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The results of the reimbursement ratio are shown below
Township health centers and community health service institutions, with a minimum payment line of 200, can be reimbursed 85%; For three types of medical institutions, the starting line is 300, and 70% can be reimbursed; Class II charging standard medical institutions, the starting line is 500, and 65% can be reimbursed; Municipal first-class charging standard medical institutions, the starting line is 1100, and 60% can be reimbursed.
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[Legal Analysis].: The reimbursement ratio of NCMS is:
1. The reimbursement ratio for general outpatient clinics is 50%, and the annual reimbursement limit for each person is 80 yuan.
2. Patients with cirrhosis or ethnicity, cerebral thrombosis, sequelae of cerebral hemorrhage, rheumatoid arthritis, femoral head necrosis and other patients can be reimbursed 10,000 yuan per year.
3. If it is a malignant tumor, uremia or hemophilia, a patient can be reimbursed 30,000 yuan per year.
4. The minimum reimbursement line for hospitalization at the township level is 200 yuan, and the reimbursement ratio is 85%. The minimum reimbursement line for hospitalization in county-level designated medical institutions is 500 yuan, and the reimbursement ratio is 70 percent.
[Legal basis].Social Insurance Law of the People's Republic of China
Article 24: The State is to establish and improve a new type of rural cooperative medical system. The management measures for the new type of rural cooperative medical care shall be stipulated by ***.
Article 25 The State shall establish and improve the basic medical insurance system for urban residents. The basic medical insurance for urban residents implements a combination of individual payment and subsidy. Those who enjoy the minimum living guarantee, the disabled who have lost the ability to work, the elderly over the age of 60 and minors from low-income families, etc., will be subsidized by **.
The above is only the current information combined with my understanding of the law, please refer to it carefully!
If you still have questions about this issue, it is recommended that you organize the relevant information and communicate with a professional in detail.
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The reimbursement ratio of NCMS in rural areas varies according to the regulations of different regions, different programs and different medical institutions. Generally speaking, the reimbursement rate of NCMS in rural areas is between 50% and 90%, and the reimbursement rate for serious illnesses is even higher, which can reach more than 90%. However, the exact proportion needs to be determined according to local policies.
It is recommended that you consult your local NCMS administration or medical institution for specific reimbursement ratios and policy regulations. At the same time, it should be noted that the reimbursement ratio of different items and drugs is also different, and it is necessary to inquire and understand according to the specific situation.
NCMS inquiry personal account.
1. Bring your ID card to the co-management office of the local township health center or to the county co-management office for inquiry. >>>More
1. Information required for reimbursement 1. Information for outpatient reimbursement: outpatient invoice, cooperative medical certificate (or medical record). 2. Information for hospitalization reimbursement: >>>More
What is the reimbursement ratio for hospitalization under employee medical insurance?
Critical illness insurance provides protection for eligible medical expenses that need to be borne by individuals after the compensation of urban residents' medical insurance and NCMS. The actual payment ratio is not less than 50%, and the actual reimbursement ratio can be as high as 95%, but the policies vary from place to place. The settlement is automatically reviewed and handled by the medical insurance department through the data system.
The reimbursement rate of NCMS for accidental injuries is 50%. The compensable part of the hospitalization expenses for external injuries shall be compensated according to 50% of the disease compensation standard of the corresponding designated medical institutions. Reimbursement process for accidental injuries NCMS: >>>More