How much can the special needs clinic reimburse?

85% reimbursement of outpatient medical expenses for category A management diseases; 75% of outpatient medical expenses for diseases managed by Class B are reimbursed.

Special outpatient service refers to the serious diseases and chronic diseases that meet the requirements, and can also be reimbursed as hospitalization in outpatient service, because medical insurance only reimburses hospitalization expenses, but some serious diseases and chronic diseases do not necessarily need hospitalization, so they can also be treated in outpatient service, so there are special outpatient services.

Medical insurance is divided into two accounts: personal account: the money reflected in the medical insurance card can be used to buy medicines at designated pharmacies, pay outpatient expenses and pay the part paid by individuals in hospitalization expenses; Overall account: it is managed by the medical insurance center, and the expenses incurred by the insured who meet the local medical insurance reimbursement are paid by the overall account. When seeking medical treatment, show the medical insurance card to the designated hospital to prove the insured identity. At the time of checkout, the part paid by the individual will be paid by himself with medical insurance card or cash.

The significance of medical insurance

1. On the one hand, medical insurance relieves the worries of workers and enables them to work with peace of mind, thus improving labor productivity and promoting the development of production; On the other hand, it also ensures the physical and mental health of workers and the normal reproduction of labor.

2. Adjust the income gap and reflect social equity.

3. Medical insurance provides economic help for sick workers, helps to eliminate social instability caused by diseases, and is an important social mechanism for regulating social relations and social contradictions.

4. Constructing medical insurance system is an important means to promote social civilization and progress. By sharing the risk of disease expenses with the insured, medical insurance embodies a new social relationship of "one party is in trouble and all parties support", which is conducive to promoting social civilization and progress. The establishment of medical insurance has effectively alleviated the problem of "difficult and expensive medical treatment", which is conducive to social stability and guarantees people's happy life.