1, outpatient compensation:
(1) village clinics and village center clinics are reimbursed 60%, and the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration for doctors in health centers is 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, hospitalization compensation
(1) Reimbursement scope:
A. Drug expenses: auxiliary examination: the expenses for ECG, X-ray fluoroscopy, radiography, laboratory tests, physical therapy, acupuncture, CT and nuclear magnetic resonance are limited to 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: all inpatients who participate in the cooperative medical system whose medical expenses exceed 5,000 yuan at one time or for the whole year shall be compensated by stages, that is, 500 1- 10000 yuan is 65%,10001-/.
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.
Not within the scope of reimbursement
1. Medical treatment at one's own expense (no designated hospital or referral form), drugs purchased at one's own expense, drugs that cannot be reimbursed according to the regulations of public medical care and medical expenses that do not meet the requirements of 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.
Scope of compensation:
(1) Pay the hospitalization expenses of patients due to illness. It mainly includes: medical expenses, operation expenses, materials expenses, hospitalization expenses, treatment expenses, laboratory expenses, inspection expenses, etc.
(2) Pay for outpatient treatment of chronic diseases. Chronic diseases mainly refer to hypertension (phase II), heart disease complicated with cardiac insufficiency, cerebral hemorrhage and cerebral infarction recovery, rheumatoid arthritis, chronic active hepatitis, chronic obstructive emphysema and cor pulmonale, epilepsy, hepatolenticular degeneration, decompensated cirrhosis, diabetes mellitus with ineffective diet control, chronic nephritis, Parkinson's disease, systemic lupus erythematosus, disc herniation, chronic pelvic inflammatory disease and adnexitis, and others audited by the Expert Committee on Chronic Diseases of the New Rural Cooperative Medical System and the District Management Center. Extra-large outpatient expenses such as radiotherapy and chemotherapy for malignant tumor, dialysis treatment for chronic renal insufficiency, aplastic anemia, leukemia, hemophilia, schizophrenia, organ transplantation and anti-rejection treatment are included in hospitalization compensation.
Participating farmers suffering from the above-mentioned chronic diseases shall apply by themselves, based on the diagnostic proof materials of the second-class first-class hospitals, identified by the expert committee of chronic diseases of the new rural cooperative medical system in the district, submitted to the district joint management center for examination and approval, and receive a chronic disease outpatient certificate, which shall be audited by the district joint management center at the beginning of each year.
(3) Pay special inspection fee when the patient is hospitalized due to illness. Mainly refers to CT, cardiac and angiographic X-ray machine, electronic gastroscope, color Doppler instrument, hyperbaric oxygen chamber, extracorporeal shock wave lithotripsy, hemodialysis, organ transplantation and other high-cost medical projects. Patients who need to check the above items shall apply to the designated hospitals and report to the district management center for examination and approval.
(4) Meet the fertility conditions, and give birth in hospitals above the second level, designated medical institutions and designated delivery points.
(5) there is no other responsible party for the accidental injury (excluding unpaid items) that farmers have in the process of production, life and study; If there is any responsibility of the other party, it shall be borne by the other party. Accidental injury compensation can only be paid after it has been publicized for more than 1 month within a certain range, and there is no objection or report, or after investigation and confirmation.
(6) The participating farmers are at the door ... >>
Question 2: How much can the outpatient expenses of the new rural cooperative medical system be reimbursed?
1, the outpatient service of the village clinic shall be reimbursed for each 3 yuan 1 yuan (30% compensation);
2. Outpatient service of township hospitals is per 4 yuan 1 yuan (compensated according to the proportion of 25%);
3. Participating migrant workers, regardless of hospital level, will be reimbursed 30% once a year to 20 yuan, with accounting rounded off and the whole household capped. The maximum reimbursement per person per year in 20 yuan is 10 yuan, and the capping standard for each household is the number of households × the number of reimbursements to 20 yuan.
4. Newborns with their mothers can enjoy outpatient reimbursement in that year, and the family cap will increase by one person accordingly.
5, outpatient reimbursement compensation, special chronic disease reimbursement compensation, hospitalization reimbursement compensation are included in the ceiling line of 6.5438+0.5 million yuan per household per year.
6. The village clinics and village center clinics shall be reimbursed 60%, 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.
7. 40% reimbursement for medical treatment in town hospitals. The examination fee and operation fee for each visit are limited to 50 yuan, and the prescription fee is limited to 100 yuan.
