The proportion of medical insurance reimbursement in Wuhan is as follows: the proportion of medical insurance payment in different levels of medical institutions in Wuhan is not small, and the threshold for hospitalization of urban and rural residents in first-class medical institutions is 200 yuan, which is low; It is 50% of the secondary medical institution 400 yuan; 25% of tertiary medical institutions are in 800 yuan; The payment ratio of 90% is higher, which is 0.3 times of 65438+70% in secondary medical institutions and 60% 1.5 times in tertiary medical institutions.

The proportion of medical insurance reimbursement in Wuhan is divided into the following four items:

1, the general outpatient medical expenses will be increased to 30% of the expenses in 300 yuan and below, and the reimbursement amount of residents' medical insurance outpatient expenses will be increased to 90 yuan per person per year.

2. For hospitalization expenses above Qifubiaozhun and below the annual maximum payment limit, the reimbursement ratio of residents' medical insurance fund: 86% in tertiary medical institutions, 89% in secondary medical institutions, and 92% in community health service centers, primary medical institutions and Huimin hospitals; The proportion of medical insurance reimbursement for employees in tertiary, secondary and primary medical institutions is 82%, 85% and 88% respectively.

3. The hospitalization expenses shared by the large medical insurance fund for urban workers and the insured according to the current large medical insurance policy are 654.38+10,000 yuan to 200,000 yuan, and the part exceeding 200,000 yuan will continue to implement the current large medical insurance policy for urban workers.

4, to participate in the urban basic medical insurance in Wuhan and enjoy the treatment of the disabled hospitalization, there is no Qifubiaozhun, while the urban basic medical insurance fund payment ratio increased by 2% on the basis of the current policy.

Extended data:

There is a basic deductible for each hospitalization, namely, the first-level hospital 500 yuan, the second-level hospital 750 yuan, and the third-level hospital 1000 yuan. These expenses need to be borne by employees themselves. Class A drugs and Class B drugs are reimbursed in proportion, and imported drugs are not reimbursed. If the amount exceeds 40 thousand, you have to pay for it yourself

The employee's outpatient expenses can be deducted from his personal account and paid by the employee after deduction. The hospitalization expenses of employees shall be reimbursed in proportion: 1 1,000 yuan, and 86% of the expenses shall be reimbursed by tertiary hospitals; 65,438+0,000 to 20,000 yuan, and 88% of the expenses are reimbursed by tertiary hospitals; 20,000 to 40,000 yuan, and 92% of the expenses are reimbursed by tertiary hospitals. If employees have not been sick for several years in a row, personal account funds can be accumulated.

I hope the above content can help you. Please consult a professional lawyer if you have any other questions.

Legal basis:

"People's Republic of China (PRC) Social Insurance Law" Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.