1. Within the province:
(1) Level 1 medical institutions: township health centers (including branch hospitals) start at 50 yuan, with a reimbursement rate of 90%; other public medical institutions: start at 200 yuan within the county, with a reimbursement rate of 70%; outside the county, according to the corresponding rate of the second level of outside the county;
(2) Level 2 medical institutions: starting line of RMB 200 within the county, with a compensation ratio of 85%; starting line of RMB 500 within the city outside the county, with a compensation ratio of 65%; starting line of RMB 1,000 outside the city, with a compensation ratio of 55%;
(3) Level III medical institutions: starting line of RMB 800 within the city, with a compensation ratio of 60%; starting line of RMB 1,500 outside the city, with a compensation ratio of 55%;
(4) Government-run medical institutions of undetermined level: starting line of 800 yuan in the city, with a reimbursement rate of 60%; starting line of 1,000 yuan outside the city, with a reimbursement rate of 55%;
(5) private medical institutions (regardless of level): starting line of 400 yuan in the county, with a reimbursement rate of 65%; starting line of 800 yuan in the city, with a reimbursement rate of 55%; starting line of 1,500 yuan outside the city, with a reimbursement rate of 45%
2. Outside the province:
(1) the starting line of RMB 3,000 for public medical institutions above the second level, and the compensation ratio is 50%;
(2) the starting line of RMB 2,000 for non-public medical institutions above the second level, and the compensation ratio is 40%.
Medical insurance coverage:
1, basic medical insurance drug reimbursement
Our country now divides drugs into three categories, A, B, and C, of which Category A drugs are within the scope of medical insurance, so only Category A drugs can be reimbursed by the medical insurance, while Category B and C can not be reimbursed;
2, the reimbursement of basic health care services facilities
This reimbursement scope mainly refers to the insured person, in the medical insurance designated institutions for diagnosis and treatment and nursing care, in the process, the incurred bed fee, emergency bed fee, consulting fees, etc.;
3, the basic medical insurance reimbursement of diagnosis and treatment items
Must be safe and effective diagnosis and treatment, the charges are determined by the price department. You need to be treated in a designated medical institution.
In summary, the specific amount of reimbursement for rural cooperative medical care also depends on what hospitals individuals go to, generally in the local hospitals can be reimbursed at a higher rate.
Legal basis:
Article 8 of the Implementing Provisions
The medical expenses incurred by the insured in the agreed medical institutions, which are in line with the standards of the basic medical insurance drug catalog, diagnostic and therapeutic items and medical service facilities, will be paid out of the basic medical insurance fund in accordance with the national regulations. Participants in need of emergency treatment, rescue, can be in a non-agreement medical institutions; rescue must be used for the drugs can be appropriately relaxed scope. Participants in the emergency, rescue medical services specific management by the coordinating region according to the actual situation in the local development.