Proportion of hospitalization reimbursement for Rui' an rural insurance

The reimbursement ratio of new rural insurance is slightly different in different provinces, regions and time periods in China. Take the reimbursement ratio of 20 15 new rural insurance and medical insurance in Huzhou as an example:

Hospitalization:

(a) urban designated community health service center hospitalization Qifubiaozhun for 300 yuan, 300 yuan above to the highest payment limit part of the reimbursement of 90%.

(II) The Qifubiaozhun for hospitalization in designated medical institutions below Grade II (including Grade II) in urban areas is 600 yuan, and 75% of expenses above 600 yuan to the highest payment limit are reimbursed.

(3) The minimum threshold for hospitalization in tertiary designated medical institutions in cities and towns is 1.500 yuan, 1.500 yuan, and the expenses above 60% will be reimbursed to the highest payment limit.

(four) in the urban three counties medical institutions (must be the local medical insurance designated units) hospitalization, according to the urban three counties designated medical institutions hospitalization standards.

(five) in the designated medical institutions outside the city hospitalization Qifubiaozhun is 2000 yuan, more than 2000 yuan part of the highest payment limit for reimbursement of 45%.

(VI) After the hospitalization expenses of non-designated medical institutions outside the city (which must be local medical insurance designated units) are 40%, the hospitalization standards of designated medical institutions outside the city shall be implemented.

(seven) in the same medical insurance year, hospitalization Qifubiaozhun; If transferred to a higher medical institution for medical treatment, the Qifubiaozhun will be deducted according to the difference if transferred to a first-level medical institution.

(eight) the maximum payment limit for hospitalization in the medical insurance year is 6 times of the disposable income of urban households in the previous year (subject to the date of discharge).

General outpatient medical treatment:

(a) urban designated community health service center (station) outpatient reimbursement 55%; Outpatient reimbursement of designated medical institutions in urban areas below Grade II (including Grade II) is 30%, and outpatient reimbursement of designated medical institutions in urban areas at Grade III is 20%.

(2) Maximum reimbursement for outpatient service in medical insurance year 1200 yuan.

(three) the insured with special difficulties whose individual contributions are borne by the financial burden, and the part of the outpatient reimbursement that exceeds the maximum reimbursement amount shall be paid by the medical assistance fund in the same proportion.

Tip: Other regions and towns in China shall be subject to the policies announced in that year.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.