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22017 Xiamen City Medical Insurance Reimbursement Ratio, Xiamen City Medical Insurance Out-of-town Medical Reimbursement Ratio Policy New Regulations Xiamen City Rural Medical Insurance Reimbursement Scope and Ratio 1. Outpatient Compensation: (1) Village clinics and village central clinics will be reimbursed 60%, each time

The limit on prescription drugs for medical treatment is 10 yuan, and the limit on prescription drugs for temporary rehydration by doctors at health centers is 50 yuan.

(2) The town health center will reimburse 40% of the fees for each visit, with a limit of 50 yuan for examination fees and surgical fees, and a limit of 100 yuan for prescription drugs.

(3) 30% reimbursement for visits to secondary hospitals, with a limit of 50 yuan for examination fees and surgical fees for each visit, and a limit of 200 yuan for prescription drugs.

(4) 20% reimbursement for visits to tertiary hospitals, with a limit of 50 yuan for examination fees and surgical fees for each visit, and a limit of 200 yuan for prescription drugs.

(5) There is a limit of 1 yuan per prescription attached to the traditional Chinese medicine invoice.

(6) The annual compensation limit for town-level cooperative medical outpatient clinics is 5,000 yuan.

2. Hospitalization compensation (1) Scope of reimbursement: A. Medication expenses: Auxiliary examinations: ECG, X-ray, film, laboratory tests, physical therapy, acupuncture, CT, MRI and other examination fees are limited to 200 yuan

;Surgery fee (refer to national standards, if it exceeds 1,000 yuan, it will be reimbursed at 1,000 yuan).

B. For elderly people over 60 years old who are hospitalized in Xingta Town Health Center, treatment and nursing fees will be compensated 10 yuan per day, with a limit of 200 yuan.

(2) Reimbursement ratio: Town health center reimburses 60%; second-level hospitals reimburse 40%; third-level hospitals reimburse 30%.

3. Compensation for serious illness (1) Town risk fund compensation: For inpatients participating in rural cooperative medical insurance whose one-time or annual cumulative medical expenses exceed 5,000 yuan, they will be compensated in stages, that is, 5,001-10,000 yuan will be compensated for 65%, and 10,001-10,000 yuan will be compensated in stages.

70% compensation of 18,000 yuan.

(2) The annual limit of compensation for town-level cooperative medical inpatient and uremia outpatient hemodialysis, cancer outpatient radiotherapy and chemotherapy is 11,000 yuan.

Q&A on Xiamen Rural Medical Insurance: My parents now live in rural Anhui and have participated in the new rural medical insurance. Is there a cap on the reimbursement amount of this insurance? What is the maximum reimbursement? In addition, I want to buy another one for them now.

Critical illness medical insurance, will there be any conflict in the reimbursement of this insurance in the future? If you see a doctor in a hospital in this province, can the reimbursement ratio reach 50%? In addition, there is only one medical receipt. If you apply for rural medical insurance, there are

No way to go to the insurance company to apply for critical illness medical insurance? Answer: The maximum cap of the new rural cooperative medical insurance is 40,000 yuan per year, and the reimbursement ratio is 80% after the deductible for town-level hospitals, followed by 60% at the county level and 45% at the provincial level.

%, does not conflict with other commercial insurance.

Please keep copies of all documents and ask the NCMS office that received your documents to stamp their official seal for reimbursement from commercial insurance.

Warm reminder of Xiamen Rural Medical Insurance Compared with 2007 when the system was launched, in the new version of the "Anhui Province Basic Medical Insurance, Work Injury Insurance and Maternity Insurance Drug Catalog" released in 2010, there are 2,422 categories of Class A and B drugs.

The last edition of the Drug Catalog added more than 300 drugs.

At the same time, the scope of payment of medical insurance funds has gradually expanded, and the scope of prescribed outpatient diseases for serious diseases and chronic diseases has continued to increase.

In addition, Xiamen City focuses on solving the transfer and continuation of rural medical insurance relationships in Anhui Province that move between urban and rural areas by providing good medical insurance relationship transfer and continuation and off-site medical settlement services, thereby achieving smooth transfer and continuation of medical insurance relationships between different systems and different regions.

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By coordinating medical insurance management and handling services with the "Yangtze River Delta" region, we will continue to improve the settlement methods for medical treatment in other places, so that insured persons in our province can better enjoy medical insurance benefits in other places.

In 2015, Xiamen City continued to implement the basic medical insurance system for urban residents, a livelihood project, and increased the reimbursement benefits of medical insurance.

In order to help the insured residents further understand the resident medical insurance policy, master how to enroll in insurance, seek medical treatment, reimbursement and other related procedures, so as to better enjoy the government’s policies to benefit the people, the Xiamen Municipal Human Resources and Social Security Bureau recently announced the Resident Medical Insurance 2015-2016

Annual benefits and reimbursement policies.