1. repayment ratio
(1) 60% reimbursement for village clinics and village center clinics;
2. 40% reimbursement for medical treatment in town hospitals;
③ 30% reimbursement for treatment in secondary hospitals;
④ 20% reimbursement for treatment in tertiary hospitals;
2. Qifubiaozhun
① The cost limit of prescription drugs for each visit is 10 yuan, and the cost limit of temporary rehydration prescription drugs for hospital doctors is 50 yuan.
② The limit of examination fee and operation fee for each visit is 50 yuan, and the limit of prescription fee is 100 yuan.
(3) For secondary hospitals, the limit of examination fee and operation fee for each visit is 50 yuan, and the limit of prescription fee is 200 yuan.
④ In tertiary hospitals, the limit of examination fee and operation fee for each visit is 50 yuan, and the limit of prescription fee is 200 yuan.
⑤ The prescription attached to the invoice of traditional Chinese medicine is limited to 1 yuan.
6. The annual compensation limit for rural cooperative medical clinics is 5000 yuan.
Two. Hospital reimbursement in rural areas
1. repayment ratio
(1) 60% reimbursement for urban hospitals;
② 40% reimbursement from secondary hospitals;
③ 30% reimbursement from tertiary hospitals.
2. reimbursement standard
(1) Medical expenses: auxiliary examination: the expenses for electrocardiogram, X-ray fluoroscopy, radiography, laboratory tests, physiotherapy, acupuncture, CT and nuclear magnetic resonance are limited to 200 yuan; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan).
② The elderly over 60 years old are hospitalized in health centers, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.
3 rural serious illness reimbursement ratio (more than 5000 yuan)
1.5001-10000 yuan will be reimbursed by 65%.
2.10001-18000 yuan will be reimbursed by 70%.
3. The annual compensation limit for hemodialysis, radiotherapy and chemotherapy in the town-level cooperative medical system inpatient and uremia clinic is 1. 1.0000 yuan.
Four, all kinds of people in rural areas medical insurance reimbursement ratio and Qifubiaozhun.
1. Reimbursement ratio of students and children and minimum payment standard (1.8 million yuan or less)
1. repayment ratio
① The reimbursement rate of tertiary hospitals is 55%.
② The reimbursement rate of secondary hospitals is 60%;
③ The reimbursement rate of first-class hospitals is 65%.
2. Qifubiaozhun
The qifubiaozhun for tertiary hospitals is 500 yuan;
② The Qifubiaozhun for secondary hospitals is 300 yuan;
③ There is no Qifubiaozhun in the first-class hospital.
2. Reimbursement proportion and minimum payment standard for people over 70 years old (below 65438+ 10,000 yuan)
1. repayment ratio
① The reimbursement rate of tertiary hospitals is 50%;
② The reimbursement rate of secondary hospitals is 60%;
③ The reimbursement rate of first-class hospitals is 65%.
2. Qifubiaozhun
The qifubiaozhun for tertiary hospitals is 500 yuan;
② The Qifubiaozhun for secondary hospitals is 300 yuan;
③ There is no Qifubiaozhun in the first-class hospital.
3. Reimbursement ratio of rural residents and minimum payment standard (below 6,543,800 yuan)
1. repayment ratio
① The reimbursement rate of tertiary hospitals is 50%;
② The reimbursement rate of secondary hospitals is 55%.
③ The reimbursement rate of first-class hospitals is 60%.
Qifubiaozhun
The qifubiaozhun for tertiary hospitals is 500 yuan;
② The Qifubiaozhun for secondary hospitals is 300 yuan;
③ There is no Qifubiaozhun in the first-class hospital.
I hope the above content can help you. Please consult a professional lawyer if you have any other questions.
Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, and shall be paid from the basic medical insurance fund in accordance with state regulations.