How much can the agricultural insurance reimbursement across the province

Generally speaking, the standard of reimbursement for inter-provincial hospitalization of the New Agricultural Cooperative is calculated according to the following percentages: township health hospitals, the starting line is 100 yuan, the reimbursement rate is 90%; county-level designated hospitals, the starting line is 200 yuan, the reimbursement rate is 82%; municipal designated hospitals, the starting line is 500 yuan, then the reimbursement rate is 65%; provincial designated hospitals, the starting line is 700 yuan, the reimbursement rate is 55%; out-of-province non-designated hospitals, the starting line is 1,000 yuan, the reimbursement rate is 45%; the reimbursement rate is 55%. The reimbursement rate is 55%; for non-scheduled hospitals outside the province, the starting line is 1,000 yuan and the reimbursement rate is 45%.

Second, the new rural cooperative hospitalization how to reimbursement

Relying on the province's health insurance network and equipment platform, the establishment of the new rural cooperative medical information operation platform in each district city, the district city health administrative department set up a settlement center of the cost of medical expenses, the county as a unit of the coordination of hospitalization costs of the participating farmers to settle the farmer to realize the instantaneous reimbursement of the rural masses to the hospital. In the province to establish the province's new rural cooperative medical care data backup center and the data exchange center for different places.

But it's worth noting that hospitalization is the only way to get reimbursed, and outpatient reimbursement is not available. The procedures needed for reimbursement are:

1, hospitalization medical records

2, cost list

3, hospitalization invoices

4, diagnosis of diseases

5, discharge summary

6, ID card, hukou book

7, cooperative medical book (or card)

8, transfer procedures

9, and the number of patients who have been hospitalized in the hospital.

8, transfer procedures or certificates (unit part-time work certificate or emergency certificate)

Not included in the reimbursement scope of the New Farmers' Cooperative Medical Scheme:

(a) outpatient medical expenses of outpatient hospitals not located in the region (except for outpatient treatment costs of special diseases), costs incurred by failing to follow the provisions of the medical treatment and purchasing their own medicines;

(b) the costs of family planning measures, in violation of the policy of family planning medical expenses;

(iii) expenses for dentures, orthodontics, optometry, hearing aids, artificial organs, cosmetic treatments, cosmetic and orthopedic surgeries, rehabilitative medical treatments (e.g., qigong, massage, tui-na, physical therapy, magnetic therapy, etc.), as well as various types of companion fees, transportation fees for medical consultations, consultation fees, and other miscellaneous expenses during hospitalization;

(iv) medical expenses arising from personal injuries in the presence of a third party's liability that is legally covered by the third party's liability;

(d) medical expenses arising from personal injuries that is legally covered by the third party's liability;

(e) medical expenses arising from personal injuries that are not covered by the third party's liability. Injuries arising from medical expenses borne by the third party responsible in accordance with the law, such as traffic accidents, medical malpractice, work-related injuries, etc.;

(v) Medical expenses arising from suicides, self-inflicted injuries, drug use, drug addiction, fights and other unlawful acts, as well as injuries resulting from the intentional acts of their family members;

(vi) Medical expenses incurred when going abroad or during their stay in Hong Kong, Macao, and Taiwan;

(vii) Medicines and items not reimbursable under the urban workers' medical insurance system;

(viii) Other expenses not reimbursable as determined by the District Medical Management Committee.

Legal Basis

The Social Insurance Law of the People's Republic of China Article 8 The social insurance agency provides social insurance services and is responsible for the registration of social insurance, the recording of individual rights and interests, and the payment of social insurance benefits.