8, the secondary hospital reimbursement of 30%, each visit examination fee and operation fee limit 50 yuan, prescription drug fee limit 200 yuan.
9, tertiary hospital reimbursement 20%, each examination fee and operation fee limit 50 yuan, prescription drug fee limit 200 yuan.
10, Chinese medicine * * with a prescription, each with a limit of 1 yuan.
1 1, and the annual compensation limit for township-level cooperative medical clinics is 5000 yuan.
Hospitalization reimbursement standard
1, drug cost: auxiliary examination: 200 yuan for ECG, X-ray fluoroscopy, photography, laboratory tests, physiotherapy, acupuncture, CT and nuclear magnetic resonance; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan).
2. 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.
Proportion of hospitalization reimbursement: town hospital reimbursement 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.
Reimbursement standard of serious illness compensation for new rural cooperative medical system
1. Town Risk Fund Compensation: Where the medical expenses of inpatients participating in rural cooperative medical insurance exceed 5,000 yuan at one time or for the whole year, they should be compensated by stages, that is, 500 1- 10000 yuan is 65%,1kloc-0/-kloc.
2. The annual compensation limit of town-level cooperative medical system hospitalization, uremia outpatient hemodialysis and tumor outpatient radiotherapy and chemotherapy is1.1.
Question 3: What items can the new rural cooperative medical system reimburse? Where are you from? We only reimburse %50 of the designated medical expenses including needles. View original post >>
Question 4: How to calculate the reimbursement ratio of hospitalization in the new rural cooperative medical system? Thank you. The following are the reimbursement unit requirements of the new rural cooperative medical system, the reimbursement ratio and so on!
A, 20 16 new rural cooperative medical outpatient reimbursement ratio
1. The reimbursement rate of village clinics and health centers is 60%;
2. The reimbursement rate of town hospitals is 40%;
3. The proportion of stroke in secondary hospitals is 30%;
4. The reimbursement rate of tertiary hospitals is 20%;
5. The reimbursement limit for township-level cooperative medical clinics is 5000 yuan/year.
Two, 20 16 new rural cooperative medical system hospitalization reimbursement ratio
1. New EEG, X-ray fluoroscopy, radiography, laboratory tests, physiotherapy, acupuncture, CT, MRI and other auxiliary examination items were reimbursed to 200 yuan;
2. The operation expenses within the deductible line 1000 yuan shall be reimbursed according to the national standard, and those exceeding 1000 yuan shall be reimbursed according to 1000 yuan;
3. The hospitalization expenses and nursing expenses of the elderly over 60 years old can be reimbursed every day 10 yuan, with the limit of 200 yuan;
4. The reimbursement ratio of hospitals at all levels is: town hospitals reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.
Third, the reimbursement rate of serious illness of the new rural cooperative medical system is 20 16
1. The proportion of township and village subsidies for outpatient co-ordination increased to 65% and 75% respectively.
2. If the hospitalization expenses of first-class medical institutions are below 400 yuan, there is no deductible;
3. The subsidy ratio of secondary medical institutions will be increased to 75% ~ 80%;
4. Increase the subsidy ratio of tertiary medical institutions to 55%~60%.
5. The subsidy ratio of provincial tertiary medical institutions will be increased to 55%.
6. 70% of the quota for 8 serious diseases such as congenital heart disease in children, and 70% of the quota for 2 serious diseases such as lung cancer/kloc-0.
20 16 reimbursement scope of new rural cooperative medical system
Farmers who participate in the new rural cooperative medical system can get reimbursement from the new rural cooperative medical system, mainly including reimbursement for drugs, reimbursement for inspection expenses and reimbursement for bed expenses. Taking drug reimbursement as an example, Class A drugs can basically be reimbursed, some Class B drugs can be reimbursed, and Class C drugs cannot be reimbursed; Taking hospitalization reimbursement as an example, hospitalization bed fee or outpatient (emergency) observation bed fee can also be reimbursed. However, it should be noted that the following contents are not within the reimbursement scope of the new rural cooperative medical system:
1. Self-purchased drug fee;
2 beyond the "new rural cooperative medical care essential drugs directory" drug costs;
3. Registration fee, outpatient medical record fee, visiting fee, Chinese medicine decoction fee, ambulance fee, escort bed fee, bed reservation fee, intensive care unit fee, consultation fee, air conditioning (including heating) fee, TV fee, telephone fee, personal life cooking fee, care worker fee, etc.
