The local hospital has saved 1, the materials required for reimbursement of rural cooperative medical care (1), the materials for reimbursement of outpatient service: outpatient invoice, cooperative medical care certificate calendar (or medical record), and (2) the materials for reimbursement of hospitalization: hospitalization invoice, cooperative medical care certificate calendar (or medical record), detailed list of expenses, discharge summary and other relevant certificates; 3) Outpatient reimbursement materials for special diseases: outpatient invoices, calendar of cooperative medical certificate for special diseases (4) special disease handling materials: outpatient treatment proposal for special diseases, calendar of cooperative medical certificate, medical records, relevant laboratory reports and photos; 2. Reimbursement process of rural cooperative medical care (1). The insured households are ready to submit the materials required for reimbursement to the village (community); (2) The cooperative medical liaison is reported to the town cooperative medical liaison after being audited by the village (community) cooperative medical liaison, and sent to the report center of the District Agricultural Easy Office for reimbursement by the town liaison; 1. The reimbursement standard for outpatient service (1) is 60% in village clinics and village center clinics, and the limit of prescription drug cost per visit is 10 yuan, and the limit of prescription drug cost for temporary rehydration for doctors in health centers is 50 yuan; (2) The reimbursement standard for medical treatment in township hospitals is 40%, and the examination fee and operation fee for each visit are limited to 50 yuan, and the prescription fee is limited to 100 yuan; (3) The reimbursement standard for medical treatment in secondary hospitals is 30%, and the examination fee and operation fee for each visit are limited to 50 yuan, and the prescription fee is limited to 200 yuan; (4) The reimbursement standard for medical treatment in tertiary hospitals is 20%, and the examination fee and operation fee for each visit are limited to 50 yuan, and the prescription fee is limited to 200 yuan; 5) The standard reimbursement limit of each prescription attached to the invoice of traditional Chinese medicine is 1 yuan; (6) The annual compensation limit for rural cooperative medical clinics is 5,000 yuan; 2. Reimbursement standard for serious illness (1) Town risk fund compensation: For inpatients who participate in rural cooperative medical insurance, if the medical expenses exceed 5,000 yuan at one time or in the whole year, they will be compensated by stages, that is, 5001-kloc-0/0000 yuan will be compensated by 65%,1kloc- (2) The annual compensation limit for hemodialysis, radiotherapy and chemotherapy in the town-level cooperative medical system hospitalization and uremia outpatient service is 1. 1.000 yuan; 3. Hospitalization reimbursement standard (1) Drug expenses: auxiliary examination: examination expenses such as electrocardiogram, X-ray fluoroscopy, radiography, laboratory test, physiotherapy, acupuncture, CT and nuclear magnetic resonance 200 yuan; Surgical expenses (refer to national standards, those exceeding 1000 yuan will be reimbursed as 1000 yuan); (2) The elderly over 60 years old are hospitalized in the town health center, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan; Legal Basis Chapter I General Provisions Article 1 These Regulations are formulated in accordance with the relevant provisions of the state and the actual situation of this province in order to ensure the basic medical care for urban workers and make rational use of medical resources. Article 2 The following units and their employees in cities and towns in this province must participate in basic medical insurance in accordance with these regulations: (1) Enterprises and their employees; (2) Organs, institutions, intermediaries, social organizations, private non-enterprise units and their employees; (3) Employers of troops without military status and their employees. These Regulations shall apply to the retirees of the above-mentioned units. Article 3 The basic medical insurance fund for urban workers shall be established, and the system of combining individual medical accounts (hereinafter referred to as individual accounts) with basic medical pooling funds (hereinafter referred to as pooling funds) shall be implemented. The ownership of personal accounts belongs to individuals. The ownership of the overall fund belongs to all personnel participating in the basic medical insurance. Article 4 The basic medical insurance premium shall be borne by both the employer and the employees. Fifth basic medical insurance in principle to the city, county, autonomous county as a whole unit, the implementation of territorial management. Article 6 The basic medical insurance premium shall be collected by the local tax authorities of this province (hereinafter referred to as the tax collection authorities). Chapter ii collection and payment of basic medical insurance premiums article 7 the basic medical insurance premiums shall be paid by both the employer and the employees. Among them, the employer pays 5%-7% of the total monthly salary of its employees, and the rate of employees paying basic medical insurance premium is not less than 2% of