Proportion of hospitalization reimbursement for agricultural insurance in Zhoushan City

Zhoushan rural insurance hospitalization reimbursement ratio is as follows:

1. Inpatient deductible line: the township level is unified as 40 yuan, the county (district) level is unified as 200 yuan, the municipal level is unified as 600 yuan (including 300 yuan, a first-class and second-class medical institution), and the municipal level is unified as 800 yuan;

2. The proportion of hospitalization compensation: 55% of the reimbursable expenses at township level, 45% at county (district) level, 30% at municipal level (including 35% at secondary medical institutions) and 25% at municipal level;

The actual compensation ratio for hospitalization: not less than 40% of the total hospitalization expenses at the township level, not less than 30% at the county (district) level, not less than 15% at the municipal level (including 20% of secondary medical institutions), and not less than 10% at the municipal level.

3. Top line of hospitalization compensation: the maximum amount of accumulated personal compensation for each participating patient per year is 1 10,000 yuan;

4. Improve the proportion of compensation for Chinese medicine and Chinese medicine projects in the new rural cooperative medical system, and increase the proportion of hospitalization compensation for designated medical institutions at county and township levels by 20%;

5. The proportion of hospitalization compensation for civil assistance objects in designated medical institutions at county and township levels increased by 20%.

Legal basis: Article 26 of People's Republic of China (PRC) Social Insurance Law.

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 27

Individuals who participate in the basic medical insurance for employees will not pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with the provisions of the state if they reach the statutory retirement age and the accumulated payment has reached the fixed number of years stipulated by the state; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.