1, 700 yuan, the deductible line of first-class and below medical institutions;
2. 900 yuan, the deductible line of secondary medical institutions;
3. The deductible line of municipal tertiary medical institutions is 1000 yuan;
4. deductible line of tertiary medical institutions 1300 yuan.
Reimbursement scope of medical insurance:
1. outpatient expenses: including registration fees, medical fees, examination fees, laboratory fees, etc.
2. Hospitalization fee: including bed fee, treatment fee, operation fee, examination fee, medicine fee, etc.
3. Outpatient expenses for special diseases: For specific chronic diseases or serious diseases, medical insurance may provide special outpatient reimbursement;
4. Drug expenses: only drugs included in the medical insurance drug list can be reimbursed;
5. Medical service expenses: the service expenses such as treatment and surgery included in the medical insurance service scope;
6. Expenses for assistive devices: such as artificial limbs and wheelchairs. Within the prescribed scope.
To sum up, the deductible line of medical insurance reimbursement in Hangzhou is different according to the level of medical institutions, specifically, 700 yuan, 900 yuan, a first-class or lower medical institution, a municipal third-class medical institution 1 000 yuan, and a non-municipal third-class medical institution 1, 300 yuan, which ensures that different levels of medical service fees are supported by corresponding medical insurance.
Legal basis:
Measures of Hangzhou Municipality on Basic Medical Security
Article 39
In a settlement year, the hospitalization medical expenses incurred by the insured in line with the scope of medical insurance expenses shall be settled according to the following provisions: (1) Individuals shall bear the medical expenses of one hospitalization Qifubiaozhun, and if they are hospitalized twice or more, the Qifubiaozhun shall be calculated according to the highest medical institution standards, specifically: 800 yuan, a tertiary medical institution, 500 yuan, other medical institutions, and 300 yuan, a community health service institution; (2) The maximum hospitalization limit of medical insurance for urban and rural residents paid by the overall fund is 300,000 yuan; (three) the medical expenses above the hospitalization Qifubiaozhun and below the maximum hospitalization amount shall be shared by the overall fund and the individual. The overall fund ratio is 70% for tertiary medical institutions, 75% for other medical institutions and 80% for community health service institutions.
Article 40
In a settlement year, the general outpatient medical expenses incurred by the insured that meet the scope of medical insurance payment shall be settled according to the following provisions: (1) The individual shall pay the outpatient qifubiaozhun within 300 yuan; (2) The medical expenses above the outpatient qifubiaozhun shall be borne by the overall fund and individuals, of which the proportion borne by the overall fund is:1; Children's medical insurance, college students' medical insurance and other urban and rural residents' medical insurance: 40% in tertiary medical institutions, 60% in other medical institutions and 70% in community health service institutions; 2. Other urban and rural residents covered by Class II medical insurance: 30% in tertiary medical institutions, 50% in other medical institutions and 60% in community health service institutions; 3. Third-level medical insurance for other urban and rural residents: 30% for third-level medical institutions, 40% for other medical institutions and 60% for community health service institutions.