Maoming Citizens Insurance reimbursement methods are as follows:
1, outpatient reimbursement rate standard:
(1) if you in the local village center health clinic clinic clinic, the reimbursement rate standard is 60 percent, and belongs to the scope of the medical insurance, each visit to the clinic medication costs have a limit of limit of 10 yuan, the clinic doctor temporary rehydration prescription cost limit of 50 yuan;
(2) if you in the local town health clinic clinic, the reimbursement rate standard is 60 percent, and belongs to the health insurance coverage, every visit to the medication costs have a limit of 10 yuan, health clinic doctor temporary rehydration prescription costs limit of 50 yuan;
(2) If you visit a local township health center, the reimbursement rate is 40 percent, and each visit requires a limit of 50 yuan for each examination and surgery, and a limit of 100 yuan for each prescription; that is to say, you can only be reimbursed up to 100 yuan if you have a medical bill of between 200 and 500 yuan;
(3) If you visit a local second-tier hospital, the reimbursement rate is 60 percent, and is covered by the medical insurance.
(3) If you visit a local second-tier hospital, the reimbursement rate is 30 percent, with a limit of 50 yuan per visit for each examination and surgery, and 200 yuan for each prescription;
(4) If you visit a local third-tier hospital, the reimbursement rate is 20 percent, with a limit of 50 yuan per visit for each examination and surgery, and 200 yuan for each prescription.
2, hospitalization reimbursement rate standard:
(1) auxiliary examination drug reimbursement rate standard: EEG, X-ray fluoroscopy, filming, laboratory tests, physical therapy, acupuncture, CT, nuclear magnetic **** vibration and other examination fees limit reimbursement of 200 yuan; that is to say, if you need to take a film of 400 yuan, but ultimately reimbursement of reimbursement can only be 200 yuan;
(2) Surgical fee reimbursement rate standard: refer to the national standard, more than 1,000 yuan will be reimbursed according to 1,000 yuan; 60 years old and above hospitalized in health centers, treatment and nursing fee reimbursement of 10 yuan per day, a limit of 200 yuan;
(3) hospitalization at all levels of hospital reimbursement rate standard: the township health centers reimbursement rate is 60%; second-level hospital reimbursement rate is 40%; third-level hospitals reimbursement rate is 30%.
3, big disease reimbursement rate standard:
(1) if you participate in the local health insurance contributions, big disease reimbursement rate of a one-time or annual annual medical expenses more than 5000 yuan will be compensated in sections, if the medical expenses spent on 5001 to 10000 yuan compensation rate of 65 percent, if the medical expenses spent on 10001 to 18000 yuan compensation rate of 65 percent, if the medical expenses spent on 10001 to 18000 yuan compensation rate of 70%;
(2) if you participate in the local health insurance contributions, the reimbursement rate of the major illnesses of a one-time or full-year medical expenses more than 5000 yuan will be segmented for compensation, if the medical expenses spent in 5001 to 10000 yuan compensation rate of 65%, if the medical expenses spent in 10001 to 18,000 yuan reimbursement rate of 70 percent;
(3) if you participate in the local health insurance contributions, the township cooperative medical hospitalization and uremia outpatient blood dialysis, oncology outpatient radiotherapy and chemotherapy reimbursement for one year reimbursement rate limit of one point ten thousand yuan.
Legal basis: "Chinese people*** and the State Social Insurance Law" Article 23
Employees should participate in the basic medical insurance for employees, by the employer and employees in accordance with the provisions of the State*** with the payment of basic medical insurance premiums.
Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in their employing units, and other flexibly employed persons may participate in the basic medical insurance for employees, and individuals shall pay the basic medical insurance premiums in accordance with the state regulations.