Maoming medical insurance reimbursement ratio is determined with reference to relevant national policies and actual conditions. According to the "Measures for Basic Medical Insurance for Urban and Rural Residents in Guangdong Province", Maoming insured residents need to pay a certain proportion of medical expenses during medical treatment, and the rest will be paid by the medical insurance fund. Among them, different medical items and drugs have different reimbursement rates. Specifically, the reimbursement rate of general outpatient, inpatient and special outpatient in Maoming City is 60%, and the reimbursement rate of drugs fluctuates between 50% and 90%. For patients with chronic diseases, the basic medical insurance implements a compensation mechanism, and the reimbursement ratio can reach 100%. In addition, for the treatment of serious diseases and special diseases, the proportion of reimbursement has also increased accordingly. It should be noted that not all medical expenses can enjoy the proportion of medical insurance reimbursement. For example, some beauty and plastic surgery, nutrition and health care products are not within the scope of public medical care, so they will not be reimbursed. At the same time, for drugs, drugs listed in the medical insurance catalogue can enjoy medical insurance reimbursement, and drugs at their own expense cannot enjoy it.
After I attend medical insurance in Maoming, can I choose hospitals in other cities for reimbursement? According to the regulations, residents who are insured in Maoming need to seek medical treatment in Maoming's hospital and be reimbursed locally. If you go to other cities or provinces for medical treatment, generally speaking, you need to bear all the medical expenses yourself without reimbursement. However, in case of emergency, you can be treated in a foreign hospital and apply for reimbursement to the local medical insurance department in time.
The proportion of medical insurance reimbursement in Maoming city is determined according to the relevant policies and market demand, aiming at providing basic medical insurance for the majority of insured residents and reducing their economic burden. When enjoying medical insurance benefits, it is necessary to reimburse medical treatment in strict accordance with the policy, so as to clearly mark the price and make reasonable consumption.
Legal basis:
"Measures for Basic Medical Insurance for Urban and Rural Residents in Guangdong Province" Article 11 When enjoying the basic medical insurance benefits, the insured shall pay the part according to the regulations, and the medical insurance fund shall pay the limited part according to the policy, and the expenses exceeding the payment limit shall be borne by the individual.