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What is the reimbursement rate of agricultural insurance?
Agricultural insurance has medical reimbursement. The proportion of medical insurance reimbursement is the basic medical insurance drug list, diagnosis and treatment items, etc. , in line with national regulations. The reimbursement limit of rural medical insurance is the reimbursement ratio, with an upper limit. 60% of the medical expenses of village clinics and village center clinics are reimbursed, and the prescription drug fee limit for each visit is 10 yuan, and the prescription drug fee limit for temporary rehydration of hospital doctors is 50 yuan. Hospitalization and serious illness can also be reimbursed, and the reimbursement ratio is different in each region. Please consult the local social security reimbursement center for details. Proportion of reimbursement for agricultural insurance: 65% and 75% for outpatient subsidies for serious illness in towns and villages; If the hospitalization expenses of the first-level medical institutions are below 400 yuan, there is no deductible, and the subsidy ratio of the second-level medical institutions will be increased to 75%-80%; The subsidy ratio of tertiary medical institutions will be increased to 55%-60%; The proportion of subsidies for provincial tertiary medical institutions has increased to 55%.
legal ground
"Implementation of Several Provisions of People's Republic of China (PRC) Social Insurance Law" Article 8 The medical expenses incurred by the insured in the agreed medical institutions that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards shall be paid from the basic medical insurance fund in accordance with state regulations. If the insured really needs emergency treatment and rescue, he can seek medical treatment in a non-agreement medical institution; The scope of drugs that must be used for rescue can be appropriately relaxed. The specific measures for the administration of emergency and rescue medical services of the insured shall be formulated by the overall planning area according to the local actual situation.
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