1. On the premise that the parties have gone through the referral procedures and been approved by the social security department of the insured place, the proportion of medical insurance reimbursement can be referred to as follows:

(1) For medical treatment in designated medical institutions, the proportion of fund payment is: 70% in designated medical institutions for primary health services, 65% in designated medical institutions for primary health care, 55% in designated medical institutions for secondary health care and 40% in designated medical institutions for tertiary health care. For medical treatment in non-designated medical institutions, the proportion of fund payment is unified to 35%;

(2) For the insured who have participated in urban and rural medical insurance for more than 2 years, the proportion of fund payment will be increased by 5 percentage points on the original basis;

(3) Rural five-guarantee recipients can enjoy zero deductible for hospitalization, and the proportion of hospitalization medical expenses fund paid by designated medical institutions in primary health services and first-level designated medical institutions will be increased by 10 percentage point.

2. The above reference sources and more contents: Interim Measures for Basic Medical Insurance for Urban and Rural Residents in Jiangmen City (Fu Jiang [2065 438+00] 16).

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