Legal analysis: 1. Reimbursement scope: It is understood that after hospitalization, physical therapy fees, surgical fees, examination fees (electrocardiogram, X-ray, CT, MRI), and laboratory test fees are all included.

If the patient is over 60 years old, the state will subsidize 10 yuan per day for hospitalization expenses, with a maximum subsidy of 200 yuan.

2. Reimbursement ratio (1) Outpatient compensation: (1.1) Village clinics and village center clinics are reimbursed 60% of the time, with a limit of 10 yuan for prescription drugs per visit, and a limit of 50 yuan for prescription drugs for temporary rehydration by doctors at the health center.

(1.2) The town health center reimburses 40% of the fees for each visit, with a limit of 50 yuan for examination fees and surgical fees, and a limit of 100 yuan for prescription drugs.

(1.3) 30% reimbursement for visits to secondary hospitals, with a limit of 50 yuan for examination fees and surgical fees for each visit, and a limit of 200 yuan for prescription drugs.

(1.4) 20% reimbursement for visits to tertiary hospitals, with a limit of 50 yuan for examination fees and surgical fees for each visit, and a limit of 200 yuan for prescription drugs.

(1.5) There is a limit of 1 yuan per prescription attached to the traditional Chinese medicine invoice.

(1.6) The annual compensation limit for town-level cooperative medical outpatient clinics is 5,000 yuan.

(2) Hospitalization reimbursement standards (2.1) Reimbursement scope: A. Medication expenses: auxiliary examinations: electrocardiogram, X-ray fluoroscopy, radiography, laboratory tests, physical therapy, acupuncture, CT, MRI and other examination fee limits

200 yuan; operation fee (refer to national standards, if it exceeds 1,000 yuan, it will be reimbursed at 1,000 yuan).

B. For elderly people over 60 years old who are hospitalized in Xingta Town Health Center, treatment and nursing fees will be compensated 10 yuan per day, with a limit of 200 yuan.

(2.2) Reimbursement ratio: Town health center reimburses 60%; second-level hospitals reimburse 40%; third-level hospitals reimburse 30%.

(3) Compensation from the Town Risk Fund for Critical Illness Compensation: All inpatients who participate in cooperative medical care will be compensated in stages if their one-time or annual cumulative medical expenses exceed 5,000 yuan, that is, 65% will be compensated for 5,001-10,000 yuan, and 70 will be compensated for 10,001-18,000 yuan.

%.

The annual limit of compensation for town-level cooperative medical inpatient and uremia outpatient hemodialysis, cancer outpatient radiotherapy and chemotherapy is 11,000 yuan.

Legal basis: Article 2 of the "Social Insurance Law of the People's Republic of China" The state establishes basic pension insurance, basic medical insurance, work-related injury insurance, unemployment insurance, maternity insurance and other social insurance systems to protect citizens in the event of old age, illness, work-related injury,

The right to obtain material assistance from the state and society in accordance with the law in cases of unemployment, childbirth, etc.

Article 3 The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be consistent with the level of economic and social development.