Yes. Secondary reimbursement of New Rural Cooperative Medical Care for serious illness:
1. All legal medical expenses are included in the compensation scope of New Rural Cooperative Medical Care for serious illness insurance. Compliant medical expenses refer to medical expenses incurred for hospitalization in designated medical institutions in each coordinated area of ??the New Rural Cooperative Medical System or after referral to designated medical institutions at the provincial or municipal level outside the coordinated area, or outpatient expenses incurred in designated medical institutions in each coordinated area of ??the New Rural Cooperative Medical System. Medical expenses for special chronic diseases.
2. Among them, those belonging to the new rural cooperative medicine and diagnosis and treatment items catalog will be included in the scope of reimbursement according to the classification cost ratio standard of 100, and the cost of materials and other drug fees and diagnosis and treatment costs will be included in the scope of reimbursement according to the standard of 30, and the implementation will be based on disease types. Except for fixed payment.
The following six medical treatments can be reimbursed for the second time:
1. Medical expenses below the minimum payment standard of the basic medical insurance fund for urban residents;
2. The medical expenses that should be borne by individuals in proportion from the minimum payment standard of the Resident Basic Medical Insurance Fund to the maximum payment limit;
3. The use of large medical equipment in examination and treatment items and individual expenses are less than 200 yuan (inclusive) ) and above are medical expenses that should be borne by individuals in advance;
4. Category B medical expenses in the directory of basic medical insurance diagnosis and treatment items and medical service facilities that should be borne by individuals in advance;
5. Medical expenses for Class B drugs that should be borne by individuals in advance;
6. Medical expenses above the maximum payment limit of the Urban Resident Basic Medical Insurance Fund that can be included in the scope of reimbursement according to the Urban Resident Basic Medical Insurance Fund payment regulations And medical expenses that meet the above 3, 4, and 5 in the table.
Legal basis:
"Social Insurance Law of the People's Republic of China"
Article 26: Basic medical insurance for employees, new rural cooperative medical insurance and The treatment standards of basic medical insurance for urban residents shall be implemented in accordance with national regulations.
Article 28 Medical expenses that comply with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards, and emergency and rescue expenses shall be paid from the basic medical insurance fund in accordance with national regulations.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance agency and the medical institution and pharmaceutical business unit. The social insurance administrative department and the health administrative department should establish a settlement system for medical expenses in other places to facilitate insured persons to enjoy basic medical insurance benefits.