1. General outpatient services: In 2023, insured residents will coordinate the general outpatient medical expenses incurred by designated medical institutions in outpatient services. There is no deductible within the scope of the policy, and the reimbursement rate is 60% (within one benefit period) The maximum cumulative reimbursement limit for general outpatient clinics is 400 yuan per person. At the same time, patients with "hypertension" and "diabetes" can enjoy outpatient reimbursement of 200 yuan per person per year for the "two diseases", totaling 600 yuan). .
2. Outpatient chronic diseases: Those who are identified as having outpatient chronic diseases in 2023. Generally, for outpatient chronic diseases that require long-term medication, the reimbursable drug limit is 3,600 yuan to 14,400 yuan, of which the reimbursable drug limit for organ transplant patients is 48,000 yuan. -84,000 yuan, the reimbursement rate is 70%. Each person can enjoy two types of outpatient chronic disease treatment.
3. Outpatient diseases for serious and serious diseases and specific drugs for outpatient services: for diseases that are in line with the treatment scope of 33 serious and serious diseases in our city, the treatment fee is within the limit of 80% for county-level medical institutions and 70% for municipal-level medical institutions. %, provincial medical institutions 65%, severe mental illness is paid on a bed-by-day basis; the payment ratio for outpatient medical expenses that meets the regulations for outpatient diseases and specific outpatient drug limits is 80%. The minimum payment standard for insured residents under the age of 14 (including 14 years old) is reduced by half. For other insured residents who are hospitalized for the second time or later in a hospital at or above the county level (including county level) within the year, the minimum payment standard will be halved.