What is the proportion of hospitalization reimbursement for poor households who have established a card?
According to the latest policy of the new rural cooperative medical system: reimbursement ratio, reimbursement scope, reimbursement standard and compensation standard.
First, how to reimburse the hospitalization medical expenses of poor households?
The reimbursement situation in each region will be different. Please consult the local social security department for details.
For example, in Hanbin District, the reimbursement of hospitalization expenses for poor households who have established a file card can be settled centrally in the lobby of the district government affairs center. Whether it is reimbursement for the new rural cooperative medical system, serious illness insurance, medical assistance and other subsidies, they can all be reimbursed at a settlement window in the government affairs hall, so that poor people can enjoy the health poverty alleviation policy conveniently and quickly. Never go the wrong way again.
Second, what is the proportion of hospitalization reimbursement for poverty-stricken households who have established the card?
Medical reimbursement is only divided into rural residents and urban workers, regardless of whether they are poor or not.
1, residents' reimbursement ratio: town health centers reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.
2, urban residents, in a settlement year, the medical expenses that meet the scope of reimbursement are 65,438+10,000 yuan, the threshold for tertiary hospitals is 659 yuan, the reimbursement ratio is 50%, and the upper limit is 2,000 yuan; The Qifubiaozhun for hospitalization in secondary hospitals is 300 yuan, and the reimbursement rate is 55%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 60%.
However, in recent years, the health poverty alleviation policy has targeted at poor households, and fully subsidized individual payment fees (per person per year 180 yuan) to participate in the new rural cooperative medical system. The proportion of reimbursement for outpatient and inpatient expenses has been further improved. Under normal circumstances, the reimbursement rate of hospitalization in the county reaches 90%, which effectively reduces the economic burden of poor households for medical treatment.
Third, the hospitalization reimbursement process of poor households in Lika is archived.
If your family is a poor household in rural areas, and you are hospitalized in the county, remember to do this when you reimburse medical assistance outside the county:
1, you must bring 1 card 1 card when you are hospitalized in the county; When poor households are hospitalized in designated medical institutions in the county, they should carry patient ID cards and health poverty alleviation cards.
2. The health poverty alleviation card is issued by the county health department, 1 person 1 card, and it is required that the ID card and the health poverty alleviation card are the same person for reimbursement. Generally, hospitalization in the county is paid after treatment, and a "one-stop" settlement is implemented.
Reimbursement steps:
1, and fill in the Application Form for Medical Assistance for Filing Card-Opening Households;
2, to the village committee (community) audit seal;
3, to the township social affairs office (civil affairs office) audit seal;
4, the county civil affairs bureau for approval;
Materials required (***8 kinds):
1, the cardholder's medical assistance application approval form for the record;
2. Health poverty alleviation card;
3. ID card or household registration book;
4. Hospitalization invoice;
5. Discharge certificate;
6, urban and rural residents' basic medical insurance reimbursement form;
7, commercial medical insurance reimbursement form;
8, individual rural commercial banks (credit cooperatives) passbook or bank card copy;
Please file it. When reimbursing the hospitalization medical expenses of poor households, remember the relevant policies and regulations of reimbursement and go to the relevant departments in time.