Proportion of reimbursement for hospitalization medical insurance in Dalian

The reimbursement ratio of hospitalization medical insurance in Dalian is as follows:

1. The outpatient medical expenses that meet the requirements shall be reimbursed according to the following proportion, and the rest shall be paid by the individual:

(1) is less than 35% of the medical expenses of 1000 yuan;

(2) Medical expenses 1 1,000 yuan or more (including 1 1,000 yuan), and the part less than 5,000 yuan will be reimbursed by 45%;

(3) The medical expenses are more than 5000 yuan (including 5000 yuan), and the part less than 10000 yuan is reimbursed by 55%;

(4) Medical expenses above 10000 yuan (including10000 yuan) shall be reimbursed by 65%.

2, in line with the provisions of the hospital medical expenses, according to the following proportion to be reimbursed, the rest of the individual pays, the medical expenses of hospitalization for many times during the year:

(1) If the medical expenses are less than RMB 10000, the reimbursement rates in tertiary, secondary and primary medical institutions are 55%, 65% and 75% respectively;

(2) If the medical expenses 1 10,000 yuan or more (including 1 10,000 yuan) is less than 20,000 yuan, the reimbursement rates in tertiary, secondary and primary medical institutions are 60%, 70% and 80% respectively;

(3) If the medical expenses are more than 20,000 yuan (including 20,000 yuan), the reimbursement rates in tertiary, secondary and primary medical institutions are 65%, 75% and 85% respectively.

Legal basis:

Article 23 of People's Republic of China (PRC) Social Insurance Law

Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.

Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.