The new rural cooperative medical care reimbursement scope and standards are as follows: reimbursement of medical expenses such as hospitalization expenses and medicine expenses for participants during the co-ordination period, setting minimum payment standards and maximum payment limits, as well as reimbursement standards and proportions for outpatient, inpatient and serious illness requirements.

Medical expenses must be settled before the end of January of the following year.

Scope of reimbursement for rural cooperative medical care. The scope of reimbursement for new rural cooperative medical care is: medicine expenses, examination fees, laboratory fees, surgery fees, treatment fees, nursing fees, etc. incurred by participants due to hospitalization in designated hospitals due to illness during the co-ordination period, which are in line with urban employee medical expenses.

The portion of insurance reimbursement coverage (i.e., effective medical expenses).

The new rural cooperative medical fund payment establishes a minimum payment standard and a maximum payment limit.

Hospitalization expenses below the hospital's annual minimum payment standard are paid by the individual.

If the minimum payment standard is reached within the same pooling period, hospitalization expenses incurred for two or more hospitalizations can be reimbursed cumulatively.

Hospitalization expenses that exceed the threshold are calculated in segments and reimbursed cumulatively. There is a maximum limit for cumulative reimbursement per person per year.

Rural Cooperative Medical Care Reimbursement Standards 1. Outpatient reimbursement standards 1. Village clinics and village central clinics are reimbursed 60%, with a limit of 10 yuan for prescription drugs per visit, and a limit of 50 yuan for prescription drugs for temporary rehydration by doctors at health centers.

2. The town health center reimburses 40% of the fees for each visit, with a limit of 50 yuan for examination fees and surgical fees, and a limit of 100 yuan for prescription drugs.

3. 30% reimbursement for visits to secondary hospitals, with a limit of RMB 50 for examination fees and surgical fees for each visit, and a limit of RMB 200 for prescription drugs.

4. 20% reimbursement for visits to tertiary hospitals, a limit of RMB 50 for examination fees and surgical fees for each visit, and a limit of RMB 200 for prescription drugs.

5. The prescription limit for traditional Chinese medicine invoices attached is 1 yuan per prescription.

6. The annual compensation limit for town-level cooperative medical outpatient clinics is 5,000 yuan.

2. Hospitalization reimbursement standards 1. Medication fees: Auxiliary examinations: ECG, X-ray, film, laboratory tests, physical therapy, acupuncture, CT, MRI and other examination fees are limited to 200 yuan; surgery fee (refer to

According to national standards, if the amount exceeds 1,000 yuan, it will be reimbursed at 1,000 yuan).

2. For elderly people over 60 years old who are hospitalized in the town health center, treatment and nursing fees will be compensated 10 yuan per day, with a limit of 200 yuan.

3. Serious illness reimbursement standards 1. Town risk fund compensation: All inpatients participating in rural cooperative medical insurance whose one-time or annual cumulative medical expenses reimbursed exceed 5,000 yuan will be compensated in stages, that is, 5,001-10,000 yuan will be compensated for 65%, and 10,001-10,000 yuan will be compensated in stages.

70% compensation of 18,000 yuan.

2. The annual limit of compensation for town-level cooperative medical inpatient and uremia outpatient hemodialysis, cancer outpatient radiotherapy and chemotherapy is 10,000 yuan.

4. Reimbursement ratio of rural cooperative medical care (1) Reimbursement ratio of medical expenses in township (town) health centers: 1. If the cost is less than 300 yuan, 30% will be reimbursed; 2. If the cost is more than 300 yuan (exclusive) and less than 2,000 yuan, 70% will be reimbursed; 3.

, 2,000 yuan (exclusive) or more, 50% reimbursement.

(2) Reimbursement ratio of medical expenses in designated medical institutions at the county level: 1. If the amount is less than 500 yuan, 25% will be reimbursed; 2. If the amount is more than 500 yuan (exclusive) and less than 10,000 yuan, 65% will be reimbursed; 3. If the amount is more than 10,000 yuan (exclusive), 65% will be reimbursed

Yes, 50% reimbursement.

(3) Reimbursement ratio of medical expenses in secondary hospitals: 1. If the amount is less than 500 yuan, 25% will be reimbursed; 2. If the amount is more than 500 yuan (exclusive) and less than 10,000 yuan, 55% will be reimbursed; 3. If the amount is more than 10,000 yuan (exclusive), 55% will be reimbursed.

50% reimbursement.

(4) Reimbursement ratio of medical expenses in tertiary hospitals: 1. If the medical expenses are less than 1,000 yuan, 20% will be reimbursed; 2. If the medical expenses are more than 1,000 yuan (exclusive) and less than 10,000 yuan, 45% will be reimbursed; 3. If the medical expenses are more than 10,000 yuan (exclusive), 45% will be reimbursed.

40% reimbursement.

5. In principle, medical expenses incurred in the year when rural cooperative medical care is reimbursed must be settled before the end of January of the following year.

New Rural Cooperative Medical Care Reimbursement Policy Adjustment and Impact Analysis in 2023 In 2023, the New Rural Cooperative Medical Care Reimbursement Policy will be adjusted, which will have an important impact on farmers and insured persons.

According to the latest regulations, the scope of reimbursement for the New Rural Cooperative Medical System will be further expanded to include expenses for drugs, medical services, examination items, etc.

At the same time, the policy will also increase the reimbursement ratio and reduce the burden on insured persons.

This adjustment has a positive impact on farmers and insured persons.

First, the expanded reimbursement scope means that more medical expenses will be compensated, reducing the burden of medical treatment.

Secondly, the increased reimbursement ratio will further reduce the cost paid by individuals and improve the level of medical security.

This will provide farmers with more reliable medical security and enhance their sense of gain and happiness.

However, new policy adjustments will also bring some challenges and problems.