Rural cooperative medical care is a medical security system created by farmers in China, which can greatly alleviate the poverty caused by illness and return to poverty due to illness. If you want to know more about the reimbursement ratio of rural cooperative medical care and the reimbursement standard of rural cooperative medical care, follow along.
Reimbursement ratio of rural cooperative medical care, reimbursement standard of rural cooperative medical care.
Rural cooperative medical care cannot be supplemented. The annual payment time for rural cooperative medical care is from November to the end of December each year, and the effective time is January 1 of the following year, which means that farmers must participate in cooperative medical care from November to December each year, and the supplementary payment in the following year can only take effect in the next year.
Reimbursement ratio for rural cooperative medical care.
1. Reimbursement ratio of medical expenses in township (town) health centers.
if it is less than RMB, 30% will be reimbursed;
If it is more than 2,000 yuan (exclusive) and less than 2,000 yuan, 70% will be reimbursed;
If it is more than RMB (exclusive), 50% will be reimbursed.
2. The reimbursement ratio of medical expenses of county-level designated medical institutions.
less than RMB, 25% will be reimbursed;
If the yuan (exclusive) is more than 10,000 yuan or less, 65% will be reimbursed;
If it is more than RMB (exclusive), 50% will be reimbursed.
3. Reimbursement ratio of medical expenses in secondary hospitals.
less than RMB, 25% will be reimbursed;
If the yuan (exclusive) is more than 10,000 yuan or less, 55% will be reimbursed;
If it is more than RMB (exclusive), 50% will be reimbursed.
4. Reimbursement ratio of hospital medical expenses.
if it is less than RMB, 20% will be reimbursed;
If the yuan (exclusive) is more than 10,000 yuan or less, 45% will be reimbursed;
If it is more than RMB (exclusive), 40% will be reimbursed.
Rural Cooperative Medical Reimbursement Time.
As a general rule, medical expenses incurred in the current year must be settled by the end of January of the following year.
Reimbursement standards for rural cooperative medical care.
1. Reimbursement standards for outpatient services.
1. 60% reimbursement for medical treatment in the village clinic and the village central clinic, the limit of prescription drugs for each visit is 10 yuan, and the limit of prescription drugs for temporary rehydration by doctors in the health center is 50 yuan.
2. 40% reimbursement for treatment in the town health center, the limit of examination fees and surgery fees for each visit is 50 yuan, and the limit of prescription drug fees is 100 yuan.
3. 30% reimbursement for visits to secondary hospitals, 50 yuan for examination fees and surgery fees for each visit, and 200 yuan for prescription drugs.
4. **Hospital reimbursement is 20%, the limit of examination fees and surgery fees for each visit is 50 yuan, and the limit of prescription drug fees is 200 yuan.
5. The prescription is attached to the invoice for traditional Chinese medicine, with a limit of 1 yuan per sticker.
6. The annual compensation limit for town-level cooperative medical outpatient clinics is 5,000 yuan.
2. Reimbursement standards for hospitalization.
1. Drug fee: auxiliary examination: electrocardiogram, X-ray fluoroscopy, filming, laboratory tests, physiotherapy, acupuncture, CT, MRI and other examination fees are limited to 200 yuan; Surgery fee (refer to the national standard, more than 1,000 yuan will be reimbursed as 1,000 yuan).
The elderly over the age of 10 are hospitalized in the town health center, and the ** fee and nursing fee are compensated 10 yuan per day, with a limit of 200 yuan.
3. Reimbursement standards for serious illnesses.
1. Town risk compensation: All inpatients who participate in rural cooperative medical insurance will be compensated for one-time or annual cumulative reportable medical expenses of more than 5,000 yuan, that is, 65% of 5,001-10,000 yuan and 70% of 10,001-18,000 yuan.
2. The annual limit of compensation for inpatient and uremia outpatient hemodialysis, outpatient radiotherapy and chemotherapy for tumors is 110,000 yuan.