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Xi outpatient reimbursement policy in 2022
The annual deductible is 100 yuan, and the reimbursement starts after 100 yuan. The reimbursement amount does not include expenses outside the scope of medical insurance, and the reimbursement ratio is 50%. Annual reimbursement amount 500 yuan. If the patient's condition requires, he can be transferred from the contracted hospital to a higher-level hospital for medical treatment. Taking the referral medical records of our hospital as an example, the outpatient expenses of other hospitals can be reimbursed up to 100 yuan with reimbursement materials. Medical insurance refers to social medical insurance. Social medical insurance is a social insurance system established by the state and society according to certain laws and regulations to provide basic medical needs for workers within the scope of protection. The basic medical insurance fund consists of overall funds and individual accounts. The basic medical insurance premiums paid by individual employees are all included in individual accounts; The basic medical insurance premium paid by the employer is divided into two parts, one part is included in the personal account, and the other part is used to establish the overall fund. It has the characteristics of "low level and wide coverage".

Legal basis:

People's Republic of China (PRC) social insurance law

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.

Twenty-sixth 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.