Within a year, the hospitalization expenses within the scope of the overall payment of residents' medical insurance during the hospitalization of insured residents, and the above part of the Qifubiaozhun shall be paid by the overall payment of basic medical insurance according to the following proportion:

In the first, second and third-level designated medical institutions, 85%, 80% and 70% of the expenses paid by adult residents are reimbursed respectively; The adult residents who pay the second grade are 85%, 75% and 55%; Children and college students are reimbursed 90%, 85% and 80% respectively.

Tips: The hospitalization deductible standard: The deductible lines of the first, second and third-level designated medical institutions are 200 yuan, 500 yuan and 800 yuan respectively. From June 5438+ 10, 2020, the deductible lines of six tertiary hospitals, including Qingdao University Affiliated Hospital, Municipal Hospital, Central Hospital, Haici Medical Group and Qilu Hospital, were adjusted to 1000 yuan.

If the insured is hospitalized for the first time within one year, the deductible is100%; The second hospitalization, deductible by 50%; For those hospitalized for the third time or more, the deductible line shall be uniformly implemented according to 100 yuan.

Tips 1: The deductible line standard for chronic diseases and special diseases in outpatient department: the deductible lines of the first-,second-and third-level designated medical institutions are 200 yuan, 500 yuan and 800 yuan respectively. From June 5438+ 10, 2020, the deductible lines of six tertiary hospitals, including Qingdao University Affiliated Hospital, Municipal Hospital, Central Hospital, Haici Medical Group and Qilu Hospital, were adjusted to 1000 yuan.

Tips 2: In a medical year, the insured person pays the Qifubiaozhun for chronic diseases and special diseases in the inpatient department and outpatient department respectively. Among them, uremia dialysis treatment, organ transplantation, malignant tumor, leukemia, tuberculosis, tuberculosis in other parts outside the lung, multidrug-resistant tuberculosis and hospitalization for chronic diseases and special diseases in the outpatient department only bear a Qifubiaozhun.