Beijing medical insurance reimbursement treatment

I. Beijing Medical Insurance
Outpatient reimbursement ratio of urban employees in Beijing
　　
nine hundred
 
Proportion of hospitalization reimbursement of urban employees in Beijing
　　
nine hundred and one
Outpatient and inpatient reimbursement ratio of urban and rural residents in Beijing
　　
nine hundred and two
(1) the above reimbursement proportion refers to “ Amount within the scope of medical insurance ” The reimbursement proportion does not include the part of expenses at their own expense.
(2) the medical insurance regulations for common class B drugs in the expenses require self payment of 10% or 20% at first, and the remaining 90% or 80% shall be included in the medical insurance coverage for reimbursement.
(3) unit price ≥ For consumables of 500 yuan, the medical insurance stipulates that patients should first pay 30% of the cost of consumables, and the remaining 70% of the cost should be reimbursed within the scope of medical insurance
(4) the reimbursement policy of artificial joint prosthesis in consumables. From May 30, 2022, if the whole knee and total hip joint are used, the joint expenses will be included in the reimbursement scope. If the non centralized consumables are used, the limited price reimbursement will be paid. The knee joint medical insurance fund will pay 0 yuan, the total hip joint medical insurance fund will pay 8100 yuan, and the half hip joint medical insurance fund will pay 5940 yuan.

(5) the above reimbursement policies are for urban and rural residents and urban workers in Beijing, excluding work-related injury insurance, retirement and medical personnel insurance.