After the reimbursement of the new rural cooperative medical fund, the medical expenses incurred by participating farmers in a single or cumulative medical treatment during the year need to be compensated by increasing the proportion step by step according to the part of the insured's own compliance medical expenses (within the scope of reimbursement of the new rural cooperative medical system) higher than the deductible line of serious illness insurance.

The deductible line of serious illness insurance for the general population is10.5 million yuan, and the deductible line of serious illness insurance for low-income five-guarantee personnel is10.3 million yuan.

The reimbursement rate is:

1, the overall proportion of township and village subsidy clinics increased to 65% and 75% respectively.

2, a medical institution hospitalization expenses did not reach 400 yuan, there is no deductible;

3, secondary medical institutions can be reimbursed 75% ~ 80%;

4. The medical expenses incurred by tertiary medical institutions shall be compensated by 55%~60%.

5. The subsidy ratio of provincial tertiary medical institutions is 55%.

6. For eight kinds of serious diseases such as congenital heart disease in children, the new rural cooperative medical system can subsidize 70%, lung cancer and other 12 kinds of serious diseases, and the new rural cooperative medical system can also subsidize 70%.

If the medical expenses incurred by the insured exceed the maximum payment limit of the basic medical pooling fund, the social insurance department shall reimburse them according to the relevant provisions:

Less than 40 thousand yuan can be compensated 85%; The part of 40,000-80,000 yuan can be compensated by 90%; More than 80,000 yuan can be compensated by 95%;

The maximum compensation for each medical year can only be 6.5438+0.5 million yuan.

(There may be differences in local policies, depending on the information published by the local social security bureau. )