What is the reimbursement ratio of rural cooperative medical care in Guangxi?

The reimbursement ratio of rural cooperative medical care in Guangxi is as follows:

1. Hospitalization medical expenses: according to different levels of medical institutions, the reimbursement rate is generally between 60% and 90%, and some major diseases need high reimbursement, such as malignant tumors, and the reimbursement rate can reach more than 90%;

2. Outpatient medical expenses: the reimbursement rate is generally between 30% and 60%, and some chronic diseases need high reimbursement, such as diabetes and hypertension, and the reimbursement rate can reach more than 60%.

There may be some regional and project differences in the reimbursement ratio of rural cooperative medical care in Guangxi, and the specific reimbursement ratio can refer to local policies and actual conditions. In addition, in order to ensure timely and accurate reimbursement of medical expenses, it is suggested that the insured persons of rural cooperative medical care in Guangxi should consult the local medical insurance institutions or medical insurance companies when using medical services to understand the relevant reimbursement policies and requirements, so as to apply for reimbursement in time.

Medical insurance reimbursement methods are as follows:

1. If you are hospitalized in a designated medical institution, you will bring your medical insurance card and ID card to the settlement window of the designated hospital for direct settlement and accounting when you leave the hospital;

2. If you seek medical treatment in a different place, call the social security bureau where the insured person is located within three days of admission, register for the record, and return to the local social security bureau for reimbursement within one month.

Medical insurance reimbursement conditions are as follows:

1, the newly insured and re-insured employees who have stopped paying 1 year or more shall participate in the basic medical insurance according to law and pay for 6 months continuously, and enjoy the basic medical insurance benefits according to regulations;

2, continuous payment of less than 6 months, do not enjoy the basic medical insurance benefits;

3. If the payment is interrupted for less than one year, you will enjoy the treatment according to the regulations after re-insurance payment;

4, the interruption of payment personnel do not enjoy the basic medical insurance benefits during the interruption of payment.

To sum up, Guangxi rural cooperative medical insurance is generally reimbursed in proportion, and the reimbursement ratio is generally between 60% and 70%.

legal ground

Article 28 of People's Republic of China (PRC) Social Insurance Law

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Article 29

The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units.

The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.