Outpatient service
Reimbursement for medical treatment in village clinics and village center clinics is 60%, and the prescription drug fee limit for each visit is 10 yuan, and the prescription drug fee limit for temporary rehydration for doctors in health centers is 50 yuan;
40% reimbursement for medical treatment in the town health center, with the limit of 50 yuan for each medical examination and operation fee and the limit of prescription fee 100 yuan;
Second-level hospitals will be reimbursed 30% for medical treatment, with each examination fee and operation fee limited to 50 yuan and prescription drug fee limited to 200 yuan;
Third-level hospitals will be reimbursed 20% for medical treatment. The examination fee and operation fee for each visit are limited to 50 yuan, and the prescription drug fee is limited to 200 yuan;
Chinese medicine invoice with prescription, each paste limit 1 yuan; The annual compensation limit for rural cooperative medical clinics is 5000 yuan.
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Extended data:
Measures for the implementation of basic medical insurance for urban and rural residents in Hunan Province
Article 27 The insured residents shall pay the hospitalization expenses within the policy scope of the designated medical institutions of basic medical insurance in the overall planning area, and the part above the Qifubiaozhun shall be paid by the urban and rural residents' medical insurance fund in proportion:
Township hospitals and community health service institutions shall not be less than 80%; County-level medical institutions are not less than 70%; Municipal medical institutions are not less than 60%. Each overall planning area reasonably determines the specific payment ratio according to the income and expenditure of urban and rural residents' medical insurance fund.
Article 28 When insured residents are hospitalized in provincial-level designated medical institutions, the Qifubiaozhun shall be determined according to about 10% of the average hospitalization expenses of each provincial-level designated medical institution in the previous year, and not less than 1500 yuan. Within the scope of the policy, the proportion of hospitalization medical expenses paid shall not be less than 50%. The specific payment standard shall be reasonably determined by the Provincial Department of Human Resources and Social Security in conjunction with the Provincial Department of Finance according to the operation of the medical insurance fund for urban and rural residents in the overall planning areas and the medical conditions of the insured residents.
Thirtieth medical insurance funds for urban and rural residents set the maximum payment limit for hospitalization. In a settlement year, the cumulative maximum payment limit of basic medical insurance for urban and rural residents (excluding serious illness insurance for urban and rural residents) is 6.5438+0.5 million yuan.
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