1. Basic medical insurance for residents: in the first reimbursement, the maximum reimbursement for residents' medical insurance is 15,/year, the minimum deductible is 15 yuan, and the maximum reimbursement ratio is 9% (township hospitals); At the same time, after hospitalization reimbursement, if the expenses in the medical insurance catalogue borne by individuals exceed 11,, they can also be reimbursed for the second time through residents' serious illness insurance;

2. Residents' medical insurance for serious illness: If the amount borne by the individual exceeds 11, after hospitalization reimbursement, you can also make a second reimbursement for serious illness.

rural outpatient service:

6% of the medical expenses for village clinics and village center clinics are reimbursed, and the prescription drug fee for each visit is limited to 1 yuan, and the prescription drug fee for temporary rehydration for doctors in health centers is limited to 5 yuan;

4% reimbursement for medical treatment in town health centers, with the limit of each examination fee and operation fee in 5 yuan and the limit of prescription drug fee in 1 yuan;

3% reimbursement for medical treatment in secondary hospitals, with the limit of each examination fee and operation fee in 5 yuan and the limit of prescription fee in 2 yuan;

tertiary hospitals will be reimbursed 2%, and the examination fee and operation fee for each visit will be limited to 5 yuan, and the prescription fee will be limited to 2 yuan;

The invoice of traditional Chinese medicine is accompanied by a prescription with a limit of 1 yuan per paste; Town-level cooperative medical outpatient compensation annual limit of 5 yuan [2].

scope of reimbursement for hospitalization in rural areas:

medical expenses: supplementary examination: 2 yuan for examination expenses such as ECG, X-ray fluoroscopy, filming, laboratory tests, physiotherapy, acupuncture, CT and nuclear magnetic resonance;

Operation expenses (refer to national standards, those exceeding 1 yuan will be reimbursed by 1 yuan). The elderly over 6 years old are hospitalized in health centers, and the daily compensation for treatment and nursing expenses is 1 yuan, with a limit of 2 yuan.

reimbursement ratio: 6% for town hospitals; 4% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 3%.

Serious illness

All inpatients who participate in the cooperative medical system should report medical expenses of more than 5, yuan at one time or for the whole year, which means 65% compensation for 5,1-1, yuan and 7% compensation for 1,1-18, yuan.

The annual compensation limit for hospitalization and uremia outpatient hemodialysis and tumor outpatient radiotherapy and chemotherapy in town-level cooperative medical system is 11, yuan.