1. New policy for medical insurance reimbursement in 2021: Outpatient reimbursement ratio standard: (1) If you see a doctor at a local village center clinic, the reimbursement ratio standard is 60%, and it falls within the scope of medical insurance, the cost of each medical visit

There are restrictions, limited to 10 yuan, and the limit on temporary rehydration prescription drugs prescribed by doctors at health centers is 50 yuan.

(2) If you seek medical treatment at the local town health center, the reimbursement rate standard is 40%, the examination fees and surgical fees required for each medical visit are limited to 50 yuan, and the prescription drug fee is limited to 100 yuan; that is to say, you

If the medical expenses prescribed are between 200-500 yuan, only 100 yuan can be reimbursed.

(3) If you seek medical treatment at a local secondary hospital, the standard reimbursement rate is 30%, 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) If you seek medical treatment at a local tertiary hospital, the standard reimbursement rate is 20%, with a limit of 50 yuan for examination fees and surgical fees for each visit, and a limit of 200 yuan for prescription drugs.

2. New medical insurance reimbursement policy in 2021: hospitalization reimbursement ratio standards (1) auxiliary examination drug reimbursement ratio standards: cardio-electroencephalogram, X-ray fluoroscopy, film, laboratory test, physical therapy, acupuncture, CT, MRI, etc

The limit of reimbursement for each examination fee is 200 yuan; that is to say, if it costs 400 yuan to take a radiograph, only 200 yuan will be reimbursed in the final reimbursement.

(2) Surgical fee reimbursement ratio standards: refer to national standards, if the cost exceeds 1,000 yuan, it will be reimbursed at 1,000 yuan; for elderly people over 60 years old who are hospitalized in health centers, treatment and nursing fees will be compensated 10 yuan per day, with a limit of 200 yuan.

(3) Reimbursement ratio standards for hospitalization at all levels of hospital: the reimbursement ratio for town health centers is 60%; the reimbursement ratio for secondary hospitals is 40%; the reimbursement ratio for tertiary hospitals is 30%.

3. New policy for medical insurance reimbursement in 2021: Serious illness reimbursement ratio standard (1) If you participate in local medical insurance payment, the critical illness reimbursement ratio will be compensated in installments if the medical expenses exceed 5,000 yuan in one time or for the whole year.

The compensation standard is 65% if the cost is 5,001-10,000 yuan, and the compensation standard is 70% if the medical cost is 10,001-18,000 yuan.

(2) If you have participated in the local medical insurance payment, the reimbursement rate for serious illness will be divided into segments if the one-time or annual medical expenses exceed 5,000 yuan. If the medical expenses are between 5,001 and 10,000 yuan, the compensation standard is 65%.

If the medical expenses are 10,001-18,000 yuan, the compensation standard is 70%.

(3) If you participate in local medical insurance and pay premiums, the annual reimbursement limit for town-level cooperative medical inpatient and uremia outpatient hemodialysis, tumor outpatient radiotherapy and chemotherapy compensation is 11,000 yuan.

Legal basis: Article 28 of the "Social Insurance Law" Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.

Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit.

The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.