Research on reimbursement expenses of rural cooperative medical care in Xuyi County, Jiangsu Province

Reimbursement ratio of rural cooperative medical care 1. The reimbursement rate of medical expenses in township (town) hospitals is 1, which is below 30% in 300 yuan; 2, 300 yuan (excluding) more than 2000 yuan, 70% reimbursement; 3, more than 2000 yuan (excluding), 50% reimbursement. Two, the county-level designated medical institutions for medical expenses reimbursement ratio of 1, below 500 yuan, reimbursement of 25%; 2, 500 yuan (excluding) above 10000 yuan, 65% reimbursement; 3, 10000 yuan (excluding) above, 50% reimbursement. The reimbursement rate of medical expenses in tertiary and secondary hospitals is 1, and 25% below 500 yuan; 2, 500 yuan (excluding) above 10000 yuan, 55% reimbursement; 3, 10000 yuan (excluding) above, 50% reimbursement. If the reimbursement rate of medical expenses in Grade IV and III hospitals is less than 1 or 1 10,000 yuan, it will be reimbursed by 20%; 2, 1000 yuan (excluding) above 10000 yuan, 45% reimbursement; 3, 10000 yuan (excluding), 40% reimbursement. Legal basis: Article 26 of the Social Insurance Law of People's Republic of China (PRC), the treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, 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.