What is the reimbursement ratio of social security medical care and new rural cooperative medical system?

The answer to the ratio of reimbursement for serious illness medical insurance and the new rural cooperative medical insurance is as follows: The new rural cooperative medical insurance effectively relieves farmers' ability to resist the risk of serious illness, and makes farmers get tangible benefits. 202 1 NCMS serious illness insurance reimbursement ratio: after deducting NCMS serious illness insurance deductible, the compensation ratio is 50% for the part within 50,000 yuan; 50,000 yuan to 6,543,800 yuan, and the compensation ratio is 60%; For the part of 654.38+ 10,000 yuan, the compensation ratio is 70%. 202 1 NCMS reimbursement ratio of serious illness insurance: the reportable expenses incurred by the insured during hospitalization in medical institutions at all levels that meet the NCMS policy of this municipality are medical expenses that meet the serious illness insurance. 1. The serious illness insurance of the new rural cooperative medical system shall be compensated in stages according to the level of medical expenses. After the participating patients are compensated according to the current basic medical insurance policy of the new rural cooperative medical system, the proportion of partial compensation within 50,000 yuan is 50% after deducting the deductible line of the new rural cooperative medical system. 50,000 yuan to 6,543,800 yuan, and the compensation ratio is 60%; For the part of 654.38+ 10,000 yuan, the compensation ratio is 70%. 2. Participate in insurance on an annual basis, with an annual cap of 250,000 yuan. When the participants suffer from serious illness and incur high medical expenses, after compensation according to the current new rural cooperative medical policy, the compliance medical expenses that need to be borne by individuals exceed the deductible, and then they are guaranteed by serious illness insurance. (1) payment line. 202 1, the new rural cooperative medical system deductible line is 7000 yuan. It will be adjusted according to statistical data and actual situation in the future. In principle, it is determined once a year. For those eligible for medical assistance (poor rural households), the deductible is reduced by 50% to 3,500 yuan. Deductible is deducted only once in each participating year. (2) Compliance medical expenses. Application conditions and materials for serious illness compensation of the new rural cooperative medical system: 1. If the participants are hospitalized in designated hospitals or non-designated hospitals, and the single or multiple cumulative expenses meet the requirements of the deductible line of serious illness insurance (that is, the reported expenses of the new rural cooperative medical system are less than 7,000 yuan or the compensation amount of poor households exceeds 3,500 yuan), they can apply for compensation for serious illness insurance. 2. Compensation materials for serious illness insurance: the new rural cooperative medical system compensation audit sheet, hospitalization invoice, expense list, discharge record, disease certificate, cooperative medical certificate, household registration book, ID card, minimum living allowance, copy of bank account number, contact telephone number and other related materials.

Legal objectivity:

"People's Republic of China (PRC) Social Insurance Law" Article 24 The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council. "People's Republic of China (PRC) Social Insurance Law" Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations. 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.