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What is the reimbursement ratio of Chinese medical insurance?
1, town health center: farmers can enjoy 40% reimbursement. For example, the total medical expenses 100 yuan can be reimbursed from 40 yuan.
2. Secondary hospital visits: the reimbursement rate is 30%. Similarly, the cost of 100 yuan can be reimbursed to 30 yuan.
3. tertiary hospital treatment: the reimbursement rate is 20%. If the cost is 100 yuan, it can be reimbursed from 20 yuan.
4. It should be noted that there is a certain limit for outpatient reimbursement. The limit of examination fee and operation fee for each visit is 50 yuan, and the limit of prescription fee is 100 yuan. In addition, if Chinese medicine is used, the limit of each Chinese medicine ointment is 1 yuan. The annual limit of outpatient compensation for township-level cooperative medical care is set at 5000 yuan, that is, the total amount of outpatient reimbursement within one year does not exceed 5000 yuan.
5. The specific amount and proportion of hospitalization reimbursement may be different due to different regions, levels of medical institutions and specific policies. The reimbursement rate of first-level medical institutions for employees is 90%, that of second-level medical institutions is 87%, and that of third-level medical institutions is 85%. The reimbursement rate of retirees in first-level medical institutions, second-level medical institutions and third-level medical institutions is 95%. The proportion of policy reimbursement of medical expenses for Chinese medicine and Chinese medicine diagnosis and treatment projects used in special disease clinics within the scope of medical insurance increased by 2 percentage points.
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