Proportion of rural insurance reimbursement in Wuhan

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The proportion and scope of agricultural insurance reimbursement are as follows:

First, outpatient compensation:

1, 60% of the medical expenses of village clinics and village center clinics are reimbursed, and the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration of hospital doctors is 50 yuan.

2. Reimbursement of 40% for medical treatment in town health centers, with the limit of examination fee and operation fee for each visit, and the limit of prescription fee 100 yuan.

3, the secondary hospital reimbursement of 30%, each examination fee and operation fee limit 50 yuan, prescription drug fee limit 200 yuan.

4, tertiary hospital reimbursement of 20%, each visit examination fee and operation fee limit 50 yuan, prescription drug fee limit 200 yuan.

5. Traditional Chinese medicine invoices are accompanied by prescriptions, with a limit of 1 yuan.

6, the township cooperative medical outpatient compensation limit is 5000 yuan.

Second, the scope of hospitalization reimbursement:

1, medicine fee:

Electrocardiogram, X-ray fluoroscopy, radiography, laboratory tests, physical therapy, acupuncture, CT, nuclear magnetic resonance and other examinations cost 200 yuan.

2. Operation expenses (refer to national standards, those exceeding 1 ,000 yuan will be reimbursed as 1 ,000 yuan).

The elderly over 60 years old are hospitalized in Xingta Town Health Center, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.

Third, compensation for serious illness.

1, town risk fund compensation:

All inpatients who participate in cooperative medical care, whose medical expenses exceed 5,000 yuan at one time or for the whole year, should be compensated by stages, that is, 500 1- 10000 yuan is 65%, and1-18000 yuan is 70%. The annual compensation limit of town-level cooperative medical system hospitalization, uremia outpatient hemodialysis and tumor outpatient radiotherapy and chemotherapy is 1. 1 ten thousand yuan.