What is the ratio of social security reimbursement to local reimbursement for medical treatment in different places?

Proportion of medical insurance reimbursement in different places:

1. The medical expenses of medical insurance personal account can be transferred to Zigui Medical Insurance Bureau on a regular basis, and hospitals in other provinces should be designated hospitals for local medical insurance.

2. The reimbursement rate is 88% for the threshold fee of more than 3,000 yuan, 90% for 3,000-5,000 yuan, 92% for 5,000-10000 yuan, and 95% for the maximum payment limit of more than10000 yuan, including 80% for Class B drugs and 70% for precious drugs, and special inspection.

Extended data:

The following are not included in the scope of reimbursement of rural cooperative medical insurance:

1. Medical treatment at one's own expense (no designated hospital or referral form), drugs purchased at one's own expense, drugs that cannot be reimbursed according to the regulations of public medical care and medical expenses that do not meet the requirements of family planning;

2, outpatient treatment fees, visits, hospitalization fees, meals, escort fees, nutrition fees, blood transfusion fees (except for family blood storage, according to the relevant provisions of reimbursement), heating and cooling fees, ambulance fees, allowances and other expenses;

3. Medical expenses for car accidents, fights, suicides, alcoholism, industrial accidents 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.

Many farmers have bought some commercial medical insurance after purchasing the new rural cooperative medical system. If you buy commercial medical insurance, you must first reimburse the expenses of the new rural cooperative medical system, and then find an insurance company to reimburse the remaining expenses.

Baidu encyclopedia-medical insurance reimbursement scope