1, outpatient compensation

60% of the medical expenses of village clinics and village center clinics are reimbursed, and the prescription drug fee limit for each visit is 10 yuan, and the prescription drug fee limit for temporary rehydration of hospital doctors is 50 yuan.

40% reimbursement for medical treatment in the town health center, with the limit of examination fee and operation fee for each visit, and the limit of prescription drug fee 100 yuan.

The reimbursement for medical treatment in secondary hospitals is 30%, with the limit of each examination fee and operation fee in 50 yuan and the limit of prescription drug fee in 200 yuan.

Third-level hospitals will be reimbursed 20%, with the examination fee and operation fee for each visit limited to 50 yuan and prescription drug fee limited to 200 yuan.

Chinese medicine invoice with prescription, limit 1 yuan. The annual compensation limit for rural cooperative medical clinics is 5000 yuan.

2, hospitalization compensation

Reimbursement scope:

(1) Medical expenses: auxiliary examination: expenses for electrocardiogram, X-ray fluoroscopy, radiography, laboratory tests, physical therapy, acupuncture, CT, nuclear magnetic resonance, etc. , limited to 200 yuan; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan).

(2) The elderly over 60 years old are hospitalized in the town health center, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.

Reimbursement ratio: town health centers reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.

Extended data:

Matters needing attention in the reimbursement scope of the new rural cooperative medical system are as follows:

The following circumstances are not included in the reimbursement scope of the new rural cooperative medical system:

(a) the outpatient medical expenses of designated hospitals in non-co-ordination areas (except for outpatient treatment expenses for special diseases), and the expenses incurred by failing to seek medical treatment according to regulations and purchasing medicines by themselves;

(two) the cost of family planning measures and medical expenses in violation of the family planning policy;

(three) dental implants, orthodontics, optometry glasses, hearing AIDS, artificial organs, beauty therapy, cosmetic surgery, rehabilitation (such as qigong, massage, physical therapy, magnetic therapy, etc.). ), as well as various accompanying expenses, medical transportation expenses, home visits and other miscellaneous expenses during hospitalization;

(4) If there is a third party's liability, the medical expenses incurred due to personal injury, such as traffic accidents, medical accidents and work-related injuries, shall be borne by the third responsible person according to law.

(five) medical expenses caused by illegal acts such as suicide, self-mutilation, taking poison, taking drugs, fighting and other intentional acts of their families;

(six) medical expenses incurred during going abroad or staying in Hong Kong, Macao and Taiwan;

(seven) drugs and articles that are not reimbursed according to the medical insurance system for urban workers;

(eight) other expenses determined by the District Medical Management Committee.

Baidu Encyclopedia-reimbursement scope of new rural cooperative medical care