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【医保政策】郑州市城乡居民医保报销政策解读

  • 2026-05-31 21:13:18
【医保政策】郑州市城乡居民医保报销政策解读

郑州城乡居民医保报销政策

01
一、参保居民在哪里看病就医能获得医保报销？
      参保居民在医保定点医疗机构看病就医可按规定获得医保报销。比如在当地医保定点的村卫生室、乡镇卫生院、社区卫生服务中心、县人民医院、县中医院、市人民医院、市中医院等医疗机构。
02
二、参保居民普通门诊能报销吗？
       能。在医保定点医疗机构看普通门诊，医保目录范围内费用可以报销65%左右，一年最多可以报销300元。
03
三、参保居民享受医保门诊慢性病待遇的条件有哪些？
参保居民享受医保门诊慢性病待遇需要同时具备以下三个条件：
1.所患疾病是当地确定的医保门诊慢性病的病种。
2.本人申请，专业医生审核通过。可在住院的医院申请，也可在医保服务窗口提交相关资料申请。
3.在门诊慢性病定点医院使用相应的药品和检查项目。
04
四、哪些医疗费用可以医保报销？怎样报销？
       参保居民在医保定点医院发生的医保政策范围内医疗费用可以纳入医保报销。医保政策范围内医疗费用是指医保可以按比例支付的费用，纳入医保支付范围的药品、检查、诊疗、床位费等医疗费用中，分为甲类和乙类两种，甲类费用可由医保直接按比例支付，乙类费用要先按一定比例扣除后剩余的部分，医保再按比例支付。
05
五、住院花费比较高，城乡居民大病保险怎么申请报销？
      大病保险不需要申请就可以直接报销。大病保险是在基本医保按比例报销的同时，把按比例个人负担的部分累计到大病保险可以报销的费用里，当相应费用累计到1.1万元时，超出1.1万元以上的部分，大病保险直接报销60%，超出10万元时，报销70%。大病保险和居民基本医保共同在一个自然年度内最高可以报销55万元。

中心导航

郑州市管城回族区紫东路社区卫生服务中心

预防接种:0371-55697207

儿童保健:0371-55070118

围产保健:0371-55695987

公共卫生:0371-55610118

口腔门诊:0371-53392205

妇科门诊:0371-55695987

中医疼痛:15837186000

住院部/健康证:15324942495

外科，皮肤科:13949026128

儿童推拿科:15038243171

地址:紫辰路与耿庄后街交叉口向东100米路南（正商华钻澜庭3号院北门2号楼东单元1层南侧、2-4层）

乘车路线:公交89、129、136、165、193、292、518、S121路车到紫辰路耿庄南路站下车，S163路到魏庄西街耿庄路下车

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【2026.5.31】每天5分钟,郑州新闻早知道

【本科起】郑州市第八人民医院公立二级招聘公告,招聘25人,社招

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  1. CONNECT:[ UseTime:0.001200s ] mysql:host=127.0.0.1;port=3306;dbname=i460;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001957s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000790s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000690s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.001680s ]
  6. SELECT * FROM `set` [ RunTime:0.000626s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.001732s ]
  8. SELECT * FROM `article` WHERE `id` = 548423 LIMIT 1 [ RunTime:0.002106s ]
  9. UPDATE `article` SET `lasttime` = 1780257273 WHERE `id` = 548423 [ RunTime:0.001537s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 64 LIMIT 1 [ RunTime:0.000706s ]
  11. SELECT * FROM `article` WHERE `id` < 548423 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.002954s ]
  12. SELECT * FROM `article` WHERE `id` > 548423 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.001888s ]
  13. SELECT * FROM `article` WHERE `id` < 548423 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.002306s ]
  14. SELECT * FROM `article` WHERE `id` < 548423 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.003259s ]
  15. SELECT * FROM `article` WHERE `id` < 548423 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.013627s ]
0.201144s