1, the proportion of hospitalization reimbursement for poor families in the county reached 90%. Because of the health poverty alleviation policy for poor families in recent years, full financial subsidies are implemented for the expenses paid by individuals participating in the new rural cooperative medical system;
2. It is medical reimbursement, which is only divided into rural residents and urban workers, and has nothing to do with whether it is a poor household. Details are as follows:
(1) Residents' reimbursement rate: 60% in town health centers; 40% reimbursement for secondary hospitals; 30% reimbursement for tertiary hospitals;
(2) For urban residents, within a settlement year, the medical expenses below 6,543.8+10,000 yuan are within the scope of reimbursement. 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%.
Process of hospitalization reimbursement for poor households:
1, accurate poverty alleviation households are hospitalized, and hospitalization procedures are handled with ID cards. For the rural new rural cooperative medical system, hospitalization expenses can be reimbursed, and for those who do not apply for the new rural cooperative medical system, hospitalization expenses cannot be reimbursed;
2. When the poor people in rural areas are hospitalized, they should pay after the treatment (temporarily paying less). When they go through the hospitalization procedures, patients should provide the hospital with the Handbook of Accurate Poverty Alleviation, residents' medical insurance cards, ID cards or household registration books;
3. During the patient's hospitalization, the hospital will provide the patient with a list of daily expenses for the patient to inquire; Need to use drugs (materials) at their own expense, inform patients or their families in advance, and sign the notification form;
4. The hospital will inform the patient of the general expenses and the amount that the individual should bear during the hospitalization within 1-2 days before the patient leaves the hospital;
5. When the patient leaves the hospital, he shall truthfully pay the medical expenses borne by himself during the detention period to the hospital. The policy of paying after diagnosis and treatment is applicable to the poor people who set up files and set up cards.
To sum up, as long as you take all the hospital invoices, medical records, medical insurance cards and other materials to the window to go through the discharge procedures, and explain to the staff that you want to go to the subsistence allowance for reimbursement, it will open relevant reimbursement materials, and then you can go to the relevant departments for reimbursement.
Legal basis:
Article 26 of People's Republic of China (PRC) Social Insurance Law
The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.