Current location - Trademark Inquiry Complete Network - Tian Tian Fund - Xianyang's New Rural Cooperative Medical System went to Xi'an Tangdu Hospital for a brain aneurysm interventional surgery that cost more than 180,000 yuan. How much can I reimburse?
Xianyang's New Rural Cooperative Medical System went to Xi'an Tangdu Hospital for a brain aneurysm interventional surgery that cost more than 180,000 yuan. How much can I reimburse?
It should be above 85%!

The New Rural Cooperative Medical System is divided into four types: general outpatient reimbursement, serious illness hospitalization reimbursement, critical illness assistance reimbursement and chronic disease outpatient reimbursement. You should be talking about serious illness hospitalization reimbursement and critical illness assistance reimbursement.

The reimbursement ratio for serious illness hospitalization is divided into designated medical institution levels. The higher the level, the lower the reimbursement ratio.

It is generally divided into four levels: township level, county level, city level, provincial level and outside the province. Generally, the minimum payment line at the township level is 100-200 yuan, and the reimbursement ratio is 80-90%. The minimum payment line at the county level is 300-700 yuan, and the reimbursement ratio is 70%.

—80%, the minimum payment line at the municipal level is 500-2,000 yuan, and the reimbursement ratio is 60-70%. The minimum payment line at the provincial level and outside the province is 800-3,000 yuan, and the reimbursement ratio is 50-60%. The cap is about 150,000 yuan, and the total medical expenses

If the amount exceeds 60,000 or 80,000, the reimbursement ratio will be increased accordingly.

The critical illness relief reimbursement model is based on clear diagnosis and treatment paths, unified surgical models, high medical expenses, and high morbidity. Diseases with a heavy burden on families are listed as critical illness relief reimbursement models. The critical illness relief reimbursement model has limited price requirements for hospital treatment, which is unusual.

There are no restrictions on the deductible, reimbursement ratio or ceiling, and are directly reimbursed as a percentage of the total medical expenses. For example, if a child under 14 years old suffers from congenital heart disease or leukemia, 90% of the total direct medical expenses will be reimbursed, of which the civil affairs department will bear the burden.

20%.

Chronic disease outpatient reimbursement refers to the outpatient reimbursement that meets the conditions for chronic disease declaration. After approval, a chronic disease certificate is issued. You can get medicines or do examinations within the scope of the disease at medical institutions such as townships, counties, cities, and provinces for outpatient reimbursement. The new rural cooperative medical expenses spent

The fund is a serious illness hospitalization reimbursement fund with an annual maximum limit.