Reimbursement method of medical insurance for children: 1. Outpatient compensation:
(1) 60% reimbursement for medical treatment in village clinics and village central clinics, 10 yuan limit for each medical treatment prescription, and 50 yuan limit for temporary rehydration prescription of doctors in health centers.
(2) 40% of the reimbursement for medical treatment in the town health center, 50 yuan for each examination and operation, and 100 yuan for prescription drugs.
(3) The reimbursement of 30% for medical treatment in secondary hospitals is limited to 50 yuan for each examination and operation, and 200 yuan for prescription drugs.
(4) The reimbursement for medical treatment in a tertiary hospital is 20%. The limit for each examination and operation fee is 50 yuan, and the limit for prescription drug fee is 200 yuan.
(5) Each prescription attached to the invoice of traditional Chinese medicine is limited to 1 yuan.
(6) The annual compensation limit for township level cooperative medical clinics is 5000 yuan. 2. Inpatient compensation (1) Reimbursement scope:
A、 Medicine expenses: the limited operation expenses for auxiliary examinations (ECG, X-ray fluoroscopy, radiography, laboratory tests, physiotherapy, acupuncture, CT, NMR, etc.) are 200 yuan (refer to the national standard, and those exceeding 1000 yuan will be reimbursed as 1000 yuan).
B. The elderly over 60 years old are hospitalized in the town health center, and the treatment fee and nursing fee are compensated by 10 yuan per day, with a limit of 200 yuan.
(2) Reimbursement share: 60% from the township health center, 40% from the secondary hospital, and 30% from the tertiary hospital.