Job Recruitment Website - Social security inquiry - How much can rural insurance hospitalization reimbursement be reimbursed?
How much can rural insurance hospitalization reimbursement be reimbursed?
1, in a first-class hospital, the reimbursement rate is 65%;
2. Secondary hospitals, the deductible line is 400 yuan, and the reimbursement rate of compensation expenses below 6,000 yuan is 65%;
3, more than 6000 yuan reimbursement rate is 80%;
4. If the compensation amount of tertiary hospitals is less than 6,000 yuan, the reimbursement ratio is 65%.
The process of reimbursement for hospitalization in rural insurance is relatively simple. Hospitalization in designated medical institutions at all levels shall be subject to the reimbursement system after discharge. The insured shall go through the hospitalization formalities at the designated medical institution with the cooperative medical certificate and ID card, and pay the hospitalization deposit. At the same time, the hospital staff will input all kinds of hospitalization information and daily medical expenses of the insured person into the microcomputer in time. When the patient leaves the hospital, the cooperative medical management system and the hospital system will settle the amount of medical expenses reimbursed at the same time, and it is very convenient for the insured to pay the medical expenses at their own expense. If the insured person of agricultural insurance is hospitalized in a non-designated medical institution according to the regulations, the insured person shall pay all the hospitalization expenses first, and apply for reimbursement to the cooperative medical agency in the insured place after discharge, and the cooperative medical agency shall settle the account after examination.
Legal basis:
Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, standards of medical service facilities and medical expenses for emergency rescue, and shall be paid from the basic medical insurance fund in accordance with state regulations.
The reimbursement conditions for rural medical insurance are as follows:
1, the applicant has gone through the insurance formalities and paid the medical insurance premium in full;
2, cooperative medical designated medical institutions for medical treatment;
3. The medical expenses incurred by the insured in hospitalization in medical institutions shall be paid in cash in advance, and relevant documents and materials shall be kept.
The materials required for rural medical reimbursement are as follows:
1, discharge certificate;
2. Official invoice;
3. Cost list;
4. Household registration book;
5. Identity card;
6, rural cooperative medical certificate.
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