Medical insurance for cerebral infarction treatment does not reimburse the full amount, but the reimbursement rate is 80%. Medical insurance refers to national legislation and in accordance with the principle of compulsory social insurance, basic medical insurance premiums should be paid in full and on time by the employer and individual employees.

If payment is not made in full and on time, the basic medical insurance pooling fund will not pay for medical expenses, regardless of personal account.

Take the medical insurance payment ratio in Beijing as an example: the employer pays 10% of its total payment base every month, and the employee pays 2% of his salary + 3 yuan for serious illness.

Medical insurance is a type of insurance that compensates for medical expenses caused by illness.

Social insurance that provides necessary medical services or material assistance to employees due to illness, injury, or childbirth, provided by the society or the enterprise.

Such as China's publicly funded medical care and labor insurance medical care.

The medical expenses of Chinese employees are jointly borne by the state, units and individuals to reduce the burden on enterprises and avoid waste.

If an insured accident requires treatment, the insurance premium will be paid in proportion.

For participating subjects, the reimbursement process is as follows: 1. If participating farmers receive outpatient treatment at designated institutions with the "New Rural Cooperative Medical System Certificate", the designated medical institutions will directly reduce the medical expenses according to the existing amount in the family outpatient account of the "New Rural Cooperative Medical System Certificate".

The excess will be paid by participating farmers themselves.

Designated medical institutions should make settlements with agricultural medical offices in a timely manner.

2. If participating farmers are hospitalized in designated medical institutions at the city, county or township level, the designated medical institutions will provide direct subsidies.

The designated medical institutions will review the medical expenses incurred and advance the subsidy amount according to the standards stipulated in the implementation measures.

Participating farmers who are hospitalized in provincial designated medical institutions or non-designated medical institutions will be compensated by township agricultural hospitals.

If the one-time hospitalization medical expenses are less than 2,000 yuan (including 2,000 yuan), the township (town) agricultural medical office will review and reimburse them. If the hospitalization medical expenses exceed 2,000 yuan or there are questions about the hospitalization information, the township (town) agricultural medical office will review and submit it to the county agricultural hospital.

Reimbursement can only be made after review and approval by the medical bureau.

1. When applying for compensation, you need to bring your ID card, household registration book, "New Rural Cooperative Medical System Certificate" (the originals of these three certificates will be copied and kept after review), valid hospitalization invoice, discharge summary (or medical record), expense list and referral from the medical institution

prove.

2. Participating farmers who suffer from outpatient serious illnesses (chronic diseases) need to bring their ID cards, household registers, "New Rural Cooperative Medical System Certificate", outpatient invoices and lists, outpatient medical records, and inspection reports at specified times (usually in July and December each year)

, outpatient serious illness (chronic disease) certificates from Grade II A or above hospitals or specialized hospitals should be obtained at the township (town) agricultural medical clinic.

3. For participating farmers who have participated in commercial insurance and students who have participated in student medical insurance, when they need both commercial insurance compensation and New Rural Cooperative Medical System compensation after discharge, the participating farmers should first submit the original hospitalization invoice and a copy of the invoice.

Compensation will be provided after verification by the rural medical clinic or county-level designated medical institution, and then the original hospitalization invoice will be sent to the commercial insurance company for compensation.

Copies of the invoices will be kept by agricultural hospitals or county-level designated medical institutions, but trauma patients can only be reimbursed with the originals (except students).

4. A limited settlement system is implemented for hospitalization expenses. Compensation settlement procedures can be handled at any time within three months after discharge. Those who exceed three months will be deemed to have given up the compensation on their own initiative (migrant workers can postpone it until the end of the year).

The amount of compensation that the Agricultural Medical Institute should pay according to the standards stipulated in the implementation measures will be paid to participating farmers within 10 working days.