Reimbursement of Farmers' Cooperative

I) Outpatient Reimbursement Participating farmers are entitled to reimbursement for outpatient visits to designated medical institutions within counties (districts). The reimbursement rate is 30%, with a ceiling of RMB 30 yuan; if the cumulative personal outpatient expenses exceed RMB 500 yuan, the reimbursement rate for the excess portion is 30%, with a ceiling of RMB 600 yuan.　　(ii) Hospitalization compensation 1. Township (township) health centers and the corresponding level of fixed-point medical institutions: 30% of compensation for medical expenses incurred less than 300 yuan; 70% of compensation for medical expenses incurred more than 300 yuan (not included) and less than 2,000 yuan; 50% of compensation for medical expenses incurred more than 2,000 yuan (not included).　　(2) County-level fixed-point medical institutions: 25% for medical expenses incurred up to 500 yuan; 65% for expenses incurred over 500 yuan (not included) and up to 10,000 yuan; 50% for expenses incurred over 10,000 yuan (not included).　　(3) Level 2 designated medical institutions within the city: 25% of medical expenses incurred up to RMB 500; 55% of medical expenses incurred over RMB 500 (not included) and up to RMB 10,000; and 50% of medical expenses incurred over RMB 10,000 (not included).　　(4) Tertiary designated medical institutions within the city: 20% of the medical expenses incurred up to RMB 1,000; 45% of the medical expenses incurred above RMB 1,000 and up to RMB 10,000; and 40% of the medical expenses incurred above RMB 10,000 (not included).　　5. Provincial and other designated medical institutions outside the city: 20% of the medical expenses incurred up to RMB 1,000; 40% of the medical expenses incurred above RMB 1,000 (not included) and up to RMB 10,000; 35% of the medical expenses incurred above RMB 10,000 (not included). Not reimbursed

The scope of treatment items for which the new rural cooperative medical care does not pay fees (a) service item category 1, out-of-hospital consultation fee, medical record cost, etc.; 2, consultation fee, examination and treatment of expedited fee, surcharge on named surgery, quality premium fee, self-invited special nurses, and other special medical services; 3, consultation (referral) transportation fee, emergency ambulance fee; 4, air-conditioning fee, TV fee, telephone fee, Infant warming box fee, food warming box fee, electric stove fee, refrigerator fee, and compensation for damage to public property; 5, escort fee, nurse fee, cleaning fee, outpatient medicine fee; 6, meal fee, recreational activity fee, and other special living service costs. (ii) Non-disease treatment programs: 1) various beauty and fitness programs, as well as non-functional cosmetic and orthopedic surgeries, etc.; 2) various weight loss, weight gain and height enhancement programs; 3) various health checkups; 4) various preventive and health care programs; 5) various medical consultations and medical appraisals. (C) diagnostic and treatment equipment and medical materials 1, the application of positron emission tomography (PET), electron beam CT, ophthalmic excimer laser treatment instrument and other large-scale medical equipment for the examination and treatment of the project; 2, eyeglasses, dental prostheses, eye prostheses, prosthetic limbs, hearing aids and other rehabilitative appliances; 3, a variety of self-use of health care, massage, inspection and treatment equipment; 4, the price departments of the provinces can not be separately charged for Disposable medical materials. (D) Treatment items: 1. Organ or tissue sources for various types of organ or tissue transplants; 2. Other organ or tissue transplants except for kidney, heart valve, cornea, skin, blood vessel, bone and bone marrow transplants; 3. Orthopedic surgery for nearsightedness; 4. Supplementary treatment items such as qigong therapy, music therapy, health care nutritional therapy and magnetic therapy. (E) Other 1, a variety of infertility (pregnancy), sexual dysfunction of the diagnosis and treatment projects; 2, a variety of scientific research, clinical verification of the diagnosis and treatment projects; 3, violation of the law, crime, brawl, alcoholism, suicide, self-injury, drug abuse, narcotic addiction, traffic accidents, medical malpractice and other medical costs; 4, the use of blood collected by the deposit, the compensation of the management fee and other fees; 5, medical charges in the project of the other costs are not clear (6) Diagnostic and treatment items not approved by the price department. Second, the pilot counties in accordance with the new rural cooperative medical fund, solvency, the level of designated medical institutions, etc., to determine their own diagnostic and treatment items (a) diagnostic and treatment equipment and medical materials 1. Application of X-ray computed tomography (CT), stereotactic radiography (Y-knife, x-knife), cardiac and angiographic X-ray machine (including digital subtraction equipment), magnetic *** vibration imaging device (MR1), monoclonal imaging device (MR1), digital subtraction equipment (including digital subtraction equipment). MR1, single photon emission computer scanning device (SPECT), color Doppler, medical linear gas pedal and other large-scale medical equipment for examination and treatment items; 2. Extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy; 3. Pacemakers, artificial joints, artificial crystals, vascular stents, and other artificial organs replaced in the body, and internal placement of materials; 4. Bed fees (including bed facilities, service fees, etc.) 5. Bed fees (including bed facilities and service fees, etc.) 5. Prices prescribed by the price department can be charged separately for disposable medical materials. (ii) Treatment program category 1, hemodialysis, peritoneal dialysis; 2, kidney, heart valve, cornea, skin, blood vessel, bone, bone marrow transplantation; 3, heart laser perforation, anti-tumor cellular immunotherapy and fast neutron therapy program. (C) other expensive medical instruments and equipment for examination, treatment programs and medical materials, whether or not included in the new rural cooperative medical fund to pay for the scope of the pilot counties by their own regulations.