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Xinxiang weihui. How to reimburse rural cooperative medical care?
1, in designated hospitals, outpatient service and hospitalization can be reimbursed,

2. General diseases can be reported,

3. Reimbursement in township hospitals or county rural cooperative medical insurance institutions. If you want to go to other township hospitals or county hospitals in this county for treatment, you must report to the county rural cooperative medical institutions for approval.

4. Matters related to reimbursement:

1. Outpatient compensation: (1) 60% reimbursement for visits to village clinics and village center clinics, with the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration for doctors in health centers in 50 yuan. (2) Reimbursement for medical treatment in town health centers is 40%. The limit of examination fee and operation fee for each visit is 50 yuan, and the limit of prescription drug fee is 100 yuan. (3) The reimbursement for medical treatment in secondary hospitals is 30%, and the limit of each examination fee and operation fee is 50 yuan, and the limit of prescription drug fee is 200 yuan. (4) 20% reimbursement for medical treatment in tertiary hospitals, with the limit of each examination fee and operation fee in 50 yuan and the limit of prescription drug fee in 200 yuan. (5) The prescription attached to the invoice of traditional Chinese medicine is limited to 1 yuan. (6) The annual compensation limit for rural cooperative medical clinics is 5,000 yuan. 2. Reimbursement scope of hospitalization compensation (1): a. Drug expenses: auxiliary examination: examination expenses such as electrocardiogram, X-ray fluoroscopy, filming, laboratory tests, physical therapy, acupuncture, CT, nuclear magnetic resonance, etc. 200 yuan; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan). B, the elderly over 60 years old are hospitalized in Xingta Town Health Center, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan. (2) Reimbursement ratio: town hospitals reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%. 3. Compensation for Serious Illness (1) Town Risk Fund Compensation: Where the medical expenses of inpatients participating in the cooperative medical care exceed 5,000 yuan at one time or for the whole year, they should be compensated by stages, that is, 50010000 yuan is 65%,100/kloc-0. The annual compensation limit of town-level cooperative medical system hospitalization, uremia outpatient hemodialysis and tumor outpatient radiotherapy and chemotherapy is 1. 1 ten thousand yuan. Six, do not belong to the scope of reimbursement 1, self-seeking medical treatment (no designated hospital or no referral form), self-purchasing drugs, drugs that cannot be reimbursed according to the provisions of public medical care and medical expenses that do not meet family planning; 2, outpatient treatment fees, visits, hospitalization fees, meals, escort fees, nutrition fees, blood transfusion fees (except for family blood storage, according to the relevant provisions of reimbursement), heating and cooling fees, ambulance fees, allowances and other expenses; 3. Medical expenses for car accidents, fights, suicides, alcoholism, industrial accidents and medical accidents; 4. Orthopedics, cosmetic surgery, dental implants, artificial limbs, organ transplantation, roll call surgery fees, consulting fees, etc. ; 5, within the scope of reimbursement, beyond the limit.