What is the reimbursement ratio of agricultural insurance and social security?

Interpretation of reimbursement scope and proportion of new rural cooperative medical system 1. Out-patient compensation: (1) 60% for visits to village clinics and village center clinics, with the limit of prescription drugs for each visit 10 yuan, and the limit of prescription drugs for temporary rehydration for doctors in health centers in 50 yuan. (2) 40% reimbursement for medical treatment in the town health center, and the limit of examination fee and operation fee for each visit. 50 yuan, I want to know more about the reimbursement ratio of agricultural insurance and social security for prescription drugs. Come and have a look with me.

Interpretation of reimbursement scope and proportion of new rural cooperative medical insurance

1, outpatient compensation:

(1) village clinics and village center clinics are reimbursed 60%, and the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration for doctors in health centers is 50 yuan.

(2) Reimbursement for medical treatment in town health centers is 40%. The limit of examination fee and operation fee for each visit is 50 yuan, and the limit of prescription drug fee is 100 yuan.

(3) The reimbursement for medical treatment in secondary hospitals is 30%, and the limit of each examination fee and operation fee is 50 yuan, and the limit of prescription drug fee is 200 yuan.

(4) 20% reimbursement for medical treatment in tertiary hospitals, with the limit of each examination fee and operation fee in 50 yuan and the limit of prescription drug fee in 200 yuan.

(5) The prescription attached to the invoice of traditional Chinese medicine is limited to 1 yuan.

(6) The annual compensation limit for rural cooperative medical clinics is 5,000 yuan.

2, hospitalization compensation

(1) Reimbursement scope:

A. Drug expenses: auxiliary examination: the expenses for ECG, X-ray fluoroscopy, radiography, laboratory tests, physical therapy, acupuncture, CT and nuclear magnetic resonance are limited to 200 yuan; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan).

B, the elderly over 60 years old are hospitalized in the town health center, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.

(2) Reimbursement ratio:

60% reimbursement for town hospitals; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.

3. Compensation for serious illness

(1) compensation of town risk fund: if the medical expenses of inpatients who participate in cooperative medical care exceed 5,000 yuan at one time or within one year, they should be compensated by stages, that is, 5001-kloc-0/0000 yuan is 65%,1kloc-0/- The annual limit of compensation for hospitalization in town-level cooperative medical system, hemodialysis in uremia clinic and radiotherapy and chemotherapy in tumor clinic is 10 thousand yuan.

4. What does not belong to the scope of reimbursement?

(1) Self-seeking medical treatment (no designated hospital or referral form), self-purchasing drugs, drugs that cannot be reimbursed according to the regulations on free medical care, and medical expenses that do not conform to family planning;

(2) Outpatient treatment fee, visiting fee, hospitalization fee, meals fee, escort fee, nutrition fee, blood transfusion fee (except for family blood donors, which shall be reimbursed according to relevant regulations), heating and cooling fee, ambulance fee, special nursing fee, etc.

(three) medical expenses for car accidents, fights, suicides, alcoholism, work-related injuries and medical accidents;

(4) Orthopedics, cosmetic surgery, dental implants, artificial limbs, organ transplantation, roll call surgery fees, consulting fees, etc. ;

(5) Within the scope of reimbursement, beyond the limit.