4. Non-basic medical care (refers to special needs clinics, specialist clinics, bed fees exceeding 35 yuan/day, medical beauty, family beds, etc.). );
5. Medical expenses caused by fighting, alcoholism, drug abuse, detoxification, sexually transmitted diseases, work-related injuries, traffic accidents, intentional self-injury, non-productive pesticide poisoning, occupational poisoning, medical accidents, violations of laws and regulations, etc.;
6. Induced abortion induced labor;
7 all kinds of cosmetic surgery, orthopedic surgery, weight loss, correction of physical defects and various health care and preventive treatment projects and drug costs;
8 organ or tissue transplantation and artificial organ installation costs;
9 without the approval of the price and health departments of medical services, inspection and treatment projects, as well as all the expenses incurred by raising the fees without authorization;
10. defrauding medical expenses in the name of not being hospitalized or being hospitalized as an impostor;
1 1. has obtained basic medical insurance for urban workers and urban residents and other basic medical insurance compensation;
12. Medical expenses incurred abroad;
13. Other provisions of the new rural cooperative medical system.
Question 5: What materials should be prepared for reimbursement of the new rural cooperative medical system and how much information can be reimbursed?
1. Outpatient reimbursement information: outpatient invoice, cooperative medical certificate calendar (or medical record).
2. Hospitalization reimbursement materials: hospitalization invoice, cooperative medical certificate (or medical record) calendar, detailed list of expenses, discharge summary and other relevant certificates.
3, outpatient special disease reimbursement information: outpatient invoices, special disease cooperative medical certificate calendar.
4. Information for handling special diseases: outpatient treatment proposal for special diseases, calendar of cooperative medical certificate, medical records, relevant laboratory reports and photos.
Second, the reimbursement process:
Insured households submit the required materials for reimbursement to the village (community) cooperative medical liaison, and report to the town cooperative medical liaison after the audit of the village (community) cooperative medical liaison, and the town cooperative medical liaison will send it to the district agricultural office for reimbursement.
The reimbursement process of new rural cooperative medical insurance;
1. Applicant: participating patients themselves or their spouses, parents and children. If the patient can't apply in person and has no spouse, parents or children, his brother or sister will apply on his behalf; If there are no brothers or sisters, the person in charge of the villagers' committee shall apply on their behalf. Where an application is filed by an agent, a copy of the agent's ID card and proof of the relationship with the participating patients shall be submitted.
2. Accepting institutions: designated medical institutions below the county level (including the county level, the same below).
3. Application result: (1) If the identification materials of the participating patients applying for reimbursement are true and the submitted materials are complete, they will be accepted on the spot; (2) If there is any doubt about the identification materials of the participating patients, it shall be handed over to the cooperative medical management institution for identity verification; (3) If the submitted materials are not uniform, all materials that need to be supplemented shall be informed in writing at one time.
The reimbursement scope and proportion of new rural cooperative medical insurance;
1, outpatient compensation:
(1) village clinics and village center clinics are reimbursed 60%, and the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration for doctors in health centers is 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.
Hospitalization compensation
(1) Reimbursement scope:
A. Drug expenses: auxiliary examination: the expenses for ECG, X-ray fluoroscopy, radiography, laboratory tests, physical therapy, acupuncture, CT and nuclear magnetic resonance are limited to 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%.
Serious illness compensation
(1) town risk fund compensation: all inpatients who participate in the cooperative medical system whose medical expenses exceed 5,000 yuan at one time or throughout the year should be compensated by stages, that is, 500 1- 10000 yuan is 65%,10001-/.
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.
Question 6: What is the reimbursement rate of Class B drugs in the new rural cooperative medical system? 5 points First of all, this ratio varies from place to place.
Second, there are all kinds of answers online, and only local answers are the most authoritative and accurate.
Third, you can consult relevant enterprises or departments at the same time.
Fourth, I wish you a smooth job, a developed career, a healthy life, a happy family and a happy Year of the Sheep.
Question 7: How to calculate the reimbursement ratio of rural medical insurance? The reimbursement of new rural cooperative medical system should be divided into hospitalization grades;
The reimbursement rate of 240 yuan in the undulating line of this township health center is 90%; The sales ratio of county-level hospitals in 500 yuan is 75%;
The reimbursement rate of floating 700 yuan in tertiary municipal hospitals is 60%; The reimbursement rate of 500 yuan in the deductible line of secondary municipal hospitals is 65%;
Provincial hospital 1000 yuan reimbursement rate is 55%; The reimbursement rate of deductible line 1000 yuan in other medical institutions is 35%.
