Job Recruitment Website - Social security inquiry - What is the reimbursement rate of agricultural insurance?
What is the reimbursement rate of agricultural insurance?
First-class hospitals, the reimbursement rate is 65%;
Second, secondary hospitals, the reimbursement rate of less than 6000 yuan is 65%, and that of more than 6000 yuan is 80%;
Third-and third-class hospitals and county-level hospitals, the reimbursement rate is 65% below 6000 yuan, and 80% above 6000 yuan.
Rural outpatient reimbursement
1. repayment ratio
(1) 60% reimbursement for treatment in village clinics and village center clinics;
(2) 40% reimbursement for medical treatment in town hospitals;
(3) 30% reimbursement for medical treatment in 3A hospitals;
(4) 20% reimbursement for treatment in tertiary hospitals;
2. Qifubiaozhun
(1) Prescription drug expense limit per time 10 yuan, and the prescription drug expense limit for temporary rehydration of hospital doctors in 50 yuan.
(2) The examination fee and operation fee for each visit are limited to 50 yuan, and the prescription fee is limited to 100 yuan.
(3) The cost of each examination and operation in secondary hospitals is limited to 50 yuan, and the cost of prescription drugs is limited to 200 yuan;
(4) For tertiary hospitals, the limit of examination fee and operation fee for each visit is 50 yuan, and the limit of prescription drug fee is 200 yuan.
(5) The prescription attached to the invoice of traditional Chinese medicine is limited to 1 yuan.
(6) The annual compensation limit of township cooperative medical system is 5000 yuan.
Rural hospitalization reimbursement
1. repayment ratio
(1) 60% reimbursement for town health centers;
(2) 40% reimbursement for secondary hospitals;
(3) 30% reimbursement for tertiary hospitals.
2. reimbursement standard
(1) Medical expenses: auxiliary fragrance examination: various examination expenses such as electrocardiogram, X-ray fluoroscopy, filming, laboratory test, physiotherapy, acupuncture, T-test and nuclear carbon vibration, etc. 200 yuan; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan).
(2) 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.
legal ground
People's Republic of China (PRC) social insurance law
Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, work-related injury insurance, work-related injury insurance, maternity insurance, etc., to protect citizens' right to get material help from the state and society in accordance with the law in case of old age, illness, work-related injury and maternity.
Article 4 Employers and individuals who pay social insurance premiums according to law in People's Republic of China (PRC) have the right to inquire about payment records and personal rights and interests records, and ask social insurance agencies to provide social insurance consultation and other related services.
Individuals enjoy social insurance benefits according to law and have the right to supervise the payment of their own units.
Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations.
Individual workers who have no employees leave home, part-time employees and other flexible employees who have not participated in the basic medical insurance for employees in the employer can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
Article 15 The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who lose their mobility, and elderly people over 60 from low-income families and adults. , subsidized by the government.
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