1, all participating in cooperative medical care inpatient hospitalization one-time or annual cumulative reportable medical expenses exceeding 5,000 yuan of segmented compensation, that is, 5,001-10,000 yuan reimbursement of 65%, 10,001-18,000 yuan reimbursement of 70%.
2. The annual limit of compensation for inpatient hospitalization and outpatient blood dialysis for uremia, outpatient radiotherapy and chemotherapy for oncology is 11,000 yuan at the town-level cooperative medical treatment.
Expanded Information:
Settlement Procedures:
1, hospitalization and outpatient treatment of special diseases settlement procedures, the designated medical institutions in the 10th day of each month, will be discharged patients in the previous month's cost statement, hospitalization statement and related information reported to the medical insurance agency, the medical insurance agency audit, as a monthly preallocation and the final year-end accounting of the The medical insurance organization will review and approve the statement as the basis for the monthly advance allocation and the year-end final account. The medical insurance agency makes a monthly advance payment of the previous month's coordinated fees for hospitalization and outpatient treatment of special diseases.
2. Emergency settlement procedures: medical expenses incurred by insured persons who are hospitalized in non-designated medical institutions in the city or in foreign medical institutions due to emergency treatment shall be paid by the individual or the unit in advance, and after the emergency treatment is over, the insured person shall apply for reimbursement with the hospital's emergency medical record, examination and laboratory report form, invoice, and a detailed list of medical charges, etc., in accordance with the regulations of medical insurance agencies.
Baidu Encyclopedia - Medical Insurance Reimbursement Ratio
Baidu Encyclopedia - Medical Insurance