A new medical assistance system with stable capital investment, * * use of service platform, * * enjoyment of information resources, synchronization of settlement and payment, standardized management and operation, obvious relief effect, fast service for people with difficulties, and scientific and standardized coverage of urban and rural areas.
Critical illness medical assistance will be treated in different hospitals, and its reimbursement ratio will be different. Details are as follows:
1, hospitalized in a first-class and first-class medical institution, with medical expenses below 400 yuan, and no deductible;
2. In secondary hospitals, the proportion of Medicaid can be increased to 75% ~ 80%;
3. The proportion of Medicaid in tertiary hospitals can be increased to 55% ~ 60%;
4, in the provincial tertiary hospitals, the proportion of Medicaid can be increased to 55%. Among them, the overall outpatient medical subsidy in towns and villages is as high as 65% and 75% respectively.
5. For 8 common diseases such as congenital heart disease in children, the quota of subsidized diseases of the new rural cooperative medical system is 70%. If it is lung cancer and other 12 diseases, the amount of subsidized diseases of the new rural cooperative medical system will strive to reach 70%.
Legal basis: People's Republic of China (PRC) Social Insurance Law.
Twenty-third employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.
Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.