Rural medical insurance paid by Jiangsu Rudong hukou is reimbursed for children born in Nantong Maternal and Child Health Hospital.

Reimbursement is divided into rural residents and urban workers:

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

2, urban residents, in a settlement year, the medical expenses that meet the scope of reimbursement are 65,438+10,000 yuan, the threshold for tertiary hospitals is 659 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan; The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.

3. You need to go back to your hometown (insured place) for reimbursement in different places, and the reimbursement ratio is 35-65%, which varies according to the level of the hospital.

Hospitalization in different places can only be reimbursed, and outpatient services cannot be reported. Reimbursement needs to go back to the hometown (insured place), and the reimbursement rate is 30-60%, which varies according to the level of the hospital.

The procedures required for reimbursement are:

1, inpatient medical records

2. Cost list

3. Hospitalization invoice

4, discharge summary

4. Disease diagnosis

5. ID card and household registration book

6, cooperative medical book (or card, card)

7. Transfer procedure or certificate (work certificate or emergency certificate)

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