What is the scope of reimbursement for serious illness of Shaanxi new rural cooperative medical system?
It is understood that the new rural cooperative medical fund is divided into three parts: outpatient co-ordination fund, serious illness co-ordination fund and risk fund. The distribution ratio of the new rural cooperative medical fund is 20% of the outpatient co-ordination fund, 77%-80% of the serious illness co-ordination fund and 3% of the risk fund. Among them, the risk premium will be withdrawn in three years, and will not be withdrawn after reaching 10%. The fund management and use methods of these three parts can be implemented with reference to relevant regulations. Outpatient co-ordination fund and serious illness co-ordination fund can be managed separately, and can not be squeezed and adjusted, and can be reimbursed according to a certain proportion of Shaanxi new rural cooperative medical system reimbursement ratio.
Scope of use of serious illness pooling fund: the medical expenses and compensation for special chronic diseases incurred by farmers participating in the new rural cooperative medical system in designated medical institutions. The reimbursement scope of Shaanxi new rural cooperative medical system has also increased 20 kinds of serious illness subsidies. The participation rate of the new rural cooperative medical system in the whole province reached over 95%, and the per capita financing standard was raised from 300 yuan in 20 12 to 365 yuan. Have chronic diseases or three high hepatitis B and other minor problems and don't know how to buy insurance? This strategy must be read: 9 categories and 39 kinds of physical abnormalities, disease insurance strategy!
Among them, the government subsidizes 300 yuan and individuals pay 65 yuan. To this end, governments at all levels in the province will spend 700 million yuan more. These extra parts are mainly used for serious illness subsidies for participants. Among them, the proportion of subsidies for 20 serious diseases, such as leukemia, congenital heart disease in children, lung cancer and end-stage renal disease, reached 70% of the quota of the new rural cooperative medical system, and the proportion of reimbursement for poor people in Shaanxi's new rural cooperative medical system reached 90%. Since 20 14, Shaanxi's new rural cooperative medical policy has been continuously improved, and the pilot work of new rural cooperative medical insurance for serious illness has been started. The serious illness insurance fund of the new rural cooperative medical system is paid from the newly-increased per capita financing 65 yuan, which is uniformly purchased by the competent department of the new rural cooperative medical system for the participants, and individual rural residents do not pay. What kind of critical illness insurance are there for children? Which are cost-effective? Which is the most worth buying? Let's take a look at 10 the inventory of children's critical illness insurance sold by major insurance companies.
In addition, with the further expansion of the reimbursement scope of the new rural cooperative medical system in Shaanxi Province, the reimbursement ratio of the new rural cooperative medical system in Shaanxi Province has also increased accordingly. For more information about the reimbursement process of the new rural cooperative medical system, off-site reimbursement and secondary reimbursement, please refer to official website of the Social Security Bureau directly, subject to the news released by the Social Security Bureau. For the strategy of medical insurance reimbursement, I just sorted out the relevant contents, hoping to help you: how to use social security medical insurance? 1. Teach you how to apply for reimbursement!