their total monthly salary. Article 8 The amount of employees' monthly wages is determined according to their actual total wages, but it shall not be less than 60% of the average monthly wages of employees in the city, county and autonomous county where they are located. The following medical insurance premiums that should be paid by themselves shall be paid by the employer. Article 9 If the total monthly salary of employees exceeds 300% of the average monthly salary of employees in cities, counties and autonomous counties in the previous year, the basic medical insurance premium will not be paid, nor will it be used as the base for checking the amount of personal accounts. Article 10 The employing unit must register the basic medical insurance with the social insurance agency within 30 days from the date of obtaining the business license or being approved for establishment. When the registered items change or the payment obligation is terminated according to law, the registration shall be changed or cancelled in time. The social insurance agency shall promptly notify the tax authorities of the registration. The employing unit shall, within 10 days after going through the basic medical insurance registration formalities, go to the tax collection authority to pay and register the basic medical insurance premium in accordance with relevant regulations. Article 11 The amount of basic medical insurance premiums that employers and employees should pay shall be reported to the tax collection organ by the employer on a monthly basis and approved by the tax collection organ. If the employer fails to declare the amount of the basic medical insurance premium that should be paid according to the regulations, the tax collection authority will temporarily determine the amount that should be paid according to 1 10% of the amount paid by the unit last month; If the amount was not paid last month, the tax collection organ shall determine the amount and amount of payment according to the economic situation of the unit and the number of employees. After the payer completes the declaration procedures and pays the basic medical insurance premium according to the specified amount, the tax collection organ shall settle the account according to the facts. Twelfth basic medical insurance premiums are levied on a monthly basis, and employers and employees shall pay the basic medical insurance premiums to the tax collection authorities within the prescribed time limit. The part that individual employees should pay shall be withheld and remitted by the employer from their wages. The basic medical insurance premium shall not be reduced. Thirteenth pay the total wages of basic medical insurance premiums, according to the relevant provisions of the state. The basic medical insurance premium paid by the employer shall be charged according to the relevant financial regulations of the state. The basic medical insurance premium is not included in the personal current wage income, and is exempt from personal income tax. The employing unit shall not lower the wage standard of employees on the grounds that they pay the basic medical insurance premium. Fourteenth basic medical insurance payment to implement the annual inspection system. The administrative department for industry and commerce shall not handle the annual inspection procedures for industry and commerce for the employing units that have not gone through the annual inspection procedures for paying the basic medical insurance to the tax authorities. When the employer goes through the formalities for cancellation of the business license, the administrative department for industry and commerce shall first review the certificate of termination of the basic medical insurance relationship issued by the social insurance agency. Fifteenth employees after retirement, I will no longer pay the basic medical insurance premium, and the unit will no longer pay the basic medical insurance premium for them. Article 16 If the employing unit goes bankrupt, closes down or terminates for other reasons according to law, or the number of employees is reduced by more than two thirds, and the basic medical insurance premium actually paid by retirees before retirement is less than 10 years, compensation shall be paid from the basic medical insurance fund. Fund compensation is calculated by multiplying the current age of 75 by the average basic medical expenses of retirees in the same period, and paid in one lump sum from the assets realized after liquidation. Really unable to pay, the treatment measures shall be formulated separately by the provincial people's government. Unless otherwise stipulated by the state, such provisions shall prevail. Article 17 Where an employer terminates due to bankruptcy, cancellation, dissolution or other reasons, it shall pay off the unpaid basic medical insurance premium, interest, late payment fee and fine in accordance with the provisions of relevant state laws and regulations. When the employing unit is merged, divided or transferred, the merged, divided or transferee shall bear the unpaid basic medical insurance premium, interest, late payment fee and fine. Unless otherwise stipulated by the state, such provisions shall prevail. Eighteenth medical expenses before the implementation of these regulations are still solved by the original channels.