List of medical insurance reimbursement scope and proportions in Anqing City. Let me take a brief look at it below.
1. Outpatient compensation:
(1) Village clinics and village center clinics will be reimbursed 60 yuan, with a limit of 10 yuan on prescription drugs for each visit, and temporary rehydration prescription drugs by doctors at the health center. The limit is 50 yuan.
(2) The town health center reimburses RMB 40 for a visit, the examination fee and surgical fee limit for each visit is RMB 50, and the prescription drug fee is limited to RMB 100.
(3) The reimbursement for visits to secondary hospitals is RMB 30, the examination fees and surgical fees for each visit are limited to RMB 50, and the prescription drug expenses are limited to RMB 200.
(4) RMB 20 is reimbursed for visits to tertiary hospitals, the examination fee and surgical fee limit for each visit is RMB 50, and the prescription drug fee is limited to RMB 200.
(5) There is a limit of 1 yuan per prescription attached to the traditional Chinese medicine invoice.
(6) The annual compensation limit for town-level cooperative medical outpatient clinics is 5,000 yuan.
2. Hospitalization compensation
(1) Scope of reimbursement:
A. Medication expenses: auxiliary examinations: electrocardiogram, X-ray, film, The fee limit for various examinations such as laboratory tests, physical therapy, acupuncture, CT, MRI, etc. is 200 yuan; the operation fee (referring to the standard, if it exceeds 1,000 yuan, it will be reimbursed at 1,000 yuan).
B. For elderly people over 60 years old who are hospitalized in the town health center, the treatment and nursing fees will be compensated 10 yuan per day, with a limit of 200 yuan.
(2) Reimbursement ratio: the town health center will reimburse 60; the second-level hospital will reimburse 40; the third-level hospital will reimburse 30.