2, in the community designated medical institutions to treat serious diseases, the proportion of ordinary people to pay 80%, the proportion of urban poor people to pay 90%;
3, in the two or more designated medical institutions to treat general diseases, the proportion of ordinary people to pay 50%, the proportion of urban poor people to pay 60%.
4, in the treatment of serious diseases in designated medical institutions above the second level, the proportion of ordinary people to pay 70%, the proportion of urban poor people to pay 80%.
5. In addition, the annual maximum payment limit of chronic disease medical insurance fund is: 2,000 yuan for general diseases and 654.38+10,000 yuan for serious diseases.
6. Reimbursement process:
1) Review household registration books and medical books; Bank card;
2) Review medical records or disease certificates to determine whether the disease is within the scope of reimbursement;
3) Review medical records, laboratory tests and invoices to determine the total reimbursement;
4) Input chronic disease information in the compensation management of chronic diseases in the integrated medical system;
5) Improve the files of patients with chronic diseases;
6) Apply for monthly report of chronic diseases and submit it to the competent leader for signature; And put bank cards according to people; Combined with the copy of diagnosis and household registration book, the system reimbursement list and invoice are filed and submitted to the county medical office;
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.