A maximum of 70% of the hospitalization cost of RMB 20,000 can be reimbursed by the serious illness plan.
Compensation standard for serious illness: Town Risk Fund Compensation: All inpatients participating in cooperative medical care whose one-time or annual cumulative medical expenses exceed 5,000 yuan will be compensated in stages, that is, 65% will be compensated for 5,001-10,000 yuan, and 70% will be compensated for 10,001-18,000 yuan.
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The annual limit of compensation for town-level cooperative medical inpatient and uremia outpatient hemodialysis, cancer outpatient radiotherapy and chemotherapy is 11,000 yuan.
Special diseases reimbursed by the New Rural Cooperative Medical Fund include: chemotherapy and radiotherapy for malignant tumors; hemodialysis and peritoneal dialysis for severe uremia; anti-rejection treatment after tissue or organ transplantation; schizophrenia with mental decline; systemic erythema
Lupus (one of the complications of the heart, lungs, kidneys, liver and nervous system); aplastic anemia; anticoagulation therapy after cardiac surgery.
The remaining special diseases that can be reimbursed are subject to specific local policies.
Specific outpatient treatment for special diseases includes necessary supportive therapy and symptomatic treatment of systemic and local reactions during treatment. General auxiliary treatment is not included in the scope of reimbursement.