(1) Outpatient reimbursement rate
1. The outpatient reimbursement rate for village health center (community health service station) is 25%.
2. The outpatient reimbursement rate for township health centers is 40%.
3. 30% for outpatient reimbursement at county hospitals.
4. Outpatient clinics outside the county (except for specific chronic disease clinics) and priced vaccines will not be reimbursed.
(2) Reimbursement rate for hospitalization
1. The reimbursement rate for hospitalization in township health centers is 40% for hospitalization of 0-300 yuan, and 55% for reimbursement of more than 300 yuan.
2. The reimbursement rate for hospitalization in county hospitals is 30% for 0-300 RMB and 40% for more than 300 RMB.
3. The reimbursement rate for hospitalization in out-of-county hospitals is 20% for 0-20,000 RMB, and 35% for more than 20,000 RMB.
4. Mothers who participate in the Maternal and Child Health Insurance Reimbursement are reimbursed according to the proportion of hospitalization in medical institutions. If the reimbursement amount is less than 200 yuan, the reimbursement is 200 yuan.
No reimbursement will be made for hospitalized deliveries of pregnant women who do not participate in the maternal and child health care indemnity.
5. 11 kinds of specific chronic patients, including those with stage II or above hypertension (including stage II), heart disease combined with cardiac insufficiency, diabetes mellitus with ineffective dietary control, liver cirrhosis with loss of compensatory stage, outpatient radiotherapy for malignant tumors, chronic bronchitis, mental illness with maintenance treatment period, haemodialysis and peritoneal dialysis for chronic renal failure, anti-rejection treatment for organ transplantation, aplastic anemia, leukaemia, etc., can receive direct reimbursement from village-level direct reimbursement points. village-level direct reimbursement points
According to the outpatient reimbursement rate at the village level, and in townships and above medical institutions (referrals are required for out-of-county visits), reimbursement will be made according to the inpatient reimbursement rate of different medical institutions with the presentation of the Certificate of Attendance.
6. The total annual individual reimbursement ceiling is 60,000 yuan.
(3) The scope of reimbursement for participating farmers is the cost of medicines, treatment, surgery, inspection and laboratory fees, prescribed nursing care and bed fees within the catalog;
Of course, policies vary from place to place, so we suggest you call 12333 for consultation or go to a third-party insurance platform, such as WoBao.com