Legal analysis: The reimbursement standard of Gansu new rural cooperative medical system is divided into outpatient reimbursement, hospitalization reimbursement and serious illness compensation. The reimbursement rate for outpatient service is: 1. 60% reimbursement for village clinics and village center clinics, the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration for doctors in health centers in 50 yuan; 2. 40% reimbursement for medical treatment in the town health center, the examination fee and operation fee are 50 yuan, and the prescription fee is 100 yuan; 3. 30% reimbursement for medical treatment in secondary hospitals, with the limit of 50 yuan for examination fee and operation fee per visit and 200 yuan for prescription fee; 4. 20% reimbursement for medical treatment in tertiary hospitals, with the limit of 50 yuan for examination fee and operation fee per visit and 200 yuan for prescription fee; 5. Chinese medicine invoice with prescription, the limit is 1 yuan; 6. The annual compensation limit for rural cooperative medical clinics is 5,000 yuan; The reimbursement scope of the new rural cooperative medical system in Gansu is the medical expenses, inspection fees, laboratory fees, operation fees, treatment fees and nursing fees incurred by the participants in the designated hospitals due to illness during the overall planning period, which are in line with the reimbursement scope of medical insurance for urban employees; In addition, Zhongmin.com provides online health insurance to make up for your lack of social security. According to the relevant provisions of the Social Insurance Law of People's Republic of China (PRC), the medical insurance reimbursement provisions are as follows: (1) Medical insurance patients for urban workers do not need to go to the social security center for reimbursement. Social security registration formalities shall be handled with the ID card upon admission, and discharge settlement formalities shall be handled with the admission registration form and ID card upon discharge; (2) The reimbursement process of urban residents' medical insurance hospitalization, in which the insured person directly handles the settlement in the medical insurance office set up by the hospital with his ID card, and the reimbursement ratio depends on the level of the hospital and varies with local policies; (3) The reimbursement for hospitalization of the new rural cooperative medical system is similar to that of urban residents. When the insured is admitted to the hospital, he/she shall go through the admission formalities at the hospitalization expense office of the hospital with his/her ID card and doctor's arrangement; Pay the hospitalization deposit, and submit it to the medical insurance office for reimbursement with the receipt, hospitalization documents, ID card and medical insurance card when leaving the hospital. Policies vary from place to place, and local policies shall prevail.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Article 24 The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.
Article 25 The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.
Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.