The circumstances under which hospitalization in another place can be reimbursed include:

1. The insured person is placed in another place

2. The insured person is transferred in this city< /p>

3. Insured persons who are hospitalized due to emergency treatment in other places

If the hospitalization expenses are within the medical insurance payment quota of a tertiary hospital in Sanming City, the reimbursement ratio is the same as that of hospitalization in Sanming. If the hospitalization expenses exceed the medical insurance payment quota for a tertiary hospital in Sanming City, the individual out-of-pocket proportion of the excess expenses will be increased by 15% on the original basis, and the remaining medical insurance benefits will be the same as in Sanming.

Hospital treatment standards for retirees:

Tertiary hospitals, the minimum payment line is 650 yuan, the minimum payment standard is 10,000 yuan, and the reimbursement rate is 90%; 10,001 yuan-50,000 yuan, the reimbursement rate is 93%; 50,001 yuan to 80,000 yuan, the reimbursement rate is 96%.

For secondary hospitals, the minimum payment line is 550 yuan, the minimum payment standard is 10,000 yuan, and the reimbursement rate is 91%; the reimbursement rate is 94% for 10,001 yuan to 50,000 yuan; the reimbursement rate is 97% for 50,001 yuan to 80,000 yuan. .

For first-level hospitals, the minimum payment line is 250 yuan, the minimum payment standard is 10,000 yuan, and the reimbursement rate is 92%; the reimbursement rate is 95% for 10,001 yuan to 50,000 yuan; the reimbursement rate is 98% for 50,001 yuan to 80,000 yuan.

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