Proportion of reimbursement for rural medical insurance and social security medical insurance

The reimbursement ratio of rural medical insurance and social security medical insurance is as follows:

1, and the medical insurance reimbursement rate is 85%;

2. The threshold of charging standard for secondary hospitals is 400. The proportion of medical insurance reimbursement is 70%;

3. The threshold of charging standard for a class of hospitals is 600. The proportion of medical insurance reimbursement is 60%;

4, a class of hospitals to the province for medical treatment, the starting point of the charging standard is 600. The proportion of medical insurance reimbursement is 60%;

5, a class of hospitals outside the province, the starting point of the charging standard is 600. The proportion of medical insurance reimbursement is 55%;

6, an insurance year hospitalization for many times, the first and second hospitalization Qifubiaozhun shall be borne by the individual. Qifubiaozhun for the third and above hospitalization shall be paid by the overall fund. The maximum payment limit of the overall fund in an insurance year is 50 thousand.

Legal basis: Article 8 of People's Republic of China (PRC) Social Insurance Law.

Social insurance agencies provide social insurance services, responsible for social insurance registration, personal rights and interests records, social insurance benefits payment and other work.

Article 74

The social insurance agency shall obtain the data needed for social insurance work through business handling, statistics and investigation, and the relevant units and individuals shall provide it in a timely and truthful manner.

The social insurance agency shall establish a file for the employer in a timely manner, completely and accurately record the social insurance data such as personnel's participation in social insurance and payment, and properly keep the original vouchers for registration and declaration and accounting vouchers for payment and settlement.

The social insurance agency shall timely, completely and accurately record the individual's personal rights and interests such as social insurance payment, employer's payment and social insurance benefits, and regularly send the personal rights and interests records to me free of charge.

Employers and individuals can inquire and check the records of payment and social insurance benefits from social insurance agencies free of charge, and ask social insurance agencies to provide social insurance consultation and other related services.