Proportion of urban and rural medical insurance reimbursement in Baoding

60% in village clinics and village center clinics, 40% in town health centers, 30% in secondary hospitals and 20% in tertiary hospitals. Traditional Chinese medicine invoice with prescription limit 1 yuan. The annual compensation limit for rural cooperative medical clinics is 5000 yuan. Proportion of reimbursement for hospitalization compensation: town hospitals reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%. Serious illness compensation town risk fund compensation: all inpatients who participate in cooperative medical care, whose medical expenses exceed 5,000 yuan at one time or in the whole year, should be compensated by stages, that is, 500 1- 10000 yuan is 65%,10001-180000.

1. outpatient reimbursement: there is no deductible line for general outpatient service, and all insured residents enjoy the treatment of general outpatient service. Within a medical insurance year, there is no deductible line for general outpatient service, and the medical expenses within the scope of outpatient co-ordination fund payment are reimbursed according to the proportion of 60%, and the annual maximum personal payment limit of co-ordination fund is 400 yuan.

2. Proportion of reimbursement for hospitalization: The longer the continuous insurance period, the greater the reimbursement ratio. For every five years of continuous payment by insured residents, the proportion of hospitalization reimbursement of medical insurance fund will be increased by 5 percentage points, and the cumulative reimbursement ratio will not exceed 10 percentage point.

3. Reimbursement amount: residents who participate in medical insurance for urban residents in our city will be reimbursed up to 370,000 yuan per year. The annual payment limit of basic medical insurance is 6.5438+0.2 million yuan, and the payment limit of serious illness insurance is 250,000 yuan. Therefore, the insured can reimburse up to 370,000 yuan per year.

Proportion of reimbursement for urban medical insurance

Urban residents hospitalized for more than two times in a settlement year, starting from the second hospitalization, no longer charge Qifubiaozhun fees. Transfer or hospitalization for more than two times, make up the difference of Qifubiaozhun according to the requirements of transfer or hospitalization again.

I hope the above content can help you. Please consult a professional lawyer if you have any other questions.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

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.

Thirtieth the following medical expenses are not included in the basic medical insurance fund payment scope: (1) should be paid by the industrial injury insurance fund; (2) It shall be borne by a third party; (three) shall be borne by public health; (4) Go abroad for medical treatment. Medical expenses that should be borne by a third party according to law. If the third party is unable to pay or cannot determine the third party, the basic medical insurance fund will pay in advance. After the basic medical insurance fund pays in advance, it has the right to recover from the third party.