Legal analysis: what is the proportion of hospitalization reimbursement for poor households who have established a file? Medical reimbursement is only divided into rural residents and urban workers, regardless of whether they are poor or not. . 1, residents' reimbursement ratio: 60% in town health centers; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%. .2, urban residents, in a settlement year, meet the scope of reimbursement of medical expenses below 6,543,800 yuan, the threshold of tertiary hospitals is 659 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan; The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%. However, in recent years, the health poverty alleviation policy is aimed at poor households, and the expenses paid by individuals participating in the new rural cooperative medical system are fully subsidized (per person per year 180 yuan). The proportion of reimbursement for outpatient and inpatient expenses has been further improved. Under normal circumstances, the reimbursement rate of hospitalization in the county reaches 90%, which effectively reduces the financial burden of poor households for medical treatment.
Legal basis: the latest policy of the new rural cooperative medical system: reimbursement ratio, reimbursement scope, reimbursement standard and compensation standard. 2. What is the proportion of hospitalization reimbursement for poverty-stricken households who have established a file?
Medical reimbursement is only divided into rural residents and urban workers, regardless of whether they are poor or not.
1, residents' reimbursement ratio: town health centers reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.
2, urban residents, in a settlement year, the medical expenses that meet the scope of reimbursement are 65,438+10,000 yuan, the threshold for tertiary hospitals is 659 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan; The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.