Legal analysis: the reimbursement standard of the new rural cooperative medical system is that the deductible line of the new rural cooperative medical system belongs to a first-class hospital in 300 yuan, and the general reimbursement ratio is 65%; The deductible line of the new rural cooperative medical system belongs to a secondary hospital in 400 yuan, and 80% can be reimbursed below 6,000 yuan, and 80% can be reimbursed above 6,000 yuan; Belonging to a tertiary hospital, the deductible line is 600 yuan, and 80% can be reimbursed below 6,000 yuan, and 80% can be reimbursed above 6,000 yuan. In some rural areas, the reimbursement rate of farmers can be calculated separately. Those who belong to rural low-income households, disabled households or poor households can be reimbursed up to 90%.

Legal Basis: Notice on Increasing the Reimbursement Ratio of Basic Medical Insurance for Urban and Rural Residents (New Rural Cooperative Medical System)

First, during the transition period of urban and rural residents' medical insurance integration, when adjusting the reimbursement policy of urban and rural residents' medical insurance (new rural cooperative medical insurance), counties and districts should carefully account for the actual situation of urban and rural residents' medical insurance (new rural cooperative medical insurance) funds to ensure the safe operation of the funds in that year. All counties and districts should strengthen the prevention and control of fund risks and resolutely prevent the fund from showing deficits, otherwise the counties and districts will make overall plans to solve them.

Second, during the transition period of the integration of medical insurance for urban and rural residents, after the adjustment of the reimbursement policy of the new rural cooperative medical system, the highest reimbursement rate of the participants in the first-level (township level), second-level (county level) and third-level (municipal level) designated medical institutions shall not exceed 95%, 90% and 80% respectively, and the reimbursement rate for medical treatment in different places shall not exceed 75%; The reimbursement rate of precise poverty alleviation targets will be increased by 10 percentage point, but the reimbursement rate will not exceed 100%.

Three. During the transition period of urban and rural residents' medical insurance integration, the reimbursement ratio of all inpatients who participated in the basic medical insurance for urban residents increased by 5 percentage points on the existing basis.

Four, please counties will be adjusted medical insurance for urban and rural residents (new rural cooperative medical insurance) policy documents, in 20 17 September 22nd reported to the higher authorities for the record. At that time, the relevant municipal departments are responsible for coordinating relevant units to maintain and apply the adjusted medical insurance policy in the medical insurance (new rural cooperative medical system) information management platform. The newly adjusted policy will be implemented from 20 17 10 1.