There is a program for major medical insurance in the NFC. The following paragraphs are many, but it is necessary to look at.
Outpatient reimbursement
60% reimbursement for village health clinic and village center health clinic visits, with a limit of 10 yuan per visit for prescription medication, and a limit of 50 yuan per visit for temporary rehydration prescription medication by a health center doctor.
40% reimbursement for township health centers, with a limit of 50 RMB for each examination and surgery and 100 RMB for prescription drugs.
The reimbursement for secondary hospitals is 30%, with a limit of 50 RMB for each examination and surgery and 200 RMB for prescription drugs.
Tertiary hospitals are reimbursed 20%, with a limit of 50 RMB for each examination and surgery, and 200 RMB for prescription drugs.
Chinese medicine invoice attached to the prescription limit of 1 yuan per sticker.
The annual limit for outpatient compensation for township-level cooperative medicine is 5,000 yuan.
Hospitalization compensation
Reimbursement scope:
A. Medicine: auxiliary examination: EKG, X-ray fluoroscopy, filming, laboratory tests, physiotherapy, acupuncture, CT, nuclear magnetic **** vibration and other examination fees, limit of 200 yuan; surgical fees (with reference to the national standard, more than 1,000 yuan reimbursement according to 1,000 yuan).
B, the elderly over 60 years of age hospitalized in Xingta Town Health Center, treatment and care costs are reimbursed 10 yuan per day, with a limit of 200 yuan.
Reimbursement ratio: 60% reimbursed by the town health center; 40% reimbursed by secondary hospitals; 30% reimbursed by tertiary hospitals.
Compensation for major illnesses
Town risk fund compensation: all hospitalized patients who participate in cooperative medical care are compensated for the one-time or yearly cumulative reportable medical expenses exceeding 5000 RMB in segments, i.e., 65% for 5001-10,000 RMB, and 70% for 10,001-18,000 RMB.
Township-level cooperative medical hospitalization and uremia outpatient hemodialysis, oncology outpatient radiotherapy and chemotherapy compensation annual limit of 11,000 yuan.
The new rural cooperative medical fund reimbursement to pay for special diseases are: malignant tumor chemotherapy, radiotherapy; severe uremia blood and abdominal dialysis; tissue or organ transplantation after the anti-rejection reaction treatment; schizophrenia with mental decline; systemic lupus erythematosus (with heart, lung, kidney, liver and one of the neurological complications); aplastic anemia; cardiac surgery, anticoagulation treatment. The rest of the reimbursable special diseases are subject to specific local policies.
Specific outpatient treatments for special diseases include supportive therapies and symptomatic treatment of systemic and local reactions that are necessary during treatment, and general adjuvant treatments are not included in the scope of reimbursement.
In Hefei, is there a major disease assistance program in Xinnonghe?
A person in charge of the New Agricultural Cooperative Office of the Health Bureau of Hefei County introduced: New Agricultural Cooperative does not have a major disease relief program, but if you participate in the New Agricultural Cooperative, major diseases such as heart disease, the insurance rate of the treatment fee will be relatively high. In addition, if you want to apply for assistance for major diseases, you can contact the local civil affairs department. I wish you good work and happy life!
Oral cancer in the new rural cooperative medical insurance?
The second reimbursement of the new rural cooperative insurance, is in the new rural cooperative insurance sales after the compliance medical expenses more than 15,000 yuan in the second reimbursement, this second reimbursement of the starting limit of each place is not the same, you can consult the local new rural cooperative office company, if there is to buy a commercial type of health insurance, you can go directly to the claim!
2016 New Farmer's Cooperative payment of 120 covers the big disease insurance
Including! But the big disease should be to reach a certain deductible amount can! We are here to pay more than 12,000 out-of-pocket
Bazhou New Farmers' Cooperative has a big disease reimbursementNew Farmers' Cooperative reimbursement process:
Reimbursement of the required information:
1, outpatient reimbursement to carry information: outpatient invoices, cooperative medical certificate calendar (or medical records).
2. For hospitalization reimbursement, please bring the following documents: hospitalization invoice, cooperative medical certificate (or medical record), detailed list of expenses, hospital discharge summary, and other relevant certificates.
