Lanzhou City’s medical insurance hospitalization reimbursement ratio: 55% for employees in third-level designated medical institutions and 60% for retirees; 60% for employees and 65% for retirees at second-level designated medical institutions; employees at first-level designated medical institutions 65% are employees, 70% are retirees; others.

Lanzhou outpatient reimbursement standards:

(1) Lanzhou City Medical Insurance shall, in accordance with the national Provides payment from the basic medical insurance fund.

(2) The reimbursement rate for general outpatient expenses incurred in first-level hospitals in insured counties, cities, and districts is 55%.

(3) 60% of outpatient medical expenses for chronic diseases can be reimbursed. There is a fixed annual small limit and deductible standard, which are subject to the policies of each municipality in Lanzhou City.

Hospitalization reimbursement standards:

(1) For hospitalization in hospitals and medical institutions below, the reimbursement rate is 85%, and the minimum payment line is 200 yuan.

(2) For hospitalization in a secondary hospital, the reimbursement rate is 80%, and the minimum payment line is 500 yuan.

(3) For hospitalization in a municipal tertiary hospital, the reimbursement rate is 70%, and the minimum payment line is 700 yuan; for hospitalization in a provincial tertiary hospital, the reimbursement rate is 75%, and the minimum payment line is 70%. 1,000 yuan.

1. The latest regulations of Lanzhou Medical Insurance in 2021-2022, reimbursement conditions, scope, and proportion

1. The applicant has completed the insurance procedures and paid the medical insurance premium in full.

2. Seek medical treatment in medical institutions designated by the cooperative medical system.

3. If the insured person incurs hospitalization medical expenses while seeking medical treatment at a registered medical institution, he must pay cash in advance and keep relevant documents and information.

2. Reimbursement scope of Lanzhou Medical Insurance:

Scope of reimbursement:

1. Insured employees or residents who are hospitalized in designated medical institutions (including home hospital bed) treatment.

2. Expenses incurred by insured persons at designated medical institutions and designated retail pharmacies.

Scope that cannot be reimbursed:

1. Medical expenses beyond medical insurance diagnosis and treatment items, drug catalogues, medical service facilities and payment standards.

2. Medical expenses incurred when purchasing medicines at non-designated medical institutions and non-designated retail pharmacies that do not comply with regulations.

3. Medical expenses incurred due to illegal crimes, suicide, self-mutilation, alcoholism, etc.

4. Medical expenses paid for transportation, medical treatment, pharmaceutical accidents and other compensation liabilities.

5. Medical expenses incurred by employees for work-related injuries (work-related injuries) and childbirth.

6. Medical expenses incurred in Hong Kong, Macau, Taiwan and abroad.

7. Other non-payable medical expenses stipulated by the country, province and city.

I hope the above content will be helpful to you. If you still have any questions, please consult a professional lawyer.

Legal basis:

Article 28 of the "Social Insurance Law of the People's Republic of China"

Comply with the basic medical insurance drug catalog, diagnosis and treatment items, Standards of medical service facilities and medical expenses for emergency and rescue services shall be paid from the basic medical insurance fund in accordance with national regulations.

Article 29 of the "Social Insurance Law of the People's Republic of China"

The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be borne by the social insurance agency Direct settlement between offices and medical institutions and pharmaceutical business units.

The social insurance administrative department and the health administrative department should establish a medical expense settlement system for medical treatment in other places to facilitate insured persons to enjoy basic medical insurance benefits.