I. Financing standards.
I enrollment in the household as a unit to fulfill the obligation to pay fees, in 2009 each person to pay 20 yuan.
Two central financial subsidies to each participating farmer 40 yuan, local financial subsidies to each participating farmer 40 yuan.
II. Compensation regulations
Specified medical institution level Starting line (yuan) Compensation ratio (yuan)
Township-level designated medical institutions 150 70
County-level designated medical institutions 400 60
Municipal designated medical institutions 1200 50
Provincial designated medical institutions 2000 40
Other non-profit 2500 40
The ceiling line is 35,000 yuan per person per year, regardless of the level of medical institutions, and is calculated cumulatively for the whole year (including inpatient compensation, large outpatient compensation for special major chronic diseases, normal childbirth subsidies for inpatient deliveries, and hospitalization secondary compensation).
Calculation formula: (total cost of medicine - the starting line - the cost of drugs and diagnostic and treatment items outside the directory) × compensation ratio = compensation amount
A compensation program
Outpatient compensation: village and township-level fixed-point health care institutions: with the diagnosis of the report, the compensation of 10 yuan per person per year, the general use of the family within the family, and the balance of the transfer of the next year. The balance will be transferred to the next year.
Hospitalization compensation: Luchuan city hospitalization, the implementation of the discharge report. Extraterritorial hospitalization must go to the domain of the township health center above the designated medical institutions level by level referral, before admission to the management center for approval, critical, acute and serious cases within three days to make up for the approval procedures, within 10 days after discharge with a medical card, household registration, ID card, hospitalization receipts, cost lists, diagnostic certificates and discharge summaries, copies of medical records to the management center for review and according to the specified time and place to receive the compensation. In case of violation of the procedure of extra-territorial medical treatment, the management center will not review and compensate for the hospitalization expenses incurred.
The medical expenses incurred by the participating farmers who work abroad and go to the local New Agricultural Cooperative designated medical institutions for business are compensated in accordance with the regulations when they come back. Participating farmers who participate in commercial insurance, first to the commercial insurance company for payment procedures, and then bring a copy (stamped with the official seal of the commercial insurance company) and the insurance company's original policy, compensation.
Third, in 2009, a fixed amount of compensation of 150 yuan per person was paid to pregnant women who gave birth in hospitals at designated medical institutions (with birth certificates).
Four, which items are not part of the new rural cooperative medical compensation.
1, to Luchuan City, outside the medical institutions without review and approval, outside the medical disease is not critical illnesses;
2, due to alcoholism, fighting, self-inflicted injuries, traffic accidents, medical malpractice, industrial accidents, other injuries and other accidental injuries occurring in the cost of medicines;
3, self-purchase of drugs, non-diagnostic medicines, health care medicines, nutrition, fitness and so on. Pharmaceutical expenses incurred;
4. Pharmaceutical and treatment items that are not compensated under the "Hebei Province New Rural Cooperative Medical Care Basic Drug Catalogue", "Hebei Province Rural Doctors' Basic Drug Catalogue", and "Hebei Province New Rural Cooperative Medical Care Compensation Provisions for Diagnostic and Treatment Items (for Trial Implementation)".
V. Chronic Disease Reimbursement Regulations
1. 15 types of chronic diseases were reimbursed in 2009.
Chronic disease large outpatient cost reimbursement for the following types of diseases: heart disease combined with chronic cardiac failure, hypertension Ⅲ and high-risk and above, cerebrovascular disease sequelae (with serious neurological, mental and physical dysfunction), chronic moderate and severe viral hepatitis (liver failure), cirrhosis (liver failure), uremia renal dialysis; and diabetes mellitus (combined with serious complications), Radiotherapy for malignant tumors, leukemia, hemophilia, aplastic anemia, rheumatoid arthritis (with severe limb dysfunction), organ transplantation using anti-rejection immunomodulators, mental illness (life can not be taken care of), systemic lupus erythematosus and other 15 diseases.
2. Compensation regulations: the starting line is 100 yuan, the compensation ratio is 60%, and the ceiling line is 1500 yuan.
3, chronic disease identification: patients with cooperative medical card, household registration, ID card and medical records to the township health center where the household declaration. And reported to the municipal chronic disease appraisal committee for review, issued chronic disease card can be reimbursed for medical treatment.
Note: When reimbursement is made to the participating farmers, it is necessary to check the receipts of the individual contributions.
Sixth, 2009 large medical insurance compensation
Participating farmers in the year of participation in the hospitalization of the total cost of 40,000 yuan or more part of the proportion of 15% compensation, the ceiling is 50,000 yuan.
Seven, Luchuan city fixed-point medical institutions list
a Luchuan city outside the fixed-point medical institutions:
a, provincial fixed-point hospital
Provincial People's Hospital Provincial Hospital (Provincial Medical University Hospital)
Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Provincial Hospital Designated medical institutions
Shijiazhuang People's Hospital Shijiazhuang Second Hospital Shijiazhuang Third Hospital
Shijiazhuang Fourth Hospital Shijiazhuang Fifth Hospital Shijiazhuang Hospital of Traditional Chinese Medicine
Shijiazhuang Eighth Hospital Shijiazhuang Central Hospital Hebei Yiling Hospital
Two Luchuan City, the designated medical institutions:
a, Luquan city-level
Luquan City People's Hospital Luquan City Second Hospital Luquan City Hospital of Traditional Chinese Medicine
Luquan City Red Cross Jilian Hospital
b, township (township) level
Tongye Center Health Center Licun Center Health Center Daxie Center Health Center
Yongbi Center Health Center Yueru Town Health Center Shijiazhuang Township Health Center
Huangbizhuang Township Health Center Shanyincun Township Health Center Shangzhuang Town Health Center Health Center Shangzhuang Township Health Center
Shijing Township Health Center Bailuquan Township Health Center Yi'an Township Health Center
Shangzhai Township Health Center Development Zone Health Center Yehe Hospital
Luquan Municipal Family Planning Hospital
Three other (non-designated non-profit medical institutions) in accordance with the provisions of the compensation policy.
Luquan New Rural Cooperative Medical Care Management Center
Contact number: 82014995