The main purpose of the implementation of the new rural cooperative medical care is to help farmers to alleviate the problem of difficult access to medical care and reduce the cost of medical care for farmers. For participants who need secondary reimbursement, the New Rural Cooperative Medical Care also has its specific reimbursement rate.
What is the secondary reimbursement rate for the new rural cooperative program
The secondary reimbursement rate for the new rural cooperative program varies slightly from place to place.
Usually, the starting line for hospitalization in township hospitals is 100 yuan per person, and the reimbursement rate is 100% of the compliant costs;
The starting line for hospitalization in county designated secondary hospitals in the city is 600 yuan per person, and the reimbursement rate is 80%;
The starting line for hospitalization in municipal designated secondary hospitals in the city is 1,000 yuan per person, and the reimbursement rate is 70%;
The reimbursement rate is 70%; and the reimbursement rate is 70% for municipal designated secondary hospitals in the city. The reimbursement rate is 70%;
The starting line for hospitalization in municipal level 3 designated hospitals in the city is RMB 1,800 per visit, and the reimbursement rate is 60%;
The starting line for hospitalization in provincial level 3 designated hospitals is RMB 3,000 per visit, and the reimbursement rate is 55%;
The starting line for hospitalization in provincial level 2 designated hospitals is RMB 2,000 per visit, and the reimbursement rate is 65%;
The reimbursement rate in provincial level 2 designated hospitals is 65%.
The reimbursement rate of designated private hospitals in the city is 5 percentage points lower than the reimbursement rate of municipal second-level designated hospitals, and the reimbursement rate of non-designated hospitals in the city is 10 percentage points lower than the reimbursement rate of municipal designated hospitals, with no change in the starting line.
Second, what is the scope of reimbursement for the new rural cooperative medical care
The scope of reimbursement for the new rural cooperative medical care is as follows: participants in the integrated period of time due to illnesses in the designated hospital hospital hospitalization fees, examination fees, laboratory fees, surgical fees, treatment fees, nursing fees, etc. in line with the reimbursement of the part of the urban workers' medical insurance coverage (i.e., the validity of the cost of medicines).
The New Rural Cooperative Medical Fund has established a starting standard and a maximum payment limit. Individuals pay for hospitalization expenses below the hospital's annual starting payment standard. If the starting payment standard is reached within the same coordinating period, hospitalization costs incurred for two or more hospitalizations can be reimbursed cumulatively. Hospitalization expenses incurred in excess of the starting standard are calculated in segments and reimbursed cumulatively, with a maximum limit on cumulative reimbursement per person per year.
Legal advice:
Netizen: how to reimburse the new rural cooperative hospitalization?
Lawyer: off-site reimbursement needs to be found in the current treatment of the hospital inpatient department of the deputy director of the physician and above to issue a referral certificate, get the referral certificate need to go to the hospital medical department to stamp the official seal of the hospital. With the referral certificate from the hospital, go to the medical insurance management department of the local social security bureau to apply for the procedure of inter-provincial medical treatment under the New Farmers' Cooperative Medical Scheme, and write down the inter-provincial city and the hospital where you are going to be treated. With the referral certificate and the New Rural Cooperative Medical Care certificate, the participant will first pay for the treatment at the designated hospital in the other place, and will be reimbursed directly for the medical expenses when he/she is discharged from the hospital, adopting the method of "more refund, less compensation". The new rural cooperative medical secondary reimbursement ratio is slightly different, the specific need to consult the local agricultural cooperation office.