The reimbursement rate of medical assistance for serious illness in rural areas is 5% to 9%, and the reimbursement rate will be different according to different hospital grades. The materials needed for medical assistance for serious illness in rural areas mainly include personal basic information materials, applications, income certificates, medical diagnosis materials and charge receipts. The reimbursement rate of medical assistance for serious illness in rural areas is 5% to 9%, and the reimbursement rate will be different according to different hospital grades. The materials needed for medical assistance for serious illness in rural areas mainly include personal basic information materials, applications, income certificates, medical diagnosis materials and charge receipts.
1. What is the reimbursement rate for serious illness assistance in rural areas? The reimbursement rate for serious illness assistance in rural areas is about 5% to 9%. Except for medical expenses that exceed the maximum payment limit of the basic medical pooling fund, the reimbursement ratio will be different according to the different scope of medical expenses. General medical expenses below -4 thousand yuan can be reimbursed 85%; Medical expenses below 4,-8, yuan can be reimbursed 9%; Medical expenses above 8, yuan can be reimbursed by 95%, and the maximum payment limit is 15, yuan in each medical year. In different medical institutions, the reimbursement ratio is: if the hospitalization expenses in the first-class medical institutions are below 4 yuan, there is no deductible standard; The proportion of subsidies in secondary medical institutions will increase to 75%-8%; The proportion of hospitalization expenses subsidies in tertiary hospitals can be increased to 55%-6%; The proportion of hospitalization expenses in provincial tertiary medical institutions will be increased to 55%.
Second, the materials needed for rural medical serious illness relief are as follows: 1. Individual application; 2. Proof of family income status; 3 copies of medical diagnosis and medical records; 4. Medical reimbursement vouchers and medical expense receipts; 5. A copy of the applicant's ID card and household registration book; 6 rural commercial bank passbook copy.
3. How to reimburse rural cooperative medical care The materials and procedures required for reimbursement of rural cooperative medical care are as follows: 1. Materials required for reimbursement of rural cooperative medical care: (1) Information for reimbursement of outpatient service: outpatient invoice, calendar of cooperative medical care certificate (or medical record). (2) Materials for hospitalization reimbursement: hospitalization invoice, calendar of cooperative medical certificate (or medical record), detailed list of expenses, discharge summary and other relevant certificates. (3) Information for reimbursement of special diseases in outpatient department: outpatient invoice and calendar of cooperative medical certificate for special diseases. (4) Handling information for special diseases: proposal for outpatient treatment of special diseases, calendar of cooperative medical certificate, medical records, relevant laboratory reports and photos. 2. Reimbursement process of rural cooperative medical care: (1) Insured households will prepare all the materials needed for reimbursement and submit them to the village (community); (2) the cooperative medical liaison by the village (community) cooperative medical liaison after the audit report to the town cooperative medical liaison in the town liaison sent to the district agricultural easy to do the report center for reimbursement.