1, 60% of the medical expenses of village clinics and village center clinics are reimbursed, and the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration of hospital doctors is 50 yuan.
2. Reimbursement of 40% for medical treatment in town health centers, with the limit of examination fee and operation fee for each visit, and the limit of prescription fee 100 yuan.
3, the secondary hospital reimbursement of 30%, each examination fee and operation fee limit 50 yuan, prescription drug fee limit 200 yuan.
4, tertiary hospital reimbursement of 20%, each visit examination fee and operation fee limit 50 yuan, prescription drug fee limit 200 yuan.
5. Traditional Chinese medicine invoices are accompanied by prescriptions, with a limit of 1 yuan.
6, the township cooperative medical outpatient compensation limit is 5000 yuan.
7. Special diseases: In a medical insurance year, the deductible for outpatient service of special diseases is 400 yuan, and the proportion of reimbursement for medical expenses that meet the prescribed treatment scope is the same as that for general hospitalization.
Second, the proportion of hospitalization reimbursement for rural medical insurance
1, hospitalization medical insurance reimbursement ratio
Town health centers reimburse 60% hospitals, 40% hospitals and 30% hospitals.
2, the proportion of serious illness medical insurance reimbursement
All inpatients who participate in cooperative medical care, whose medical expenses exceed 5,000 yuan at one time or for the whole year, should be compensated by stages, that is, 500 1- 10000 yuan is 65%, and1-18000 yuan is 70%. The annual compensation limit of town-level cooperative medical system hospitalization, uremia outpatient hemodialysis and tumor outpatient radiotherapy and chemotherapy is 1. 1 ten thousand yuan.
Legal basis: Opinions on Integrating the Basic Medical Insurance System for Urban and Rural Residents Article 27 The hospitalization medical expenses of insured residents within the policy scope of designated medical institutions for basic medical insurance in the overall planning area 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.