1, reimbursement ratio of serious illness of new rural cooperative medical system:
(1) The proportion of township and village subsidies for outpatient co-ordination increased to 65% and 75% respectively;
(2) If the hospitalization expenses of first-class medical institutions are below 400 yuan, there is no deductible;
(3) The subsidy ratio of secondary medical institutions will be increased to 75% to 80%;
(4) The subsidy ratio of tertiary medical institutions will be increased to 55% to 60%;
(5) The subsidy ratio of provincial tertiary medical institutions is increased to 55%;
(6) 70% of the quota for 8 serious diseases such as congenital heart disease in children, and 70% for 2 serious diseases such as lung cancer/kloc-0.
2, the new rural cooperative medical outpatient reimbursement ratio:
(1) The reimbursement rate of village clinics and health centers is 60%;
(2) The reimbursement rate of town hospitals is 40%;
(3) The proportion of stroke in secondary hospitals is 30%;
(4) The reimbursement rate of tertiary hospitals is 20%;
(5) The reimbursement limit for township-level cooperative medical clinics is 5,000 yuan/year.
3, the new rural cooperative medical system hospitalization reimbursement ratio:
(1) New EEG, X-ray fluoroscopy, radiography, laboratory tests, physiotherapy, acupuncture, CT, MRI and other auxiliary examination items will be reimbursed to 200 yuan;
(2) The surgical expenses within the deductible line 1 1,000 yuan shall be reimbursed according to national standards, and those exceeding 1 1,000 yuan shall be reimbursed according to 1 1,000 yuan;
(3) The hospitalization expenses and nursing expenses of the elderly over 60 years old can be reimbursed every day 10 yuan, with the limit of 200 yuan;
(4) The reimbursement rates of hospitals at all levels are: township hospitals 60%, secondary hospitals 40% and tertiary hospitals 30%.
Legal basis: Article 28 of the Social Insurance Law of People's Republic of China (PRC).
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.