For example, if the patient is hospitalized, the total cost is 50,000 yuan, including self-funded 1 0,000 yuan, and the one-time reimbursement ratio is 55%. The threshold for the second reimbursement is 654.38+0 million, accounting for 50%.
Then the amount of one-time reimbursement for patients is 22,000 yuan. The total fee for the second reimbursement is 6,543,800 yuan+0.8 million yuan. The second reimbursement amount is 4000 yuan.
Brief introduction of the second reimbursement of the new rural cooperative medical system;
The second reimbursement of new rural cooperative medical system is also called the second compensation of new rural cooperative medical system. Generally, the second compensation can only be implemented when the balance rate of the new rural cooperative medical system serious illness co-ordination fund in this county is greater than 25%. If it is less than 25%, it means that the fund of the new rural cooperative medical system is almost used this year, so the new rural cooperative medical system has no money to implement the second compensation.
Secondary compensation is generally implemented for inpatients with high medical expenses and low reimbursement, not for all inpatients in the county. If the county is really enough to implement the secondary compensation conditions, no one needs to apply, and then the new rural cooperative medical system will inform you!