What is the reimbursement ratio of township hospitals? How to calculate? Come and have a look with me.
(a) outpatient reimbursement:
1, 60% of the medical expenses of village clinics and village center clinics are reimbursed, and the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration of hospital doctors is 50 yuan.
2. Reimbursement of 40% for medical treatment in town health centers, with the limit of examination fee and operation fee for each visit, and the limit of prescription fee 100 yuan.
3, the secondary hospital reimbursement of 30%, each examination fee and operation fee limit 50 yuan, prescription drug fee limit 200 yuan.
4, tertiary hospital reimbursement of 20%, each visit examination fee and operation fee limit 50 yuan, prescription drug fee limit 200 yuan.
5. Traditional Chinese medicine invoices are accompanied by prescriptions, with a limit of 1 yuan.
6, the township cooperative medical outpatient compensation limit is 5000 yuan.
(2) Hospitalization reimbursement: town hospitals reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.
(3) Reimbursement for serious illness:
1, compensation from town risk fund: where the medical expenses of inpatients participating in rural cooperative medical insurance exceed 5,000 yuan at one time or within one year, that is, 500 1- 10000 yuan is 65%,10001-/kloc-.
2. The annual compensation limit for hemodialysis, radiotherapy and chemotherapy in the town-level cooperative medical system hospitalization and uremia outpatient service is1.654.38+0.000 million yuan.
What is the reimbursement rate of hospitalization in county hospitals?
Urban residents incurred medical expenses below 654.38+10,000 yuan within a settlement year. The threshold for tertiary hospitals is 659 yuan, the reimbursement rate is 50%, and the upper limit is 2,000 yuan. The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.