Proportion of hospitalization reimbursement for rural medical insurance

Legal analysis: the proportion of reimbursement for hospitalization in rural medical insurance: 60% for reimbursement in town hospitals; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%. Reimbursement scope: medicine fee: auxiliary examination; 200 yuan for ECG, X-ray fluoroscopy, radiography, laboratory tests, physiotherapy, acupuncture, CT and nuclear magnetic resonance; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan). The elderly over 60 years old are hospitalized in health centers, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.

Serious illness compensation: compensation from the town risk fund: if the medical expenses of inpatients participating in the cooperative medical care exceed 5,000 yuan at one time or for the whole year, they should be compensated by stages, that is, 500 1- 10000 yuan is 65%, and 1000 18000 yuan is 70%.

Legal basis: Article 30 of the Social Insurance Law of People's Republic of China (PRC), the following medical expenses are not included in the payment scope of the basic medical insurance fund: (1) Those that should be paid by the industrial injury insurance fund; (2) It shall be borne by a third party; (3) borne by public health; (4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.