(1) outpatient service: there is no deductible line for outpatient service, and the reimbursement rate for outpatient service is not higher than 25%. Set the capping line to 150 yuan.
(2) Hospitalization: deductible line is set for hospitalization. The deductible line of township hospitals is not less than 100 yuan, and the reimbursement ratio is not less than 50%; The deductible line of county-level designated medical institutions is not less than that of 200 yuan, and the reimbursement ratio is not less than 40%; The deductible line of designated medical institutions at or above the county level is not less than that of 400 yuan, and the reimbursement ratio is not less than 30%. The deductible is the individual pays part. For example, if you are hospitalized in a township hospital, * * * pays 1.600 yuan's medical expenses. After deducting the self-paid part of 1.000 yuan, you will be reimbursed according to the reimbursement rate of 50%, at least you can reimburse 750 yuan. The capping line is not higher than 7000 yuan, that is, the total amount of personal reimbursement for the whole year does not exceed the capping line.
Who participated in the new rural cooperative medical system, the annual hospitalization expenses can be reimbursed according to the prescribed compensation ratio. The proportion of hospitalization can be reimbursed, and the reimbursement rate of township hospitals is 70%; The reimbursement rate of county-level designated medical institutions is not less than 40%.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.