New Rural Social Security Policy in Shexian County, Anhui Province

Proportion of rural medical insurance reimbursement in Shexian County, Huangshan County, Anhui Province

It is best to seek medical treatment at the place of purchase, and it is not supported to seek medical treatment elsewhere. You need to obtain the approval of the local medical management agency before you can seek medical treatment.

You must go to a designated medical institution for medical treatment in order to enjoy reimbursement.

The rural cooperative medical insurance is purchased in the same year, and takes effect the following year to enjoy reimbursement.

The reimbursement of cooperative medical insurance needs to be made at the medical insurance checkout window of the local cooperative medical management institution or designated medical institution.

Procedures include: my ID card, medical insurance card, original invoice, medication list, medical records and other materials.

The reimbursement of cooperative medical insurance is carried out in proportion, generally fluctuating around 20-85%. The proportion and amount of reimbursement are related to their own examination and medication, medical level and other factors. For example, it is clear that Class A drugs can enjoy full coverage, Class C drugs need to bear all the costs, and Class B drugs will report 80% and bear 20% of the costs.

Someone spent a total of 19000 yuan on medical expenses, and the reimbursement formula is as follows: (19000-500 "deductible"-self-paid medicine) *70%. If self-funded drugs account for a large proportion, there is not much amount to be reimbursed.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.