limit and proportion of outpatient co-ordination and hospitalization reimbursement for Xi residents?

The deductible line for the overall reimbursement of Xi residents' medical insurance outpatient service is 200 yuan, and the deductible standard is 10% of the total expenses, and the reimbursement ratio is 80%. The deductible line for hospitalization is 500 yuan, the deductible standard is 10% of the total expenses, the reimbursement rate is 80%, and the reimbursement ceiling is 300,000 yuan.

Xi residents' medical insurance is one of the social insurance systems for residents, and its reimbursement policy covers outpatient service, hospitalization, medicines and other aspects. Among them, outpatient co-ordination represents the first pass of residents' medical security. When residents enjoy medical services, they need to pay a certain fee first, which is the deductible line for outpatient co-ordination reimbursement. At present, the deductible line for the overall reimbursement of Xi residents' medical insurance outpatient service is 200 yuan, with the deductible standard of 10% of the total cost and the reimbursement ratio of 80%. For hospitalization, Xi residents' medical insurance has set the corresponding deductible and reimbursement ceiling. Specifically, the hospitalization deductible line is 500 yuan, the deductible standard is 10% of the total expenses, the reimbursement rate is 80%, and the reimbursement ceiling is 300,000 yuan. It should be noted that the upper limit of hospitalization reimbursement is not the total reimbursement of all medical items, but the relative limit of various medical expenses. It is worth mentioning that Xi residents' medical insurance also has a drug guarantee policy. At present, except for some large hospitals, Xi implements zero price difference and full reimbursement for outpatient drugs in all public hospitals, and residents no longer bear the personal payment for routine outpatient drugs. Generally speaking, the reimbursement policy of Xi residents' medical insurance is relatively perfect, which provides medical security and economic support for the majority of residents.

Besides residents' medical insurance, what other medical security systems does Xi have? In addition to residents' medical insurance, Xi also has a variety of medical security systems, such as employee medical insurance, basic medical insurance for urban and rural residents and medical insurance for college students. Different medical security systems aim at different groups of people, and their policies of participation and reimbursement are also different.

Xi residents' medical insurance reimbursement policy has played a positive role in residents' medical security. While enjoying the security, we should also consciously abide by the social insurance law and related regulations, strengthen the management and supervision of medical insurance funds, and ensure their long-term stable operation.

Legal basis:

"People's Republic of China (PRC) Social Insurance Law" Article 40 The main sources of income of the social medical insurance fund are:

Medical insurance premiums paid by individuals and units participating in social medical insurance;

(2) financial medical insurance subsidy funds;

Social medical insurance fund investment income.