First, how to reimburse rural precision poverty alleviation hospitalization
Proportion of hospitalization compensation: the designated medical machine in the county where the insured person is located.
The reimbursement rate of hospitalization medical expenses is 90%; Hospitalization in medical institutions outside the county: 80% in secondary medical institutions and 65% in tertiary medical institutions in the city; Transfer to medical institutions outside the city is 50%. The policy of "treatment first and then payment" is implemented. The hospital has special Huimin inspection, and some inspection items only charge a small fee. Doctors need to sign an informed consent form with patients (mandatory by superior policies) to prescribe Class B and Class C tests and drugs.
Second, what are the procedures for the hospitalization of precision poverty alleviation households?
Accurate poverty alleviation households are hospitalized, and hospitalization procedures are handled with ID cards. If they apply for the new rural cooperative medical system, they can be reimbursed for medical expenses when they are hospitalized. Do not apply for the new rural cooperative medical system, can not be reimbursed for hospitalization expenses.
When the poor people in rural areas are hospitalized, they should be treated first and then paid (paying less for the time being). Patients must provide the hospital with the Handbook of Accurate Poverty Alleviation, residents' medical insurance card, ID card or household registration book when going through hospitalization procedures.
The compliance outpatient medical expenses of seven serious diseases, such as malignant tumor, end-stage renal disease, aplastic anemia, leukemia, severe mental illness, multidrug-resistant tuberculosis and opportunistic infection of AIDS, are subsidized according to the proportion of 100%, and the maximum annual subsidy ceiling line is 10000 yuan; 70% of the key aid recipients and the precise poverty alleviation recipients who set up files and cards will be given hospitalization medical assistance, and the annual maximum subsidy ceiling is 50,000 yuan (including the amount of outpatient subsidies).
Legal basis: Article 29 of the Social Insurance Law stipulates that the part of the insured's medical expenses that should be paid by the basic medical insurance fund shall be directly settled by social insurance agencies, medical institutions and pharmaceutical trading units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
Why does Jiasheng want to increase CIMA¡¯s supervision?