What is the reimbursement rate of Jiangmen medical insurance?

Proportion of reimbursement for outpatient service of new rural cooperative medical system: 1. The reimbursement rate of village clinics and health centers is 60%; 2. The reimbursement rate of town hospitals is 40%. 3. The proportion of stroke in secondary hospitals is 30%; The reimbursement rate of tertiary hospitals is 20%. 5. The reimbursement limit for township-level cooperative medical clinics is 5000 yuan/year. Proportion of reimbursement for hospitalization of new rural cooperative medical system 1. Supplementary examination items such as new EEG, X-ray fluoroscopy, radiography, laboratory test, physiotherapy, acupuncture, CT and nuclear magnetic resonance were reimbursed to 200 yuan; 2. The operation expenses shall be reimbursed according to the national standard within the deductible line of 1 0,000 yuan, and those exceeding 1 0,000 yuan shall be reimbursed according to 100 yuan: the hospitalization expenses and nursing expenses of the elderly over 3.60 years old can be reimbursed every day 10 yuan, with the limit of 200 yuan. 4. The reimbursement rate of hospitals at all levels is 60% for town hospitals and 40% for secondary hospitals. The reimbursement rate for serious illness of the new rural cooperative medical system is 1. The proportion of township and village subsidies for outpatient co-ordination increased to 65% and 75% respectively. 2. If the hospitalization expenses of first-class medical institutions are below 400 yuan, there is no deductible. 3. The subsidy ratio of secondary medical institutions will be increased to 75% ~ 80%. 4. The subsidy ratio of tertiary medical institutions will be increased to 55%~60%. 5. The subsidy ratio of provincial tertiary medical institutions will be increased to 55%. 6. 70% of the quota for 8 serious diseases such as congenital heart disease in children, and 70% of the quota for 2 serious diseases such as lung cancer/kloc-0.

First, the process of reimbursement for medical treatment in different places is:

1. Call the consultation number of the new rural cooperative medical system in your hometown within 3 days before or after hospitalization to register for hospitalization;

2. After discharge, the residence certificate must be issued by the neighborhood office or neighborhood committee. If you work outside, you need a work certificate issued by your work unit;

3. After discharge, submit the medical record copy, summary list, hospitalization bill and discharge certificate to the place where the patient's ID card, cooperative medical certificate, residence or work certificate are submitted for reimbursement;

4. If you go directly to a hospital outside the province for chemotherapy from the participating place, you must go through the referral and transfer procedures before you can go to a different place for hospitalization; 5. The reimbursement rate outside the province is the lowest, and the general deductible line is around 2,000, and the reimbursement rate is 45% of the reasonable expenses. If you spend less, it is difficult to reimburse a few dollars. The lower the hospital level, the higher the reimbursement ratio.

Two, the new insurance for flexible employees shall be handled in the following ways:

1. Urban and rural residents who participate in the insurance in their personal capacity can choose to go through the insurance registration formalities at the domicile or the public service institutions of streets (towns) in Guangzhou.

2 collective economic organizations (or villagers' committees) of urban and rural residents, households as a unit by the collective economic organizations (or villagers' committees) unified to the street (town) labor and social security service agencies for insurance registration.

3. Persons with difficulties who meet the conditions of civil affairs or disabled persons' Federation subsidies to participate in insurance shall go through the insurance registration formalities at the street (town) civil affairs or disabled persons' Federation department where the household registration is located. If you have already participated in the medical insurance for urban and rural residents in 202 1, you don't need to go through the registration formalities again, and the system will automatically renew your medical insurance for urban and rural residents in 2022.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 24 The state establishes and improves the new rural cooperative medical system.

Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.

Article 25 The state establishes and improves the basic medical insurance system for urban residents. The basic medical insurance for urban residents combines individual contributions with government subsidies. People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.

Article 38 A laborer may terminate the labor contract under any of the following circumstances: (1) Failing to provide labor protection or working conditions as agreed in the labor contract; (2) Failing to pay labor remuneration in full and on time; (3) Failing to pay social insurance premiums for laborers according to law; (4) The rules and regulations of the employing unit violate the provisions of laws and regulations and damage the rights and interests of workers; (5) The labor contract is invalid due to the circumstances specified in the first paragraph of Article 26 of this Law; (6) Other circumstances under which the laborer can terminate the labor contract as stipulated by laws and administrative regulations. If the employer forces the laborer to work by means of violence, threat or illegal restriction of personal freedom, or if the employer illegally directs or forces the risky operation to endanger the personal safety of the laborer, the laborer may immediately terminate the labor contract without notifying the employer in advance.