In-hospital medical assistance, on the basis that individuals pay the deductible and out-of-pocket expenses of each hospitalization section according to regulations, the deductible and out-of-pocket expenses of each section are reimbursed in proportion: (1) deductible expenses are reimbursed by 50%; (2) Individuals pay 30% in paragraph A, 40% in paragraph B and 50% in paragraph C. ..

Example: An insured employee goes to a designated tertiary medical institution for hospitalization once a year, and the total hospitalization expense is 15000 yuan. The calculation method of hospitalization Medicaid is as follows:

1. Personal deductible: 700 yuan, with 50% reimbursement reduced, 350 yuan can be reimbursed.

2. Input the contributions of pooling funds and individuals * * *:

15000-700= 14300 yuan

* * * The calculation fee for each payment section is as follows:

Section A fee: 5,000 yuan

Cost of Section B: 5,000 yuan

Cost of Section C: 4,300 yuan

* * * The medical expenses paid by individuals in the payment part are:

(1) Personal burden of expenses in paragraph A:

5000× 20% = 1000 yuan, minus 30%, 300 yuan can be reimbursed.

(2) Personal burden of expenses in paragraph b:

5000× 15% = 750 yuan, with a reduction of 40%, 300 yuan can be reimbursed.

(3) Personal burden of expenses in paragraph C:

4,300×10% = 430 yuan, with a reduction of 50%, 2 15 yuan can be reimbursed.

(4)*** Personal payment:

1000+750+430 = 2180 yuan. 8 15 yuan can be reimbursed after reduction or exemption.

3. The medical expenses that employees should pay for this hospitalization are:

700+2 180=2880 yuan, after deducting the minimum compensation and various expenses, it can be reimbursed 1 165 yuan.