Question 8: The specific process and conditions for reimbursement of the new rural cooperative medical certificate. Reimbursement method:
(a) to participate in the county's new rural cooperative medical care, the county agricultural medical office issued a new rural cooperative medical care card in Chun 'an County, and the original "New Rural Cooperative Medical Care Card in Chun 'an County" remained valid.
(two) to participate in the new rural cooperative medical system in the county, in the county designated medical institutions outpatient and inpatient treatment according to the proportion of cooperative medical reimbursement, the implementation of instant credit card reimbursement. Medical expenses for special diseases and outpatient and hospitalization expenses of local medical insurance designated medical institutions outside the county shall be paid in advance by myself, and after the medical treatment, the relevant information shall be returned to the township where the household registration is located to declare.
Reimbursement scope:
(a) to participate in the county's new rural cooperative medical care personnel, due to various diseases in the county designated medical institutions for outpatient and inpatient treatment according to the provisions of the reimbursement costs;
(II) Expenses that can be reimbursed according to regulations during the period of participating in the work, business, travel and visiting relatives outside the county, and during the period of outpatient and hospitalization in the designated medical institutions of local medical insurance.
Reimbursement standard:
(a) to participate in the new rural cooperative medical personnel in the county hospitalization, special disease outpatient expenses, the implementation of zero declaration: 50 1 yuan partial reimbursement 10%, 50 1 yuan -2000 yuan partial reimbursement 25%; 200 1 yuan-30% of 5000 yuan; 40% of 50,065,438+0-65,438+00,000 yuan will be reimbursed; Above 0 yuan 100065438+50%. The hospitalization expenses incurred by local medical insurance designated medical institutions outside the county shall be reduced by five percentage points according to the above standards, and the annual cumulative maximum reimbursement amount shall remain unchanged.
(two) to participate in the new rural cooperative medical personnel in the county designated medical institutions general outpatient medical expenses reimbursement10%; 5% reimbursement for general outpatient medical expenses of designated medical institutions outside the county.
(three) to participate in the new rural cooperative medical care personnel per year hospitalization, special disease outpatient and general outpatient expenses, the maximum reimbursement amount is 30000 yuan.
Close the program:
(a) medical expenses incurred in outpatient clinics of designated medical institutions in the county shall be reimbursed by credit card in medical institutions. Designated medical institutions shall summarize and timely fill in the reimbursement list of medical expenses of the new rural cooperative medical system outpatient service and the application form for funding of medical expenses of the new rural cooperative medical system outpatient service, and go through the formalities of cost review and funding at the county agricultural medical office.
(two) in the county-level designated medical institutions for hospitalization, you can enjoy part of the expenses reimbursed by the new rural cooperative medical fund, and be reimbursed by the designated medical institutions when going through the discharge procedures. Designated medical institutions should summarize and fill in the List of Hospitalization Expenses of New Rural Cooperative Medical System and the Application for Appropriation Table of Hospitalization Expenses of New Rural Cooperative Medical System in a timely manner every month, and go through the formalities of cost review and appropriation at the county agricultural medical office.
(three) in the county medical insurance designated medical institutions outpatient and inpatient treatment, all expenses paid by the participants in advance. After the end of medical treatment, the valid bills, summary list, medical record card, new rural cooperative medical system card and ID card of the designated medical unit shall be reported to the local township agricultural medical office, and the township agricultural medical office shall report to the county agricultural medical office for review and reimbursement.
(IV) Medical expenses incurred by outpatient special diseases (malignant tumor, tuberculosis, psychosis, aplastic anemia, chronic renal failure dialysis, systemic lupus erythematosus, hemophilia) in designated medical institutions inside and outside the county shall be paid in advance by the participants. After the medical treatment, hold valid bills, medical record cards, hospital certificates, copies of ID cards, and the new rural cooperative medical card of designated medical units to the local township agricultural medical office.
(5) The medical expenses incurred by those who have participated in commercial insurance can be reimbursed by the above methods with the copy of the claim form and valid bills of the commercial insurance company, but the total amount of reimbursement for the two shall not exceed the actual medical expenses.
