Wuhan Union Hospital Reimbursement Rules

Legal analysis: 1. Increase the reimbursement for ordinary outpatient medical expenses to 300 yuan and below, and increase the reimbursement limit for outpatient medical insurance expenses to 90 yuan per person per year.

2. The resident medical insurance fund reimburses the hospitalization expenses above the deductible standard and below the annual maximum payment limit for insured residents: 86% for hospitalization in tertiary medical institutions and 89% for hospitalization at secondary medical institutions. , hospitalization reimbursement in community health service centers, first-level medical institutions and Huimin Hospital92. The reimbursement ratios of employee medical insurance in third-level, second-level, and first-level medical institutions are 82, 85, and 88 respectively.

3. The urban employee large-amount medical insurance fund and the insured will share the hospitalization expenses of 100,000 to 200,000 yuan according to the current large-amount medical insurance policy. If the amount exceeds 200,000 yuan, the current policy will continue to apply. Large-amount medical insurance policy for urban employees.

4. For disabled people who participate in Wuhan Urban Basic Medical Insurance and enjoy subsistence allowances, there is no minimum payment standard for hospitalization. At the same time, the payment ratio of the Urban Basic Medical Insurance Coordination Fund will be increased 2 based on the current policy.

Legal basis: "Social Insurance Law of the People's Republic of China"

Article 2 The state establishes basic pension insurance, basic medical insurance, work-related injury insurance, unemployment insurance, maternity insurance, etc. The social insurance system guarantees citizens’ rights to obtain material assistance from the state and society in accordance with the law in the event of old age, illness, work-related injury, unemployment, childbirth, etc.

Article 3 The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be consistent with the level of economic and social development.