1. reimbursement of outpatient medical expenses: 70% of CT examination items can be reimbursed, and the upper limit is 800 yuan.
2. Reimbursement of hospitalization medical expenses: 60%-80% can be reimbursed for CT examination items, with an upper limit of 1.500 yuan.
3. Reimbursement of medical expenses for serious illness: 50% of CT examination items can be reimbursed, with an upper limit of 2,000 yuan.
4. Reimbursement of organ transplant operation expenses: 90% of CT examination items can be reimbursed, with an upper limit of 2,500 yuan.
5. Reimbursement of medical expenses in serious illness outpatient department: 80% of CT examination items can be reimbursed, and the upper limit is 800 yuan.
The reimbursement scope of the new rural cooperative medical system is:
1, medical expenses incurred in hospitalization in designated hospitals that meet the reimbursement scope of medical insurance for urban workers;
2. The hospitalization expenses incurred by the insured for two or more hospitalizations can be reimbursed cumulatively, with the maximum reimbursement amount per person per year.
To sum up, different medical services and institutions also have different reimbursement time limits and regulations. If you need to know the specific reimbursement time and policy, it is recommended to contact the local rural cooperative medical management department or social security service agency for consultation.
Legal basis:
Article 26 of People's Republic of China (PRC) Social Insurance Law
The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, 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.