The general outpatient service takes the form of lump sum, and the medical expenses incurred by students are reimbursed by the school according to the regulations. The outpatient lump sum fee is mainly used to solve the medical expenses of students' daily outpatient service, prenatal examination and personal accidental injury.
2
Outpatient serious illness:
There is no Qifubiaozhun, and the medical expenses within the scope of medical insurance are paid by the municipal medical insurance co-ordination fund at 85%.
three
Hospitalization:
Qifubiaozhun is 500 yuan, a tertiary medical institution, 400 yuan, a secondary medical institution, and 300 yuan, a first-class and below medical institution. If the insured college students are hospitalized for many times in a settlement year, the Qifubiaozhun will be gradually reduced, and the second and above hospitalization will be calculated according to 50% of the stipulated hospitalization Qifubiaozhun, but the minimum is not less than 150 yuan. In the third, second, first and below medical institutions, the proportion of fund payment is 80%, 90% and 95% respectively for the expenses above the minimum deductible and below the maximum payment limit that meet the requirements of residents' medical insurance. On the first 1 year of the insured payment, the cumulative maximum payment limit of the medical insurance fund is 290,000 yuan, and the maximum payment limit will increase by 1 10,000 yuan for each full 1 year of continuous payment, with the maximum not exceeding 360,000 yuan. If the payment is interrupted and insured again, the maximum payment limit of the fund will be recalculated according to the first year.