According to the relevant provisions of "tanghe county 20 15 New Rural Cooperative Medical System Overall Compensation Scheme", pregnant women are given appropriate compensation. In order to encourage pregnant women to give birth in hospital, appropriate compensation should be given to pregnant women who participate in hospital delivery. Combined with the implementation of the national maternity hospital delivery special subsidy project, the subsidy policy should be implemented first, and then the new rural cooperative medical fund should compensate it according to the regulations.
Participating pregnant and lying-in women will be hospitalized in the designated medical institutions in rural areas, and 300 yuan will be given a fixed subsidy within the price limit. Hospitalization in designated medical institutions at or above the county level, the new rural cooperative medical system to give a fixed subsidy to 450 yuan. Pathological obstetric hospital delivery is compensated according to the disease type, and the expenses within the scope of the new rural cooperative medical system are compensated according to the medical institutions at the same level after deducting the compensation for the hospital delivery items of rural pregnant women.
For other medical projects with preferential expenses stipulated in the policy, the preferential policies shall be implemented first, and then the medical expenses that meet the compensation scope of the new rural cooperative medical system shall be compensated according to the regulations, but the total compensation shall not exceed the actual hospitalization expenses. Implement compensation for mother and baby. Not yet born at the time of fundraising.
The delivery baby who missed the payment time limit and did not participate in the new rural cooperative medical system can enjoy the compensation of the new rural cooperative medical system as a participating mother with the ID card of the child's mother, the cooperative medical certificate and the birth medical certificate or household registration certificate of the child's birth year. The compensation standard is unified with the participating mother.
Extended data:
Taking He Kang County as an example, having a second child can be reimbursed by medical insurance.
The deductible line for the first hospitalization of participants in county hospitals is 500 yuan, and the deductible line for the first hospitalization in other county hospitals is 400 yuan. If the participants are hospitalized in Nanyang Traditional Chinese Medicine Hospital, Nanyang Zhongjing Hospital and the Second Affiliated Hospital of Nanyang Medical College, they will be reduced by 100 yuan on the basis of the compensation deductible line stipulated by medical institutions at the same level.
If the insured is hospitalized for the second time in the same level of medical institutions and later in the year, the deductible can be reduced to 50% of the deductible of the corresponding level of medical institutions.
He Kang County People's Government-tanghe county 20 15 Overall Compensation Scheme for New Rural Cooperative Medical System