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Reimbursement ratio of rural cooperative hospitals in Suixi county

Secondary designated medical institutions shall be reimbursed by 50% for the part below 5,000 yuan, 55% for the part between 5,000 yuan and 10000 yuan, and 60% for the part above 10000 yuan.

Third-level designated medical institutions shall be reimbursed by 35% for the part below 5,000 yuan, 40% for the part between 5,000 yuan and 1 10,000 yuan, and 45% for the part above 1 10,000 yuan.

The first-level designated medical institutions include town street hospitals and district-level specialized medical institutions, the second-level designated medical institutions include district-level general hospitals and municipal specialized medical institutions, and the third-level designated medical institutions include municipal-level and above general hospitals and municipal-level specialized medical institutions.

Legal basis:

People's Republic of China (PRC) social insurance law

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.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.