I. Outpatient service

1. Village clinics and village center clinics are reimbursed 60%, and the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration of doctors in health centers is 50 yuan;

2. 40% reimbursement for medical treatment in the town health center, the examination fee and operation fee are 50 yuan, and the prescription fee is 100 yuan;

3. 30% reimbursement for medical treatment in secondary hospitals, with the limit of 50 yuan for examination fee and operation fee per visit and 200 yuan for prescription fee;

4. Reimbursement for medical treatment in tertiary hospitals is 20%, with the limit of each examination fee and operation fee in 50 yuan and the limit of prescription drug fee in 200 yuan; Chinese medicine invoice with prescription, each paste limit 1 yuan;

5. The annual compensation limit for township-level cooperative medical clinics is 5000 yuan.

Second, hospitalization.

1. Reimbursement scope:

Medical expenses: auxiliary examination: the examination expenses of electrocardiogram, X-ray fluoroscopy, photography, laboratory test, physiotherapy, acupuncture, CT and magnetic resonance are limited to 200 yuan;

Surgical expenses (refer to the national standard, the reimbursement of more than 1000 yuan 1000 yuan. The elderly over 60 years old are hospitalized in health centers, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.

2. Reimbursement ratio: town health centers reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.

Third, serious illness.

1. Where the medical expenses of hospitalized patients participating in the cooperative medical system exceed 5,000 yuan at one time or cumulatively throughout the year, they should be compensated by stages, that is, 500 1- 10000 yuan is 65%,10001-/kloc-0.

2. The annual compensation limit of town-level cooperative medical system hospitalization, uremia outpatient hemodialysis and tumor outpatient radiotherapy and chemotherapy is1.1.

Fourth, at one's own expense

1. Seek medical treatment by oneself (there is no designated hospital for medical treatment or no referral form, drugs purchased by oneself, drugs that cannot be reimbursed according to the provisions of free medical care and medical expenses that do not conform to family planning;

2. Outpatient treatment fees, visiting fees, hospitalization fees, meals, escort fees, nutrition fees, blood transfusion fees (except those with family blood storage, other expenses such as reimbursement, heating and cooling fees, ambulance fees, special care fees, etc. According to relevant regulations;

3. Medical expenses for car accidents, fights, suicides, alcoholism, industrial accidents and medical accidents;

4. Orthopedics, cosmetic surgery, dental implants, artificial limbs, organ transplantation, roll call surgery fees, consulting fees, etc. ;

Within the scope of reimbursement, beyond the limit.