Proportion of hospitalization reimbursement for rural cooperative medical care in Hubei Province

The proportion of hospitalization reimbursement for rural cooperative medical care in Hubei is as follows:

50% will be reimbursed for medical expenses that are self-sufficient and compliant, ranging from 8,000 yuan to 30,000 yuan (including 30,000 yuan), 60% for those ranging from 30,000 yuan to 50,000 yuan (including 50,000 yuan), and 70% for those ranging from 50,000 yuan.

1, 60% can be reimbursed for seeing a doctor in village clinics and village center clinics;

2, the town health center can be reimbursed 40%;

3, secondary hospitals can be reimbursed by 30%;

4, tertiary hospitals can be reimbursed 20%;

5, hospitalization, town hospitals for reimbursement of 60%;

6, secondary hospital reimbursement 40%;

7, tertiary hospital reimbursement 30%;

8. If the individual's self-funded compliance medical expenses range from 8,000 yuan to 30,000 yuan (including 30,000 yuan), 50% will be reimbursed;

9, 30 thousand yuan to 50 thousand yuan (including 50 thousand yuan) part of the reimbursement of 60%;

10 and more than 50,000 yuan will be reimbursed by 70%.

Social security reimbursement policy:

1. Reimbursement scope: Social security reimbursement usually covers outpatient expenses, hospitalization expenses, drug expenses and special disease treatment expenses;

2. Reimbursement conditions: Reimbursement usually needs to meet certain conditions, such as the identity of the insured, payment, hospital level, compliance, etc.

3. Reimbursement process: After seeing a doctor, the insured shall submit relevant materials according to the prescribed process, such as medical expense list, diagnosis certificate, identity certificate, etc.

4. Reimbursement amount: the social security reimbursement amount varies according to different regions and policies, and there is usually an annual cap line and a minimum deductible line;

5. Reimbursement ratio: Different types of medical expenses will have different reimbursement ratios, such as general outpatient service, chronic disease outpatient service and hospitalization.

6. Reimbursement in different places: For the insured who seek medical treatment in different places, the reimbursement policy may be different, and it is necessary to know the local reimbursement regulations in advance.

To sum up, the proportion of hospitalization reimbursement for rural cooperative medical care in Hubei Province varies according to different medical institutions, ranging from 20% to 70%, and also varies according to the scope of individual self-care and compliance medical expenses.

Legal basis:

Measures for the implementation of new rural cooperative medical insurance in Hubei Province

Second, the level of protection

In 20 13 years, the reimbursement rate of the serious illness insurance of the new rural cooperative medical system in the whole province was unified, and the individual was responsible for 50% of the compliance medical expenses ranging from 8,000 yuan to 30,000 yuan (including 30,000 yuan), 60% from 30,000 yuan to 50,000 yuan (including 50,000 yuan) and 70% from 50,000 yuan. In the future, appropriate adjustments will be made according to the operation of major illness insurance and announced to the public.