A, 2019 health insurance reimbursement new policy, reimbursement ratio standard is how much? We all know that the economic level of each place is not the same, the health insurance reimbursement will also have some differences, so for you to organize the general reimbursement ratio standard is as follows, for reference only, the specific reimbursement ratio standard to the local government issued documents as well as the actual reimbursement for the benchmark.1. 2019 health insurance reimbursement of the new policy: outpatient reimbursement ratio standard is how much? (1) If you visit the local village center health clinic to see a doctor, the reimbursement ratio standard is 60%, and belongs to the medical insurance to see a doctor, there is a limit on the cost of medication for each visit to see a doctor, which is limited to 10 yuan, and the limit of the cost of medication for the temporary refill of prescriptions by the doctor of the health center is 50 yuan. (2) If you visit a local township health center, the reimbursement rate is 40%, and each visit is limited to 50 yuan for each examination and surgery, and 100 yuan for each prescription; that is to say, if you pay between 200-500 yuan, you can only be reimbursed up to 100 yuan. (3) If you visit a local secondary hospital, the reimbursement rate is 30%, with a limit of 50 RMB for each examination and surgery and 200 RMB for each prescription. (4) If you visit a local tertiary hospital, the reimbursement rate is 20%, with a limit of 50 yuan for each examination and operation and 200 yuan for prescription drugs per visit.2. New policy on health insurance reimbursement in 2019: What is the standard reimbursement rate for hospitalization? (1) The standard reimbursement rate of auxiliary examination and drug expenses: the limit of reimbursement for each examination fee such as EKG, X-ray fluoroscopy, filming, laboratory tests, physical therapy, acupuncture, CT, MR*** vibration, etc. is 200 yuan; that is to say, if it takes 400 yuan to take a film, but when it is ultimately reimbursed, it can only be reimbursed for 200 yuan. (2) Reimbursement rate standard for surgical expenses: with reference to the national standard, reimbursement is based on RMB 1,000 if it exceeds RMB 1,000; for elderly people over 60 years of age who are hospitalized in health centers, reimbursement of treatment and nursing care costs is RMB 10 per day, with a limit of RMB 200. (3) Hospitalization reimbursement rate standards for all levels of hospitals: the reimbursement rate for township health centers is 60%; the reimbursement rate for second-level hospitals is 40%; and the reimbursement rate for third-level hospitals is 30%.3. 2019 new policy on health insurance reimbursement: what are the standards for the reimbursement rate for major illnesses? (1) If you participate in the local health insurance contributions, the reimbursement ratio of major illnesses will be compensated in segments at once or throughout the year when the annual medical expenses exceed 5,000 yuan or more, and the reimbursement standard will be 65% if the medical expenses cost 5,001-10,000 yuan, and 70% if the medical expenses cost 10,001-18,000 yuan. (2) If you participate in the local health insurance contributions, the reimbursement rate of major illnesses one-time or annual medical expenses over 5,000 yuan will be compensated in segments, if the medical expenses spent in 5001-10,000 yuan compensation rate of 65%, if the medical expenses spent in 10001-18,000 yuan compensation rate of 70%. (3) if you participate in the local health insurance contributions, township-level cooperative medical hospitalization and uremia outpatient blood dialysis, outpatient radiation therapy and chemotherapy oncology compensation for one year reimbursement rate limit of 11,000 yuan.

Legal basis

The Chinese people*** and the full text of the State Social Insurance Law "Article 30 of the following medical expenses are not included in the basic medical insurance fund to pay for the scope of payment:

(a) should be paid out of the Workers' Compensation Insurance Fund;

(b) should be borne by a third person;

(iii) should be borne by the public **** health; (iv) medical treatment outside the country. Medical expenses shall be borne by a third party in accordance with the law, the third party does not pay or unable to determine the third party, the basic medical insurance fund to pay first. The basic medical insurance fund first paid, the right to recover from the third party.