In 20 17, the poor people were hospitalized in hospitals outside the province, and those whose personal expenses exceeded 10000 yuan were not supported by preferential policies, and the problem of poverty caused by illness still existed; Some people who have been out of poverty on 20 14 and 20 15 and those who are not poor, after the compensation of the new rural cooperative medical system, the burden of seeing a doctor is still too heavy. Therefore, the government decided to implement the "1579" health poverty alleviation policy in 20 18.
For non-poor people and people who have been out of poverty in 20 14 and 20 15 years, the poor people who enjoy the "35 1" policy will be hospitalized in the designated medical institutions of the new rural cooperative medical system outside the province;
After being compensated by the basic insurance of the new rural cooperative medical system and the serious illness insurance of the new rural cooperative medical system, the individual's accumulated self-funded compliance part exceeds 6,543.8+0,000 yuan, and the excess part is compensated by segments: 0 to 30,000 yuan, and 50% is reimbursed; 70% reimbursement for 30,000 to 60,000 yuan; 90% reimbursement for more than 60,000 yuan; The maximum compensation during the year is 200,000 yuan.
Extended data:
For example:
A participating resident was hospitalized in the designated hospital of the new rural cooperative medical system in the province on 20 18 (transferred by referral). After the reimbursement of the basic medical insurance and serious illness insurance of the new rural cooperative medical system, the total fee paid by individuals is 654.38+10,000 yuan, and according to the policy of "1579", another 63,000 yuan can be reimbursed.
First deduct the deductible 1 0,000 yuan, and enjoy the compensation of "1 0,579" of 90,000 yuan, 0-3,000 yuan, 3× 0.5 =10.5 million yuan; 40,000-60,000 yuan, (6-3)×0.7 = 2 1 0,000 yuan? ; More than 60,000 yuan, (9-6) × 0.9 = 27,000 yuan; A total of 63,000 yuan was reimbursed.
Precautions:
1, the poor people in the province enjoy the "35 1" policy, but do not enjoy the "1579" policy; Non-poor people and 20 14, 20 15 people who have been out of poverty do not enjoy 1579 hospitalization policy outside the province.
2. The expenses of non-medical institutions, non-designated hospitals and non-medical needs, as well as accidental injuries, childbirth and hospitalization, are not entitled to the "1579" policy.
References:
Baidu encyclopedia-poverty alleviation