What is the reimbursement ratio of rural cooperative medical care?

1) Outpatient reimbursement ratio.

1. The reimbursement ratio for outpatient clinics in 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) Hospitalization reimbursement ratio.

1. The reimbursement ratio of 0-300 yuan for hospitalization in township health centers is 40%, and the reimbursement ratio of more than 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.

Hello kiss, the proportion is about 70%! In most areas, the NCP will reimburse eligible medical expenses to a certain extent, and the specific reimbursement ratio is determined by the payment standards of the local** and the RCD**. In Jiangsu Province, for example, the reimbursement rate for rural cooperative medical care is 70%.

In other words, if you are covered by Jiangsu Rural Cooperative Medical Care** and meet the reimbursement regulations, then you can basically get 70% reimbursement. However, it should be noted that different hospitals, different medical programs and different reimbursement limits will affect the reimbursement ratio. In short, when using rural cooperative medical care to reimburse medical expenses, it is necessary to carefully read the local reimbursement regulations, and hand the stool skin to the jujube bureau to submit the relevant application materials in accordance with the regulations, so as to ensure that the corresponding reimbursement ratio can be obtained.

Hello, the reimbursement ratio of rural cooperative medical care varies from region to region, generally speaking, the reimbursement ratio of basic medical insurance for urban and rural residents and NCMS is different. For example, in some areas, rural residents can be reimbursed about 60 to 80 percent of their medical expenses, while in some areas, the reimbursement rate may be higher. For the specific reimbursement ratio, please check the local policy or consult the local medical insurance department.

In addition, it should be noted that the reimbursement ratio of rural cooperative medical care is also related to the balance of the personal account of the insured person. If the balance in the personal account is insufficient, then the reimbursement rate for medical expenses will be reduced. Finally, it should be reminded that the vertical reimbursement ratio of different medical expense items is also different.

For example, the reimbursement ratio for drugs may be higher than the reimbursement ratio for diagnosis and treatment expenses, but the medical insurance policy is also constantly adjusted, and the specific local policy shall prevail.

The reimbursement ratio of rural cooperative medical care in 2022 is as follows:

1. The reimbursement ratio is 88% for the threshold fee above 3,000 yuan;

5,000 yuan for 90%;

10,000 yuan reported 92%;

95% above the maximum payment limit.

What is the reimbursement process for cooperative medical care?

The process of handling medical reimbursement in other places is as follows:

1. Before hospitalization or within 3 days after hospitalization, call the hometown NCMS consultation** to register and record the hospitalization and medical treatment;

2. After being discharged from the hospital, a residence certificate must be issued by the sub-district office or neighborhood committee at the place of residence, and if you are working abroad, you must have a work certificate issued by the work unit;

3. After being discharged from the hospital, take the relevant materials to the bridge group where the participation is located for reimbursement; The specific information of the stool is as follows;

1) Copy of medical record;

2) Summarize the detailed list;

3) Hospitalization bills;

4) Discharge certificate;

5) Patient's ID card;

6) Cooperative medical certificate and residence or work certificate.

4. If you are going directly to the province for chemotherapy from the place where you participate, you must go through the referral and transfer procedures before leaving, and then you can go to other places for hospitalization**;

5. The proportion of reimbursement outside the province is the lowest, the general starting line is about 2000, and the reimbursement ratio is 45% of the reasonable expenses, and the lower the hospital level, the higher the reimbursement ratio.

Hello dear <>

Rural cooperative medical care is a medical security policy launched by the state for rural residents, the reimbursement ratio varies from region to region, and the policies in different regions may be different. Changqin: The following are the specific reimbursement ratios in some areas: the reimbursement ratio of rural cooperative medical care in Jiangsu Province is 50% to 80%; Guangdong Province will reimburse at least 60%; 80% reimbursement in Hunan Province; Shanxi, Henan, Shandong, Shaanxi and other provinces have a reimbursement ratio of between 60-90%.

It should be noted that the reimbursement ratio policy will be different in different regions, and the specific reimbursement ratio should also be subject to the local ** policy. At the same time, the "minimum payment line" and "ceiling line" are different in each region, generally speaking, the minimum payment line refers to the medical expenses that need to be paid by individuals within one year, and the ceiling line means that after exceeding this amount, individuals can enjoy the corresponding proportion of reimbursement.