I. Outpatient reimbursement is 20%, with a limit of 50 RMB for each examination and surgery and 200 RMB for prescription drugs. The company's business is a major player in the market, and the company's business is a major player in the market.
Second, after the participants were discharged from the hospital, the patient's own signature or seal of the hospital invoice, discharge records, cost lists, referral certificates and a copy of my ID card or proof of domicile to the township administration, after examination and centralized unified to the municipal agricultural insurance business management center.
Three, outpatient compensation
1, village health clinics and village center health clinic visit reimbursement of 60%, each visit to the prescription drug cost limit of 10 yuan, the health center doctor temporary rehydration prescription drug cost limit of 50 yuan.
2. Township health centers are reimbursed 40% of the cost of each visit, with a limit of 50 yuan for each examination and surgery, and a limit of 100 yuan for prescription drugs.
3. 30% of the reimbursement will be made to secondary hospitals, with a limit of 50 yuan for each examination and operation and 200 yuan for prescription drugs.
4. Tertiary hospitals will reimburse 20% of the cost, with a limit of 50 yuan for each examination and operation and 200 yuan for prescription drugs.
5. Chinese herbal medicine invoices attached to the prescription are limited to 1 yuan per sticker.
6. The annual limit of outpatient compensation for town-level cooperative medical care is 5,000 yuan.
Expanded Information
The following cases are not included in the new rural cooperative medical reimbursement:
(a) outpatient medical expenses of outpatient hospitals in non-district areas (except for outpatient treatment costs of special diseases), expenses incurred by failing to follow the prescribed medical treatment, and expenses incurred by purchasing their own medicines;
(b) expenses required for family-planning measures expenses, medical expenses incurred in violation of the family planning policy;
(iii) expenses incurred for dentures, orthodontics, optometry, hearing aids, artificial organs, cosmetic treatments, cosmetic and orthopedic surgeries, rehabilitative medical treatments (e.g., qigong, massages, tui-na, physical therapy, magnetic therapy, etc.), as well as expenses incurred for various types of companion fees, transportation to medical appointments, consultation fees, and other miscellaneous expenses incurred during the period of hospitalization;
(iv) expenses incurred where there exists a (D) the existence of third-party liability, personal injury arising from the medical costs borne by the third party responsible for the law, such as traffic accidents, medical malpractice, work-related injuries, etc.;
(E) suicide, self-inflicted injuries, drug use, drug abuse, fights and assaults and other violations of law as well as the intentional acts of their families resulting in injury to the medical costs;
(F) out of the country or in Hong Kong, Macao, Taiwan, medical expenses during the period of Expenses;
(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.
Baidu Encyclopedia - Rural Cooperative Medical Insurance
Baidu Encyclopedia - Reimbursement Scope of New Rural Cooperative Medical Insurance