The scope of drug use, diagnosis and treatment items and medical service facilities of the participants of the new rural cooperative medical system shall be implemented with reference to the basic medical insurance system in cities and towns of our county.
The new rural cooperative medical system will not be reimbursed:
(a) the medical expenses of those who have participated in the medical insurance for urban workers;
(2) Self-purchased drugs;
(3) Costs of dental implants, orthodontics, optometry glasses, hearing AIDS, artificial organs, cosmetic treatment, cosmetic plastic surgery, Qigong, * * *, family sickbed, intensive care, health check-up, non-medical personal services, as well as escort fees, Chinese medicine decoction fees, blood transfusion fees, transportation fees, home visits fees, and miscellaneous expenses during hospitalization;
(4) Pregnancy, abortion, abortion, childbirth and other family planning ... >>
Question 9: How much compensation scope and standard can the new rural cooperative medical system reimburse?
1, outpatient compensation:
(1) village clinics and village center clinics are reimbursed 60%, and the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration for doctors in health centers is 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, hospitalization compensation
(1) Reimbursement scope:
A. Drug expenses: auxiliary examination: the expenses for ECG, X-ray fluoroscopy, radiography, laboratory tests, physical therapy, acupuncture, CT and nuclear magnetic resonance are limited to 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: all inpatients who participate in the cooperative medical care, whose medical expenses exceed 5,000 yuan at one time or within one year, should be compensated by stages, that is, 5001-kloc-0/0000 yuan is 65%,1kloc-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.
Not within the scope of reimbursement
1. Medical treatment at one's own expense (no designated hospital or referral form), drugs purchased at one's own expense, drugs that cannot be reimbursed according to the regulations of public medical care and medical expenses that do not meet the requirements of 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.
Scope of compensation:
(1) Pay the hospitalization expenses of patients due to illness. It mainly includes: medical expenses, operation expenses, materials expenses, hospitalization expenses, treatment expenses, laboratory expenses, inspection expenses, etc.
(2) Pay for outpatient treatment of chronic diseases. Chronic diseases mainly refer to hypertension (phase II), heart disease complicated with cardiac insufficiency, cerebral hemorrhage and cerebral infarction recovery, rheumatoid arthritis, chronic active hepatitis, chronic obstructive emphysema and cor pulmonale, epilepsy, hepatolenticular degeneration, decompensated cirrhosis, diabetes mellitus with ineffective diet control, chronic nephritis, Parkinson's disease, systemic lupus erythematosus, disc herniation, chronic pelvic inflammatory disease and adnexitis, and others audited by the Expert Committee on Chronic Diseases of the New Rural Cooperative Medical System and the District Management Center. Extra-large outpatient expenses such as radiotherapy and chemotherapy for malignant tumor, dialysis treatment for chronic renal insufficiency, aplastic anemia, leukemia, hemophilia, schizophrenia, organ transplantation and anti-rejection treatment are included in hospitalization compensation.
Participating farmers suffering from the above-mentioned chronic diseases shall apply by themselves, based on the diagnostic proof materials of the second-class first-class hospitals, identified by the expert committee of chronic diseases of the new rural cooperative medical system in the district, submitted to the district joint management center for examination and approval, and receive a chronic disease outpatient certificate, which shall be audited by the district joint management center at the beginning of each year.
(3) Pay special inspection fee when the patient is hospitalized due to illness. Mainly refers to CT, cardiac and angiographic X-ray machine, electronic gastroscope, color Doppler instrument, hyperbaric oxygen chamber, extracorporeal shock wave lithotripsy, hemodialysis, organ transplantation and other high-cost medical projects. Any patient who needs to check the above items shall be put forward by the designated hospital, and he/she shall apply and report to the district management center for approval.
(4) Meet the fertility conditions, and give birth in hospitals above the second level, designated medical institutions and designated delivery points.
(5) There is no other responsible party for the accidental injury (excluding unpaid items) of farmers in the process of production, life and study; If there is any responsibility of the other party, it shall be borne by the other party. Accidental injury compensation can only be paid after it has been publicized for more than 1 month within a certain range, and there is no objection or report, or after investigation and confirmation.
(6) The participating farmers were hospitalized immediately after the outpatient examination, and the outpatient examination expenses closely related to hospitalization were included in the hospitalization medical expenses. During hospitalization due to illness, Jingzhi Hospital and District Joint Management Center shall apply ... >>