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agricultural insurance outpatient reimbursement rate is how much
2. 40% reimbursement rate for township health center;
3. 30% reimbursement rate for secondary hospital;
4. 20% reimbursement rate for tertiary hospital;
Ratios of reimbursement for the new rural cooperative medical insurance
(1) The reimbursement rate for the outpatient service of the New Rural Cooperative Medical Insurance (NRMI)
1. 60% reimbursement rate for village health clinics and health centers;
2. 40% reimbursement rate for town health centers;
3. 30% reimbursement rate for secondary hospitals;
4. 20% reimbursement rate for tertiary hospitals;
5. 5. 5,000 RMB/year is the limit of the town-level cooperative medical reimbursement for outpatient services.
(2) New rural cooperative hospitalization reimbursement rate
1. New electroencephalogram, X-ray fluoroscopy, filming, laboratory tests, physical therapy, acupuncture, CT, nuclear magnetic **** vibration and other auxiliary examinations limit reimbursement of 200 yuan
2. Surgical costs starting line of 1000 yuan reimbursement in accordance with national standards, more than 1,000 according to the reimbursement of 1,000 yuan;
3. Hospitalization treatment fee and nursing fee for the elderly over 60 years old can be reimbursed 10 yuan per day, with a limit of 200 yuan;
4. The reimbursement ratio of hospitals at all levels is as follows: township health centers are reimbursed 60%; second-level hospitals are reimbursed 40%; and tertiary hospitals are reimbursed 30%.
(C) the new rural cooperative reimbursement rate of major diseases
1. outpatient coordination township, village subsidy ratio increased to 65%, 75%.
2. There is no starting line for those whose hospitalization costs are less than 400 yuan in first-class medical institutions;
3. The subsidy rate for second-class medical institutions has been increased to 75%~80%;
4. The subsidy rate for third-class medical institutions has been increased to 55%~60%.
5. The subsidy rate for provincial tertiary medical institutions was increased to 55%.
6. Children with congenital heart disease and other eight major diseases of the new rural cooperative subsidies for 70% of the quota of diseases, lung cancer and other 12 major diseases, the new rural cooperative subsidies for the quota of diseases strive to reach 70%.
The scope of reimbursement for the new rural cooperative medical care
The scope of reimbursement for the new rural cooperative medical care is as follows: participants in the integrated period of time due to illnesses in the designated hospital hospital hospitalization and treatment of medicine, examination fees, laboratory fees, surgical fees, treatment fees, nursing fees, etc. in line with the reimbursement scope of the part of the urban workers' medical insurance (i.e., the validity of the medical expenses).
The New Rural Cooperative Medical Fund pays for the establishment of a starting standard and a maximum payment limit. Hospitalization expenses below the hospital year starting payment standard are paid by the individual. If the starting standard is reached within the same coordinating period, hospitalization costs incurred for two or more hospitalizations can be reimbursed cumulatively. Hospitalization expenses incurred in excess of the threshold are calculated in segments and reimbursed cumulatively, with a maximum annual cumulative reimbursement limit per person.
The above is the answer to the question of what is the percentage of outpatient reimbursement for agricultural insurance, and I hope it can help you.
Legal basis
The People's Republic of China*** and the National Code
Article 8
Civil subjects engaging in civil activities shall not violate the law, and shall not be contrary to public order and morals.
Legal basis:
Article 23 of the Full Text of the Social Insurance Law of the People's Republic of China*** and of the People's Republic of China
Employees shall participate in the basic medical insurance for employees, and the employer and the employee shall pay the basic medical insurance premiums in accordance with the provisions of the State*** together.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations.
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