Legal analysis: For the reimbursement of major diseases of the new rural cooperative medical system, the reimbursement ratio will be different according to different hospital grades. Except for the medical expenses exceeding the maximum payment limit of the basic medical pooling fund, the reimbursement ratio will be different according to the different scope of medical expenses. General medical expenses below 0-40,000 yuan can be reimbursed 85%, medical expenses below 40,000-80,000 yuan can be reimbursed 90%, and medical expenses above 80,000 yuan can be reimbursed 95%. The maximum payment limit for each medical year is 6.5438+0.5 million yuan. Among them, the proportion of reimbursement in different medical institutions is 1, and the proportion of township and village subsidies for outpatient co-ordination is increased to 65% and 75% respectively. 2. The cost of hospitalization in a first-class medical institution is below 400 yuan, and there is no deductible standard. The proportion of subsidies for secondary medical institutions will increase to 75%-80%, the proportion of hospitalization expenses for tertiary hospitals will increase to 55%-60%, and the proportion of subsidies will increase to 55%. 3. For eight serious diseases such as congenital heart disease, leukemia and phenylketonuria in children, the proportion of subsidized diseases of the new rural cooperative medical system is 70%, and the proportion of subsidized diseases of the new rural cooperative medical system will reach 70%.

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.