The way to enjoy compensation is as follows: (1) Outpatient service: There is no deductible line for outpatient service, and the reimbursement rate for outpatient service is not higher than 25%. Set the capping line to 150 yuan. (2) Hospitalization: deductible line is set for hospitalization. The deductible line of township hospitals is not less than 100 yuan, and the reimbursement ratio is not less than 50%; The deductible line of county-level designated medical institutions is not less than that of 200 yuan, and the reimbursement ratio is not less than 40%; The deductible line of designated medical institutions at or above the county level is not less than that of 400 yuan, and the reimbursement ratio is not less than 30%. The deductible is the individual pays part.

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1. Can rural medical insurance be reimbursed in different places?

Rural medical insurance can be reimbursed in different places, and the specific reimbursement process is as follows:

① First, bring your ID card and social security card to the Social Security Bureau and file an application for reimbursement of rural medical insurance in different places with the staff;

(2) Then fill in the Basic Medical Insurance for People Working and Living in Different Places as required, and affix the official seal of the Social Security Bureau;

③ Then submit the discharge statement, expense list, copy of case, copy of ID card, copy of household registration book, referral certificate and other materials to the staff;

(4) The staff carefully examines the application materials and confirms the information of participating in insurance in different places;

⑤ After approval, individuals can directly use the medical insurance card for reimbursement and settlement in networked medical institutions and pharmacies.

2. Is rural medical insurance cleared every year?

Rural medical insurance is not cleared every year. Rural cooperative medical care is a mutual medical care system for farmers, which is organized, guided and supported by the government, with farmers participating voluntarily and jointly funded by individuals, collectives and the government. If it is not used up this year, it will be accumulated for next year.

3. Is the medical insurance reimbursement deducted from the medical insurance card?

Medical insurance reimbursement is not deducted from the medical insurance card, but paid through the medical insurance co-ordination account, and the insufficient part is paid by the individual. Usually, when making medical insurance reimbursement, the proportion of medical insurance reimbursement is different under different circumstances, specifically, it needs to be reimbursed according to the prescribed proportion.

4. Is medical insurance paid first and then reimbursed?

If the insured person is hospitalized in a local designated medical insurance institution, the medical expenses will be automatically reimbursed by the hospital when discharged. If the patient is not hospitalized and the medical expenses are not reimbursed, the patient needs to pay the medical expenses first, and then bring the relevant materials to the local government affairs center or the medical insurance window of the social security center for reimbursement.

5. Can I make up my medical insurance?

(1) If diplomatic relations are broken due to the employer, it can be made up, and the cost of making up is borne by the employer, but only the employer is allowed to make up the medical insurance for no more than two years;

(2) Flexible employees who apply for supplementary medical insurance are allowed to pay back the arrears within 90 days, and enjoy medical insurance benefits according to regulations from the date of completion of the payment; If the payment is overdue for more than 90 days, you need to enjoy the prescribed medical insurance benefits 180 days after the payment is completed.