65% if it is a serious illness, it will cost more and be reimbursed more.

1: This year, the new rural cooperative medical system in Qingdao, Shandong Province unified the operation mode of in-patient overall planning and out-patient overall planning; Five cities realized the "five unification" of compensation ratio, deductible line, capping line, diagnosis and treatment items and drug list;

2. The city's participation rate is stable at over 99%; The proportion of reimbursement for hospitalization expenses has increased to about 50%; The maximum payment limit of the new rural cooperative medical system has been raised to 60,000 yuan. The reporter learned from the "Qingdao New Rural Cooperative Medical Scheme (20 10)" published by the Municipal Health Bureau on the 9 th that the reimbursement types and compensation ratios of the new rural cooperative medical scheme in Qingdao have increased and expanded this year, which will further reduce the medical expenses of suburban farmers.

3 outpatient expenses can be reported to 200 yuan every year. Starting this year, outpatient expenses are officially included in the reimbursement scope of the new rural cooperative medical system in this city: the outpatient expenses incurred by participating farmers in the village health centers and town (street) health centers where their household registration is located will be compensated at a rate of not less than 20%. Among them, the compensation ratio of traditional Chinese medicine expenses (excluding Chinese patent medicines) increased by 10%, and the actual compensation expenses of outpatient service in that year were not higher than those in 200 yuan.

4. In terms of compensation for hospitalization expenses, the deductible line of the first-level designated medical institutions for farmers' hospitalization compensation is determined as 100 yuan, and the deductible line of the second-level and third-level designated medical institutions is determined as 500 yuan. For the compensatable part of medical expenses incurred by participating farmers in town (street) health centers and above designated medical institutions, the cumulative compensation method is adopted in proportion: medical expenses 1 10,000 yuan and below, and the first, second and third-level designated medical institutions compensate 70%, 50% and 30% respectively; Medical expenses 10000 yuan or more, the first-class designated medical institutions will compensate 60%, and the second-class and third-class designated medical institutions will compensate 35%. Among them, the compensation ratio of traditional Chinese medicine expenses (excluding Chinese patent medicines) increased by 10%.

5. Chronic disease outpatient expenses can be reimbursed by 30%. The adjustment of the new rural cooperative medical system also included the outpatient expenses of special chronic diseases in the scope of compensation of the overall fund: 30% of the outpatient medical expenses incurred in the designated medical institutions of the new rural cooperative medical system were reimbursed, and the appropriate technologies of traditional Chinese medicine (including acupuncture, massage, cupping and other non-drug therapies) were reported to the municipal designated hospitals immediately.

6. In order to facilitate the reimbursement of participating farmers for medical treatment and prevent the risks of the new rural cooperative medical fund, this year Qingdao will select 1 to two designated medical institutions at the municipal level of the new rural cooperative medical system to carry out the pilot project of "instant reporting", and gradually push it forward on this basis, and realize the instant reporting of participating farmers in the municipal designated medical institutions of the new rural cooperative medical system in 20 12 years. In addition, in order to encourage medical institutions to use essential drugs, starting from this year, all the drugs in the National Essential Drugs List and the Shandong Supplementary Drugs List will be included in the Qingdao New Rural Cooperative Medical System Reimbursement Drug List (version 20 10), and the reimbursement ratio will be increased by 10 percentage point compared with other non-essential drugs.