How much can the 85-year-old new rural cooperative medical system reimburse?

Hospitalization compensation

1, the elderly over 60 years old are hospitalized in the town health center, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.

2. Reimbursement ratio: town health centers reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.

3. Reimbursement scope: auxiliary examination: examination expenses such as electrocardiogram, X-ray fluoroscopy, radiography, laboratory test, physiotherapy, acupuncture, CT and nuclear magnetic resonance, limited to 200 yuan; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan).

Outpatient compensation

1, 60% of the medical expenses of village clinics and village center clinics are reimbursed, and the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration of hospital doctors is 50 yuan.

2. Reimbursement of 40% for medical treatment in town health centers, with the limit of examination fee and operation fee for each visit, and the limit of prescription fee 100 yuan.

3, the secondary hospital reimbursement of 30%, each examination fee and operation fee limit 50 yuan, prescription drug fee limit 200 yuan.

4, tertiary hospital reimbursement of 20%, each visit examination fee and operation fee limit 50 yuan, prescription drug fee limit 200 yuan.

Extended data:

The following circumstances are not included in the reimbursement scope of the new rural cooperative medical system:

1, outpatient medical expenses of non-designated hospitals in the region (except outpatient treatment expenses for special diseases), expenses incurred from not seeking medical treatment according to regulations and purchasing medicines by oneself;

2, the cost of family planning measures, medical expenses in violation of family planning policy;

3. Dental implants, orthodontics, optometry and glasses, hearing AIDS, artificial organs, beauty treatment, cosmetic surgery, rehabilitation (such as Qigong, massage, physical therapy, magnetic therapy, etc. ) and various accompanying expenses, medical transportation expenses, home visits and other miscellaneous expenses during hospitalization;

4. If a third party is responsible, the medical expenses caused by personal injury, such as traffic accidents, medical accidents and work-related injuries, shall be borne by the third party responsible according to law.

5. Medical expenses for injuries caused by illegal acts such as suicide, self-mutilation, taking poison, taking drugs, fighting and other intentional acts of their families.

Baidu Encyclopedia-reimbursement scope of new rural cooperative medical care