On the morning of February 27th, 65438, the Health Department of Henan Province held a news briefing on the 20 13 overall compensation policy of the new rural cooperative medical system in Zhengzhou. Qin Province, deputy director of the Health Department of Henan Province, informed the news.
According to Dahe Daily reporter. Com, this aid policy will be implemented on March 20 13 1 day. Among the 20 major diseases rescued, 20 13 years saw the addition of 18 diseases. The rescue work for children with congenital heart disease (surgical treatment) and leukemia has been carried out before.
According to Wang Yaoping, director of the Rural Health Department of the Henan Provincial Health Department, the aid for congenital heart disease and leukemia is limited to children. In 20 13, the rescue of these 20 major diseases was carried out, and all the participating farmers were rescued.
No deductible is not restricted by the list of drugs to be reimbursed, and the highest report is 95%.
This policy not only cancels the age limit for the insured, but also is not restricted by the deductible line of the new rural cooperative medical system, the list of reimbursement drugs and the list of basic diagnosis and treatment items.
Wang Yaoping, for example, said that taking breast cancer as an example, the aid policy has designed the aid standards for patients to go to provincial, municipal and county hospitals. In county hospitals, the policy stipulates a maximum of 7,000 yuan, and the new rural cooperative medical system can reimburse 80%. If the patient's family is in difficulty, he can also enjoy the 0/5% medical assistance fund of the civil affairs department/KLOC, and the actual reimbursement rate reaches 95%, and the patient only needs to pay 5% by himself, that is, 350 yuan.
"One of the guiding ideology of policy design is to encourage patients to seek medical treatment and divert them, which is conducive to the rational use of medical resources at all levels." Wang Yaoping said that, except for some special diseases, provincial, municipal and county hospitals have set maximum limits for other diseases. "The more you go to primary hospitals, the lower the cost and the higher the reimbursement ratio." .
In order to prevent the hospital from "disorderly treatment" and "repeated treatment" in the treatment process, the serious illness relief policy stipulates that the part of the hospital that exceeds the maximum amount will be reimbursed according to the proportion within the limit, but this part of reimbursement expenses must be paid by the hospital and the rest of the patients will pay by themselves.
Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.