According to the relevant provisions of the Basic Framework of Overall Compensation Scheme for New Rural Cooperative Medical System in Hebei Province in 20 13 years, participating rural residents can independently choose designated medical institutions of the new rural cooperative medical system in the overall planning area. Because of illness need referral, designated medical institutions should handle the referral procedures in time, patients or their families according to local regulations to the county-level new rural cooperative medical institutions for approval and filing.
Due to special reasons such as urgency, danger and severity of illness, patients or their families can't go through the referral filing formalities in time, and should report to the participating institutions of the new rural cooperative medical system in time and go through the relevant formalities within the prescribed time limit. On the basis of the national hospital delivery subsidy program to compensate for normal delivery, the new rural cooperative medical system gives subsidies according to the standard of each case in 300 yuan.
Extended data:
In order to make full use of the new rural cooperative medical fund and ensure the maximum benefit of rural residents, counties (cities, districts) whose overall fund balance (including risk funds) exceeds 15% or whose accumulated fund balance exceeds 25% over the years should formulate a secondary compensation plan according to the balance, and give secondary compensation to rural residents who were hospitalized or/and had a large number of outpatient clinics for special diseases in that year.
Through the second compensation, the utilization rate of the overall fund reached more than 85% in that year, and the balance rate of the overall fund was controlled within 25% over the years.
Basic Medical Insurance for Urban and Rural Residents in China-Hebei 20 13 New Rural Cooperative Medical System