Xi medical insurance reimbursement ratio 2022

First, the proportion of reimbursement for outpatient service of new rural cooperative medical system. 1, the reimbursement rate of village clinics and health clinics is 60%. 2. The reimbursement rate of town hospitals is 40%. 3. The proportion of small hospitals in secondary hospitals is 30%. 4. The reimbursement rate of tertiary hospitals is 20%. 5. The reimbursement limit for township-level cooperative medical clinics is 5,000 yuan/year. The second is the proportion of hospitalization reimbursement for the new rural cooperative medical system. 1, new EEG, X-ray fluoroscopy, radiography, laboratory tests, physiotherapy, acupuncture, CT, MRI and other auxiliary examination items will be reimbursed to 200 yuan. 2. The deductible line 1 0,000 yuan shall be reimbursed according to the national standard, and those exceeding 1 0,000 yuan shall be reimbursed according to 1 0,000 yuan. 3. The hospitalization expenses and nursing expenses of the elderly over 60 years old can be reimbursed every day 10 yuan, with the limit of 200 yuan. 4. The reimbursement ratio of hospitals at all levels is: town hospitals are reimbursed 60%, secondary hospitals are reimbursed 40%, and tertiary hospitals are reimbursed 30%. Third, the proportion of reimbursement for serious illness of the new rural cooperative medical system. 1, the proportion of overall subsidies for township and village clinics increased to 65% and 75% respectively. 2, a medical institution hospitalization expenses below 400 yuan, no deductible. 3, secondary medical institutions to increase the proportion of subsidies to 75%~80%. 4, the proportion of tertiary medical institutions to increase subsidies to 55%~60%. 5, the proportion of provincial tertiary medical institutions subsidies increased to 55%.

First, the documents required for the medical insurance card:

1. If the enterprise helps employees to get it, it is required to provide a copy of the ID card of the person receiving the medical insurance card, a copy of the ID card of the person who needs to get it and the official seal of the enterprise;

2. Individuals who receive medical insurance cards by themselves need to provide payment vouchers, card-taking vouchers and original ID cards;

3. If it is collected by others, the original ID card and power of attorney of the consignee shall be provided.

Two, medical insurance reimbursement conditions are:

1, the insured person must go to the designated medical institution of basic medical insurance or the designated retail pharmacy determined by the social insurance institution with the medical prescription issued by the doctor in the designated hospital.

2. The medical expenses incurred by the insured in the process of medical treatment must conform to the scope and payment standards of the basic medical insurance drug list, medical treatment items and medical service facilities standards, and can be paid by the basic medical insurance fund according to regulations.

3. The medical expenses incurred by the insured that meet the payment scope of basic medical insurance shall be paid by the social medical pooling fund in a unified proportion, with the expenses above the Qifubiaozhun and below the maximum payment limit.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

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.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.