What percentage of the reimbursement for hospitalization in rural cooperative medical care

Legal analysis: 1) Outpatient reimbursement ratio: 1. The outpatient reimbursement ratio of village clinics (community health service stations) is 25%.

2. The reimbursement ratio of outpatient clinics in township health centers is 40%. 3. The reimbursement ratio of outpatient clinics in county-level hospitals is 30%. 4. Out-of-county outpatient clinics (except for outpatient clinics for specific chronic diseases) and valuable vaccines will not be reimbursed.

2) Reimbursement ratio for hospitalization: 1. The reimbursement ratio for hospitalization of 0-300 yuan in township health centers is 40%, and the reimbursement ratio for hospitalization above 300 yuan is 55%. 2. The reimbursement ratio of 0-300 yuan for hospitalization in county-level hospitals is 30%, and the reimbursement ratio for more than 300 yuan is 40%.

3. The reimbursement ratio of 0-20,000 yuan for hospitalization in hospitals outside the county is 20%, and the reimbursement ratio of more than 20,000 yuan is 35%. 4. Pregnant women who participate in maternal and child health care reimbursement shall be reimbursed according to the proportion of hospitalization in medical institutions. If the reimbursement amount is less than 200 yuan, the compensation will be 200 yuan.

Pregnant women who do not participate in maternal and child health insurance will not be reimbursed for hospital delivery. 5. 11 specific chronic patients with hypertension (including periods), heart disease combined with cardiac insufficiency, diabetes mellitus with ineffective dietary control, decompensated liver cirrhosis, outpatient radiotherapy and chemotherapy for malignant tumors, chronic bronchitis, mental illness maintenance stage, hemodialysis for chronic renal failure, peritoneal dialysis, anti-rejection of organ transplantation, aplastic anemia, leukemia, etc., shall be reimbursed according to the reimbursement ratio of village-level outpatient clinics, and medical institutions at or above the township level (referral is required for treatment outside the county.) ), with the "Medical Certificate", reimbursement shall be made according to the hospitalization reimbursement ratio of different medical institutions. 6. The maximum amount of annual personal compensation is 60,000 yuan.

Legal basis: Social Insurance Law of the People's Republic of China Article 7 The social insurance administrative department is responsible for the social insurance administration of the whole country, and other relevant departments are responsible for the relevant social insurance work within the scope of their respective duties. The local people's social insurance administrative departments at or above the county level are responsible for the social insurance management work in their respective administrative regions, and other relevant departments of the local people's social insurance at or above the county level are responsible for the relevant social insurance work within the scope of their respective duties.

Trade unions safeguard the legitimate rights and interests of workers and workers in accordance with the law, and have the right to participate in the study of major social insurance issues, to participate in the social insurance supervision committee, and to supervise matters related to the social insurance rights and interests of workers.

Derivative question: What is the reimbursement ratio of medical insurance for serious illnesses? The total amount of general outpatient emergency expenses incurred in a natural year exceeds 1,800 yuan, and the part of the large medical mutual aid** above 1,800 yuan is paid half, and the individual pays half.

For retirees with a total of more than 1,300 yuan, the part of the excess of 1,300 yuan is covered by 70 years old, 70% of the large medical mutual aid** is paid by the individual, 30% is paid by the individual, and 80% is paid by the large medical mutual aid** over the age of 70, and 20% is paid by the individual. The maximum payment limit in a calendar year is 20,000 yuan.

1. If the reimbursement ratio of medical expenses in township (town) health centers is less than one yuan, and if the reimbursement is more than 2,000 yuan or less, 70% will be reimbursed; 3. If the filial piety is offset by more than 2,000 yuan (excluding), 50% will be reimbursed. 2. If the reimbursement ratio of medical expenses of county-level designated medical institutions is less than 10,000 yuan, 50% of the reimbursement is more than 10,000 yuan (exclusive).

Social Insurance Law of the People's Republic of China

Article 2: The State shall establish social insurance systems such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to protect citizens' right to receive material assistance from the State and society in accordance with law in the event of old age, illness, work-related injury, unemployment, childbirth, and so forth.

Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

Legal analysis: the proportion of reimbursement for rural insurance hospitalization is 65% for first-class hospitals. Level 2 Hospital:

The reimbursement ratio of the county secondary hospital is 65% for the compensation fee of less than 6,000 yuan, and the reimbursement ratio is 80% for the reimbursement of more than 6,000 yuan. The reimbursement of compensation expenses of secondary hospitals in the city is 65% lower than that of 6,000 yuan, and 80% of the reimbursement ratio of more than 6,000 yuan.

Legal basis: Article 21 of the Social Insurance Law The new rural social endowment insurance benefits are composed of basic pensions and personal account pensions.

Rural residents who participate in the new rural social endowment insurance and meet the conditions stipulated by the state will receive the new rural social endowment insurance benefits on a monthly basis.