1. compensation for the new rural cooperative medical system: 500 yuan, the hospitalization deductible line, the compensation standard is calculated by sections, and the cumulative compensation is 50% below 4,000 yuan, and 70% above 4,000 yuan. The proportion of compensation for hospitalization expenses is 65%.

2. Serious illness insurance of the new rural cooperative medical system: if the individual pays more than 5,000 yuan, the excess will be compensated by 65%.

3. Commercial health supplementary insurance: for the part that the individual pays more than 2,000 yuan, the cumulative compensation for commercial health supplementary insurance is calculated by sections: 50% of 2000- 1 0,000, 60% of 1 0,000-20,000, and 70% of 20,000 yuan or more. The annual cap line of supplementary insurance is 200,000 yuan per person.

4. Civil medical assistance: 65438+ 00% of the total hospitalization expenses.

5. After the above four guarantees are paid, if the total annual compliance payment of individuals still exceeds 5,000 yuan, the government will fully guarantee the excess.

Extended data The hospitalization medical expenses of insured residents within the policy scope of designated medical institutions of 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.

Insured residents are hospitalized in provincial-level designated medical institutions, and the Qifubiaozhun is determined according to about 10% of the average hospitalization expenses of each provincial-level designated medical institution in the previous year, not less than 1500 yuan. Within the scope of the policy, the payment ratio of hospitalization medical expenses shall not be less than 50%, and the payment standard shall be reasonably determined by the Provincial Department of Human Resources and Social Security in conjunction with the Provincial Department of Finance according to the operation of the medical insurance fund for urban and rural residents in the overall planning areas and the medical conditions of the insured residents.

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