3. Outpatient reimbursement for special diseases: outpatient invoice, cooperative medical certificate for special diseases.
4, for special diseases to carry information: outpatient treatment of special diseases proposal, cooperative medical certificate book, medical records, relevant laboratory reports, two photos.
Reimbursement process:
1, the insured households will be reimbursement of the information required to be submitted to the village (community) cooperative medical liaison by the village (community) cooperative medical liaison review reported to the town of the cooperative medical liaison in the town liaison to send the district agricultural easy Office of the Settlement Reporting Center for reimbursement. The new rural cooperative medical care reporting guidelines .
2, the hospital directly reported: hospitalization for hospitalization procedures for disease, to the hospital issued a new rural cooperative medical card directly involved in the report.
New Rural Cooperative Medical Insurance 2016 to individual contributions?'
New Rural Cooperative Large Disease Insurance 2016 to individual contributions. It is a voluntary purchase, but it is better to buy. The money is not much, just as spending money to buy a peace.
Who can guarantee that there is not even a cold or flu all year round? The first thing you need to do is to buy a new one, and then you'll be able to get the money back for it.
How many times in a year is there a threshold fee for the New Farmers' Cooperative Large Disease Insurance (NFCCLI)
There is no threshold fee for Medicare reimbursement.
Social health insurance reimbursement is reimbursed after discharge or transfer.
Settlement procedures for hospitalization and outpatient treatment of special diseases:
The fixed-point medical institutions will report the cost statement of patients discharged from hospitals in the previous month, hospitalization statement and relevant information to the medical insurance agency before the 10th day of each month, which will be used as the basis for the monthly advance appropriation and year-end final accounts after examination and approval by the medical insurance agency;
The monthly advance appropriation of hospitalization and outpatient treatment of special diseases in the previous month will be made by the medical insurance agency.
Emergency settlement procedures: the insured person for emergency rescue to the city non-designated medical institutions and foreign medical institutions hospitalization, medical expenses incurred, first by the individual or the unit advance, emergency rescue after the end of the hospital emergency medical records, inspection, laboratory reports, invoices, detailed medical fee lists and so on to the medical insurance agency in accordance with the provisions of the reimbursement procedures.
What is the meaning of the new rural insurance payment
The starting line of the big disease is the number of the big disease reimbursement you personally have to bear at least.
The basic integrated payment is the part of the basic medical insurance reimbursement that is paid by the integrated payment.
The reimbursement amount is the total amount of the basic payment for the major illness reimbursement portion.
The items that can not be reimbursed by the medical insurance are as follows:
(1) service items: registration fee, out-of-hospital consultation fee, medical record cost, etc.; visit fee, examination and treatment of expedited fee, named surgery surcharge, named surgery surcharge, high quality and premium fee, self-invited special nurses and other special medical services.
(2) non-disease treatment programs: a variety of beauty, fitness programs and non-functional plastic surgery, orthopedic surgery, etc.; a variety of weight loss, weight gain, height projects; a variety of health body can be reimbursed; a variety of preventive, health care diagnostic and treatment programs; a variety of medical consultation, medical appraisal.
(3) diagnostic and therapeutic equipment and medical useful materials: the application of positron emission tomography (PET), electron beam CT, ophthalmic excimer laser therapy instrument and other large-scale medical equipment for the examination and treatment program. Eyeglasses, denture, eye prosthesis, prosthetic limbs, hearing aids and other rehabilitative devices. A variety of self-use health care, ***, examination and treatment equipment. Provincial price departments do not charge separately for disposable medical materials.
(4) therapeutic projects: all types of organ or tissue transplantation of organ or tissue source; in addition to kidney, heart valves, cornea, skin, blood vessels, bone, bone marrow transplantation of other organs or tissues outside the transplantation; myopic orthopedics; qigong therapy, music therapy, health care of nutritional therapy, magnetic therapy and other ancillary therapeutic projects.
(5) Other categories: a variety of infertility (pregnancy), sexual dysfunction diagnosis and treatment programs; a variety of scientific research, clinical verification of the diagnosis and treatment programs.