The following are the policies of Gulin County.
The adjustment and compensation scheme of the new rural cooperative medical system was formally implemented on July 22nd, 201/.First, the county and township deductible lines are currently the lowest in the city, and the reimbursement ratio is subject to the upper limit of provincial compensation guidance. Among them, the deductible lines of township hospitals compensate 40 yuan, and the compensation ratio is increased from 70% to 85%; County-level medical institutions (including private designated medical institutions) compensate the deductible 100 yuan, and the compensation ratio is increased from 55% to 75%; The highest compensation ratio of designated medical institutions outside the county reaches 55%; The second is to make secondary compensation. If the out-of-pocket expenses that meet the compensation scope are more than 1 10,000 yuan, the second compensation will be given according to 30% of the total out-of-pocket expenses; The third is to raise the capping line, and the compensation capping line is adjusted from10.5 million yuan per person per year to 80,000 yuan per person per year; Fourth, a large amount of outpatient expenses compensation for special diseases has been set up. Malignant tumor, chronic renal failure during dialysis, leukemia, anti-rejection drugs after organ transplantation, and severe mental illness are compensated according to the proportion of hospitalization compensation, and no deductible is set; Fifth, increase the proportion of outpatient compensation for major chronic diseases. Increase the proportion of outpatient expenses that meet the scope of compensation for active tuberculosis to 80%. After the outpatient cards for major chronic diseases such as hypertension, diabetes, rheumatic heart disease, chronic pulmonary heart disease, Parkinson's disease, cerebrovascular disease, liver cirrhosis, chronic hepatitis, systemic lupus erythematosus, hyperthyroidism, epilepsy, coronary heart disease, etc. are handled according to the regulations, the outpatient expenses incurred in township and above medical institutions will be compensated by 50%, and the annual outpatient compensation for major chronic diseases will be capped.