Medical reimbursement is only related to rural residents and urban workers, and has nothing to do with poor households.
Proportion of residents' reimbursement: 60% in town health centers; 40% reimbursement for secondary hospitals; Third-level hospitals reported 30%. Urban residents incurred medical expenses below 654.38+10,000 yuan within a settlement year. The threshold for tertiary hospitals is 659 yuan, the reimbursement rate 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 has targeted at poor households, and fully subsidized individual payment fees (per person per year 180 yuan) to participate in the new rural cooperative medical system. 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 economic burden of poor households for medical treatment.
Legal basis:
Article 23 of People's Republic of China (PRC) Social Insurance Law
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
Article 29 of People's Republic of China (PRC) Social Insurance Law
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.