1. If the name of the New Rural Cooperative Medical System is written incorrectly, the village committee will issue a certification letter and go to the county New Rural Cooperative Medical Care Office to correct it with the New Rural Cooperative Medical Care Card, ID card (household registration book), and Cooperative Medical Care Certificate.
2. The New Rural Cooperative Medical System is a mutual-aid and economical medical security system created by my country’s farmers themselves. It has played an important role in ensuring farmers’ access to basic health services and alleviating farmers’ poverty due to illness and their return to poverty. important role. The reimbursement scope of the New Rural Cooperative Medical System roughly includes three parts: outpatient compensation, hospitalization compensation and serious illness compensation.
Extended information:
Reimbursement standards:
1. Outpatient compensation
1. Reimbursement for village clinics and village center clinics 60%, with a limit of 10 yuan for prescription drugs per visit, and a limit of 50 yuan for temporary rehydration prescriptions 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, with a limit of 50 yuan for examination fees and surgical fees for each visit, and a limit of 200 yuan for prescription drugs.
5. There is a limit of 1 yuan per prescription attached to the traditional Chinese medicine invoice.
6. The annual compensation limit for town-level cooperative medical outpatient clinics is 5,000 yuan.
2. Hospitalization compensation:
1. Scope of reimbursement:
A. Medication expenses: auxiliary examinations: ECG, X-ray, film, The fee for various examinations such as laboratory tests, physical therapy, acupuncture, CT, MRI, etc. is limited to 200 yuan; the operation fee (referring to the national standard, if it exceeds 1,000 yuan, it will be reimbursed at 1,000 yuan).
B. If an elderly person over 60 years old is hospitalized in the town health center, the treatment and nursing fees will be compensated 10 yuan per day, with a limit of 200 yuan.
C. Reimbursement ratio: Town health center reimburses 60%; second-level hospitals reimburse 40%; third-level hospitals reimburse 30%.
2. Compensation for serious illness
1. Compensation from town risk fund: any inpatient who participates in cooperative medical care will be compensated in installments if the one-time or annual cumulative medical expenses reimbursed exceed 5,000 yuan. That is, 65% compensation for 5,001-10,000 yuan, and 70% compensation for 10,001-18,000 yuan.
2. The annual limit of compensation for town-level cooperative medical inpatient and uremia outpatient hemodialysis, and tumor outpatient radiotherapy and chemotherapy is 11,000 yuan.
3. Special diseases covered by the New Rural Cooperative Medical Fund reimbursement include: chemotherapy and radiotherapy for malignant tumors; hemodialysis and peritoneal dialysis for severe uremia; anti-rejection treatment after tissue or organ transplantation; psychiatric treatment Schizophrenia accompanied by mental decline; systemic lupus erythematosus (one with heart, lung, kidney, liver and nervous system complications); aplastic anemia, etc.
4. Specific outpatient treatment for special diseases includes necessary supportive therapy and symptomatic treatment of systemic and local reactions during treatment. General auxiliary treatment is not included in the scope of reimbursement.
Reference: Baidu Encyclopedia-New Rural Cooperative Medical Care Reimbursement Scope