The overall reimbursement of rural cooperative medical insurance is based on districts and counties. Tianjin and Lixian should be independent districts and counties. If it's a county, that's no problem at all. If not, you bought the rural cooperative medical insurance in Lixian County. You can only go back to Lixian County Joint Management Office for reimbursement. Generally speaking, the threshold waist circumference and reimbursement ratio of hospitals outside the county are lower than those in the county. The specific threshold and proportion outside the county should be asked by the local joint management office.

I'm from Lixian county, too. Do the software of rural cooperative medical system. But Changde was made by Sun Company. Otherwise I can give you a very specific policy. You can look at this website and see what you want.

I just showed you the policy document. See if the fellow villagers can help you in the end.

County-level hospital deductible line 150 yuan, the subsidy ratio is 80%; Secondary hospitals (including unclassified) deductible line 300 yuan, the subsidy ratio is 65% (county-level Chinese medicine hospitals increase the subsidy ratio by 5%); The deductible line of tertiary hospitals in the city and designated hospitals outside the city is 500 yuan, and the subsidy ratio is 55%.

The compensation for medical expenses caused by accidental injury of the irresponsible party shall be calculated at 30% of the reportable expenses, and the deductible shall be calculated at the hospital level.

If you are hospitalized in a first-class or second-class designated hospital outside the county, you must report to the county joint management office by telephone (Tel: 0736-3 126829) before you leave the hospital. If the declaration is passed, it will be implemented according to the compensation standard of the first-class or second-class hospital in the county. If the consent is not declared, it shall be implemented according to the deductible 300 yuan and the subsidy ratio of 50%.

Call for advice if you don't understand.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.