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. Go to a municipal designated hospital for medical treatment, the deductible line is 500 yuan, and the reimbursement rate is 65%;
4. Provincial designated hospitals for medical treatment, deductible line 700 yuan, reimbursement rate of 55%;
5. For medical treatment in non-designated hospitals outside the province, the deductible line is 1 0,000 yuan, and the reimbursement rate is 45%.
New rural medical insurance reimbursement process;
1, the patient sees a doctor in a designated medical institution and presents a new rural cooperative medical certificate or ID card;
2, medical institutions provide corresponding medical services according to the patient's condition, and issue a list of expenses;
3, patients in medical institutions, according to the provisions of the new rural medical insurance for cost settlement;
4, medical institutions will upload the patient's medical expenses information to the new agricultural insurance management system;
5, the new agricultural insurance management system audit fee information, determine the reimbursement amount;
6, patients pay personal expenses, medical insurance by the new agricultural insurance fund directly paid to medical institutions;
7. Patients can apply for reimbursement vouchers and details to medical institutions or medical insurance management departments as needed.
To sum up, the reimbursement rate of the new rural insurance varies with the location of medical treatment and the deductible line, with township hospitals having the highest reimbursement rate and non-designated hospitals outside the province having the lowest reimbursement rate.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 24
The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.