Reimbursement ratio of rural medical insurance

The reimbursement ratio of rural medical insurance is as follows:

Proportion of reimbursement for serious illness of new rural cooperative medical system:

1, the proportion of overall subsidies for township and village clinics increased to 65% and 75% respectively;

2, a medical institution hospitalization expenses below 400 yuan, no deductible;

3, secondary medical institutions to increase the proportion of subsidies to 75% to 80%;

4, the proportion of tertiary medical institutions subsidies increased to 55% to 60%;

5, the proportion of provincial tertiary medical institutions subsidies increased to fifty-five percent;

6. Eight kinds of serious diseases such as congenital heart disease in children, 70% of the quota of subsidized diseases of the new rural cooperative medical system, lung cancer and other 12 kinds of serious diseases, and the quota of subsidized diseases of the new rural cooperative medical system will strive to reach 70%.

Proportion of reimbursement for outpatient service of new rural cooperative medical system:

1, the reimbursement rate of village clinics and health clinics is 60%;

2. The reimbursement rate of urban hospitals is 40%;

3. The small proportion of beatings in secondary hospitals is 30%;

4. The reimbursement rate of tertiary hospitals is 20%;

5. The reimbursement limit for township-level cooperative medical clinics is 5,000 yuan/year.

Proportion of hospitalization reimbursement for new rural cooperative medical system:

1, new EEG, X-ray fluoroscopy, radiography, laboratory tests, physiotherapy, acupuncture, CT, MRI and other auxiliary examination items will be reimbursed to 200 yuan;

2, the operation fee deductible line 1000 yuan according to national standards, more than 1000 yuan according to 1000 yuan;

3. The hospitalization expenses and nursing expenses of the elderly over 60 years old can be reimbursed every day 10 yuan, with the limit of 200 yuan;

4. The reimbursement rates of hospitals at all levels are: town hospitals 60%, secondary hospitals 40% and tertiary hospitals 30%.

Rural medical insurance:

The new rural cooperative medical system, referred to as the new rural cooperative medical system for short, refers to the system of mutual medical assistance and mutual aid for farmers, which is organized, guided and supported by the government, with farmers participating voluntarily, and individuals, collectives and governments raising funds in various ways, taking the form of combining individual contributions, collective support and government funding.

To sum up, all rural residents registered in the local area, 90 days after birth and urban residents who have not participated in the basic medical insurance for urban workers can participate. There is no upper age limit. In addition, those who have participated in the basic medical insurance for urban workers and student safety insurance do not need to participate in the new rural cooperative medical system.

Legal basis:

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.