1, township hospitals for medical treatment, deductible 100 yuan, reimbursement rate of 90%;
2. County-level designated hospitals for medical treatment, deductible line 200 yuan, reimbursement rate of 82%;
3, municipal designated hospitals for medical treatment, deductible for 500 yuan, the reimbursement rate is 65%;
4. Provincial designated hospitals for medical treatment, deductible line 700 yuan, reimbursement rate of 55%; For medical treatment in non-designated hospitals outside the province, the deductible line 1000 yuan, and the reimbursement rate is 45%.
Medical insurance processing flow in different places:
1, I or my family contact the insured institution by telephone to apply for cross-provincial medical referral;
2. Choose a designated medical institution for cross-provincial medical treatment, otherwise it will not be reimbursed;
3, patients with ID card (or residence booklet), cooperative medical certificate, admission certificate, referral form (or referral message) for admission procedures;
4. When the patient is discharged from the hospital, he/she will settle at the service window of the new rural cooperative medical system. Pay attention to bring complete materials and pay for personal expenses.
Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Article 72
Set up social insurance agencies in the overall planning area. According to the needs of the work, with the approval of the local social insurance administrative department and the organization management organ, the social insurance agency may set up branches and service outlets in this overall planning area.
The personnel expenses of social insurance agencies and the basic operating expenses and management expenses incurred in handling social insurance shall be guaranteed by the finance at the same level in accordance with state regulations.
Article 74
The social insurance agency shall obtain the data needed for social insurance work through business handling, statistics and investigation, and the relevant units and individuals shall provide it in a timely and truthful manner.
The social insurance agency shall establish a file for the employer in a timely manner, completely and accurately record the social insurance data such as personnel's participation in social insurance and payment, and properly keep the original vouchers for registration and declaration and accounting vouchers for payment and settlement.
The social insurance agency shall timely, completely and accurately record the individual's personal rights and interests such as social insurance payment, employer's payment and social insurance benefits, and regularly send the personal rights and interests records to me free of charge.
Employers and individuals can inquire and check the records of payment and social insurance benefits from social insurance agencies free of charge, and ask social insurance agencies to provide social insurance consultation and other related services.