In 2025, the hospitalization reimbursement limit for flexible employment medical insurance in Yushu, Qinghai, is subject to specific regulations. The maximum payment limit of the basic medical insurance fund in a year is generally 200,000 yuan, and the actual reimbursement amount is determined by factors such as the reimbursement ratio, deductible standard, and the amount of medical expenses within the policy scope.
The following are the specific regulations on the hospitalization reimbursement ratio of flexible employment medical insurance in Yushu in 2025:
- For tertiary hospitals: The deductible standard is 659 yuan, and the reimbursement ratio is 50% with an upper limit of 2,000 yuan. That is to say, if your hospitalization expenses in a tertiary hospital meet the reimbursement scope, after deducting the deductible of 659 yuan, 50% of the remaining expenses will be reimbursed, but the maximum reimbursement amount is 2,000 yuan.
- For secondary hospitals: The deductible standard is 300 yuan, and the reimbursement ratio is 55%. For example, if your hospitalization expenses in a secondary hospital are within the reimbursement scope, first subtract the deductible of 300 yuan, and then 55% of the remaining expenses will be reimbursed by the medical insurance.
- For primary hospitals: There is no deductible standard, and the reimbursement ratio is 60%. That is, 60% of the hospitalization expenses that meet the reimbursement scope in primary hospitals can be directly reimbursed by the medical insurance.
It should be noted that these ratios and limits are subject to the specific policies of Yushu in 2025. When seeking medical treatment, it is recommended that you consult the local medical insurance department or the medical insurance office of the hospital in advance to understand the detailed regulations and procedures to ensure that you can enjoy the corresponding medical insurance benefits.