Research on Compensation Ratio of Rural Medical Insurance in Chongqing

According to the related policies of Chongqing new rural cooperative medical system, the general outpatient service of residents' medical insurance is subject to quota reimbursement, and there is no reimbursement ratio and deductible line. Those that are not used up in that year can be carried forward for use. Outpatient co-ordination is implemented for special diseases, among which outpatient expenses for major diseases are reimbursed according to hospitalization policy, and outpatient medical expenses for chronic diseases are reimbursed without deductible, and the proportional quota method is implemented.

The reimbursement rate for each time is 80% for the first-class medical institution, 60% for the second-class medical institution and 40% for the third-class medical institution. The annual reimbursement limit is per person 1000 yuan/year. For those who suffer from two or more special diseases at the same time, the annual reimbursement limit will be increased by 200 yuan for each additional one.

The reimbursement rate of Chongqing's new rural cooperative medical system is 80% for first-class hospitalization, 60% for second-class medical institutions and 40% for third-class medical institutions. The second grade is 5 percentage points higher than the first grade, and the minors are further improved by 5 percentage points.

Deductible line: level I medical institution 100 Yuan, level II 300 yuan, level III 800 yuan. The annual reimbursement limit of the fund is 80,000 yuan in the first file and 654.38+200,000 yuan in the second file.

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