Recently, many people are interested in the proportion of hospitalization reimbursement for Chengdu low-income households, but in fact, most people don't know much about the proportion of hospitalization reimbursement for Chengdu low-income households. Bian Xiao has compiled relevant information for everyone, hoping to bring help to everyone. According to the principle of "insurance first, then assistance", low-income groups can be reimbursed according to the types of medical insurance they participate in, and the rest can apply for medical assistance, that is, 60% reimbursement, making the total reimbursement ratio reach more than 80%. First, the reimbursement policy of the new rural cooperative medical system is the same in every region, and the reimbursement ratio of rural subsistence medical care is also different. (1) reimbursement scope for hospitalization: a. Drug expenses: auxiliary examination: examination expenses such as electrocardiogram, X-ray fluoroscopy, radiography, laboratory test, physiotherapy, acupuncture, CT and magnetic resonance, with the limit of 200 yuan; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan). B, the elderly over 60 years old are hospitalized in the town health center, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan. (2) Reimbursement ratio: town hospitals reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%. (3) Compensation from the risk fund in the town of serious illness compensation: all inpatients who participate in the cooperative medical system declare that the medical expenses exceed 5,000 yuan at one time or within one year, that is, 500 1- 10000 is 65%,1000/-18000. The annual compensation limit of town-level cooperative medical system hospitalization, uremia outpatient hemodialysis and tumor outpatient radiotherapy and chemotherapy is 1. 1 ten thousand yuan. The special diseases reimbursed by the new rural cooperative medical fund are: chemotherapy and radiotherapy for malignant tumors; Hemodialysis and peritoneal dialysis for severe uremia; Anti-rejection therapy after tissue or organ transplantation; Schizophrenia with mental retardation; Systemic lupus erythematosus (one of the complications of heart, lung, kidney, liver and nervous system); Aplastic anemia; Anticoagulation therapy after cardiac surgery. Other special diseases that can be reimbursed shall be subject to local specific policies. (4) Reimbursement procedures After the insured person is discharged from the hospital, he will submit the hospitalization invoice, discharge record, expense list, referral certificate, copy of his ID card or household registration certificate signed or sealed by the patient to the township management office, and send it to the municipal agricultural insurance business management center after examination. Second, the low-income assistance explains to the staff of the new rural cooperative medical system that they will go to the low-income reimbursement. The staff will give you a reimbursement form, which will tell you how much of your own expenses have not been reported, and then you can go to the low-income department of the Civil Affairs Bureau (or the social assistance department) for medical assistance reimbursement. The main process is as follows: (1) Application: Eligible low-income residents take families as units, and the head of household applies to the community neighborhood committee (or village committee) where the household registration is located to enjoy relevant assistance, and issues household registration books, income certificates and other materials. (2) Audit: the handling personnel of the community and neighborhood (village) committees assist in the preliminary examination, evaluation and publicity of the applicant's qualifications; Street, township social security office is responsible for the applicant's household survey, qualification review and other work. ; (3) Examination and approval: The district and county civil affairs bureaus shall complete the examination and approval procedures for families meeting the conditions of temporary assistance within 30 days after receiving the examination and approval materials; Do not meet the conditions, it shall notify the applicant in writing within 30 days, and explain the reasons. The reimbursement scope of the new rural cooperative medical system is: medical expenses, examination expenses, laboratory expenses, operation expenses, treatment expenses and nursing expenses incurred by the insured in designated hospitals due to illness during the overall planning period, which meet the reimbursement scope of medical insurance for urban employees (i.e. effective medical expenses). The new rural cooperative medical fund payment set up Qifubiaozhun and maximum payment limit. The hospitalization expenses below the annual deductible line of the hospital shall be paid by the individual. If the Qifubiaozhun is reached in the same overall period, the hospitalization expenses incurred by two or more hospitalizations can be reimbursed cumulatively. The hospitalization expenses exceeding Qifubiaozhun shall be calculated in sections and reimbursed cumulatively, and there is a maximum amount of accumulative reimbursement per person per year. The above is related knowledge compiled by Bian Xiao, but written knowledge is theoretical knowledge. In practice, the proportion of hospitalization reimbursement for low-income households in Chengdu needs specific analysis. If you have any questions, you can go to the relevant institutions for further consultation. If you need more legal answers, you can consult a lawyer online!

Legal objectivity:

Article 7 of the Regulations on the Minimum Living Security for Urban Residents applies for the minimum living security for urban residents. The head of household shall submit a written application to the subdistrict office or the town people's government where the household registration is located, issue relevant supporting materials, and fill in the Approval Form for the Minimum Living Security for Urban Residents. The minimum living allowance for urban residents shall be examined by the neighborhood office or the town people's government, and the relevant materials and preliminary examination opinions shall be submitted to the examination and approval authority of the civil affairs department of the people's government at the county level for examination and approval. To examine and approve the minimum living allowance for urban residents, we can investigate and verify the applicant's family economic situation and actual living standard through household surveys, neighborhood visits and correspondence. The applicant and the relevant units, organizations or individuals shall accept the investigation and truthfully provide relevant information.