1. Medical reimbursement is only divided into rural residents and urban workers, regardless of whether they are poor or not.
2. Residents' reimbursement ratio: 60% in town health centers; 40% reimbursement for secondary hospitals; Third-level hospitals reported 30%. Urban residents incurred medical expenses below 654.38+10,000 yuan within a settlement year. The threshold for tertiary hospitals is 659 yuan, the reimbursement rate is 50%, and the upper limit is 2,000 yuan. The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%. However, in recent years, the health poverty alleviation policy has targeted at poor households, and fully subsidized individual payment fees (per person per year 180 yuan) to participate in the new rural cooperative medical system. The proportion of reimbursement for outpatient and inpatient expenses has been further improved. Under normal circumstances, the reimbursement rate of hospitalization in the county reaches 90%, which effectively reduces the financial burden of poor households for medical treatment.
Second, can poverty alleviation donations be reversed?
1, the civil code stipulates that the donor has the right to revoke it at will, but the donor may not revoke the donation belonging to public welfare.
The proportion of medical insurance reimbursement for poor households is as follows:
1, rural outpatient reimbursement ratio:
(1) The reimbursement ratio of village clinics and village center clinics is 60;
(2) 40% reimbursement for medical treatment in town hospitals;
(3) The reimbursement rate of secondary hospitals is 30%;
(4) The reimbursement rate of tertiary hospitals is 20;
2, rural hospitalization reimbursement ratio:
(1) reimbursement rate of town hospitals is 60;
(2) The reimbursement rate of secondary hospitals is 40;
(3) The reimbursement rate of tertiary hospitals is 30.
3, rural serious illness reimbursement ratio:
(1)500 1 to 10000 yuan reimbursement ratio 65;
(2) The reimbursement ratio of10001to 18000 yuan is 70;
(3) The annual compensation limit for hemodialysis, radiotherapy and chemotherapy in the town-level cooperative medical system inpatient and uremia outpatient department is 1 1000 yuan.
4, the proportion of medical insurance reimbursement for all kinds of people in rural areas:
(1) reimbursement rate for students and children: 55% for tertiary hospitals; The reimbursement rate of secondary hospitals is 60%; The reimbursement rate of first-class hospitals is 65%;
(2) Reimbursement ratio of elderly people over 70 years old: the reimbursement ratio of tertiary hospitals is 50%; The reimbursement rate of secondary hospitals is 60%; The reimbursement rate of first-class hospitals is 65%;
(3) The reimbursement rate of rural residents in tertiary hospitals is 50%; The reimbursement rate of secondary hospitals is 55%, and that of primary hospitals is 60%.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 23
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.