How much can Jincheng medical insurance reimburse?

After participating in basic medical insurance, everyone must be very concerned about how much money the medical insurance can reimburse. The reimbursement standards of Jincheng Medical Insurance are not only related to medical expenses, but also to the type of hospital. Let’s use an example to illustrate how much Jincheng Medical Insurance can reimburse. Regarding the guide to medical insurance reimbursement, I have just compiled the relevant content. I hope it will be helpful to you: 2020 National Social Security and Medical Insurance Application Reimbursement Process!

An employee of a certain unit was hospitalized for 10 days in a first-class charging standard hospital (a tertiary hospital) in the city. The medical expenses incurred were 38,000 yuan, including 5,600 yuan for medicines outside the catalog and 4,800 yuan for VIP wards (480 yuan per day). Yuan), how much can the employee be reimbursed?

38,000 yuan - 800 yuan (deductible) - 5,600 yuan (drug fees outside the catalog) - 4,800 yuan (exceeding standard bed fee)﹢ (30 yuan × 10 days, this fee is the bed fee that should be reimbursed , the standard for third-level hospitals is 30 yuan per day) = 27,100 yuan

The employee's reimbursable expenses are: 27,100 × 92% = 24,932 yuan (the actual hospitalization reimbursement ratio is 65.6%)

If the employee does not incur extra-catalogue drug expenses and excessive bed expenses, then his reimbursement expenses are: [38,000 yuan-800 yuan (deductible)] × 92% = 34,224 yuan (the actual hospitalization reimbursement rate is 90%)

The difference between the two reimbursement results is nearly 25 percentage points. This example tells everyone to try to use the drugs and diagnosis and treatment items in the "Three Catalogs" during hospitalization, especially in terms of medical service facilities, do not exceed the prescribed standards, tertiary hospitals The reimbursement standard for bed fees shall not exceed 30 yuan per day.

Brother Bao’s reminder: How much does Jincheng’s medical insurance reimburse? The reimbursable expenses for the unit employees mentioned above are: 27,100 × 92% = 24,932 yuan (the actual hospitalization reimbursement ratio is 65.6%). If the employee does not incur out-of-catalogue drug expenses and excessive bed expenses, then his reimbursement expenses are: [38,000 yuan-800 yuan (deductible)] × 92% = 34,224 yuan (the actual hospitalization reimbursement rate is 90%).