Yichang outpatient co-ordination reimbursement ratio

Yichang outpatient co-ordination reimbursement ratio is as follows:

1, Yichang Central People's Hospital, Yichang First People's Hospital, Yichang Traditional Chinese Medicine Hospital and other tertiary medical institutions, the reimbursement ratio is 50% for on-the-job employees and 60% for retired employees;

2, the county people's hospital, county hospital of traditional Chinese medicine and other secondary medical institutions for reimbursement ratio of on-the-job workers 65%, retired workers 75%;

3, county and township hospitals, village clinics, community health service centers and other grassroots medical and health institutions, the reimbursement ratio is 85% for on-the-job employees and 95% for retired employees;

4. The reimbursement rate of designated retail pharmacies is 80% for on-the-job employees and 90% for retired employees.

Medical insurance reimbursement process:

1, diagnosis and treatment in designated medical insurance hospitals: every city will have designated medical insurance hospitals, and only in designated medical insurance hospitals can medical insurance be used for reimbursement. Therefore, if you want to use medical insurance, you must go to the designated hospital for medical insurance and go through the relevant registration procedures;

2. Prepare discharge materials: prepare discharge materials in advance when leaving the hospital, such as disease diagnosis, discharge records, medical records, etc. Usually talk to the doctor during treatment. If we need these materials, the doctor will help us prepare them. You'd better make a copy of these materials after you get them. One is submitted to the medical insurance reimbursement office, and the other is reserved for use;

3. Discharge settlement: Take the hospitalization list and invoice and go to the hospital for settlement. After that, you can take the relevant information to the medical insurance reimbursement department for reimbursement review;

4. Waiting for expense reimbursement to arrive: After the materials are handed over, a receipt will be received, and the reimbursement amount will arrive in 15 days. You just have to wait patiently.

To sum up, outpatient co-ordination is a form of medical insurance benefits, that is, the basic medical insurance will include the outpatient expenses of the insured in the scope of reimbursement of the co-ordination fund. In the current medical insurance system, outpatient expenses are mainly paid by personal account funds.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.