After the medical expenses incurred by the insured in the hospitalization, outpatient chronic diseases and general outpatient co-ordination within a medical year are reimbursed by the basic medical insurance co-ordination fund for employees and the large medical expenses relief fund, they can also be reimbursed for the compliance medical expenses accumulated by individuals exceeding 6,543.8+0,000 yuan. The second reimbursement does not need to go through any formalities, and it can be automatically reimbursed at the time of settlement. '

Medical insurance is one of the basic social security policies in China, which provides basic protection for the health of China residents.

Outpatient service: 60% of the village clinics and village center clinics are reimbursed, with the prescription drug fee limit of 10 yuan per visit, 40% of the prescription drug fee limit of temporary rehydration for doctors in town health centers, 50 yuan, 50 yuan for examination and operation fee per visit, 30% of the prescription drug fee limit of 100 yuan for secondary hospitals, and 50 yuan for examination and operation fee per visit. The prescription drug fee limit is 20% reimbursed by tertiary hospitals in 200 yuan, and the examination fee and operation fee for each visit are limited in 50 yuan, and the invoice of traditional Chinese medicine in 200 yuan is attached with the prescription drug fee limit of each prescription 1 yuan-level cooperative medical outpatient service compensation of 5,000 yuan.

Hospitalization: reimbursement scope:

Medical expenses: auxiliary examinations: ECG, X-ray fluoroscopy, radiography, laboratory tests, physiotherapy, acupuncture, CT, magnetic resonance and other examination expenses are limited to 200 yuan operation expenses (refer to national standards, those exceeding 1 0,000 yuan will be reimbursed as 1 0,000 yuan). The elderly over 60 years old are hospitalized in health centers, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.

Reimbursement ratio: town health centers reimburse 60% hospitals, 40% hospitals and 30% hospitals.

Serious illness: If the medical expenses of inpatients participating in the cooperative medical system exceed 5,000 yuan at one time or cumulatively throughout the year, they should be compensated by stages, that is, 5001-kloc-0/0000 yuan is 65%, and1-kloc-0/8000 yuan is 70.

The annual compensation limit of town-level cooperative medical system hospitalization, uremia outpatient hemodialysis and tumor outpatient radiotherapy and chemotherapy is 1. 1 ten thousand yuan.

Legal basis:

Article 23 of the Social Insurance Law of People's Republic of China (PRC) * * * Employees shall participate in the basic medical insurance for employees, and employers and employees shall pay the basic medical insurance premium in accordance with the provisions of the state. 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.