Proportion of reimbursement for new rural cooperative medical care in Hebei Province in 2023

Legal subjectivity:

The reimbursement rate standard of the new rural cooperative medical system may be different in different regions, and the approximate reimbursement rate standard is as follows: 1. The reimbursement rate standard for outpatient medical treatment (1) is 60% in village clinics, and the limit of medicine fee for each visit is 10 yuan, and the limit of prescription fee for temporary rehydration for doctors in health centers is 50 yuan. (2) The reimbursement rate for medical treatment in town health centers is 40%, and the medical examination fee and operation fee for each visit are limited to 50 yuan, and the prescription fee is limited to 100 yuan. (3) The reimbursement rate for medical treatment in secondary hospitals is 30%, and the limit of each examination fee and operation fee is 50 yuan, and the limit of prescription drug fee is 200 yuan. (4) The reimbursement rate for medical treatment in tertiary hospitals is 20%, and the limit of each examination fee and operation fee is 50 yuan, and the limit of prescription drug fee is 200 yuan. 2. Proportional standard of hospitalization reimbursement (1) The scope of hospitalization reimbursement includes the reimbursement limit of ECG, X-ray fluoroscopy, radiography, laboratory test, physiotherapy, acupuncture, CT and nuclear magnetic resonance. 200 yuan; Second, the operation fee (refer to the standard, if it exceeds 1000 yuan, it will be reimbursed at 1000 yuan). Third, the elderly over 60 years old are hospitalized in the town health center. Compensation for daily treatment and nursing expenses 10 yuan, and the reimbursement limit is 200 yuan. (2) The reimbursement rate for hospitalization in town hospitals is 60%; The reimbursement rate for hospitalization in secondary hospitals is 40%; The reimbursement rate for hospitalization in tertiary hospitals is 30%. 3. Proportional standard for reimbursement of serious illness (1) For inpatients participating in rural cooperative medical insurance, if the medical expenses exceed 5,000 yuan at one time or for the whole year, they shall be compensated by stages. If the hospitalization expense is 500 1- 10000 yuan, it will be compensated by 65%, and the hospitalization expense is100/-65438. (2) The one-year compensation limit of town-level cooperative medical system hospitalization, uremia outpatient hemodialysis and tumor outpatient radiotherapy and chemotherapy is1.65,438+00,000 yuan, which means that the highest reimbursement amount of the new rural cooperative medical system is1.65,438+00,000 yuan, and higher expenses can only be borne by itself. The above reimbursement rate standards are for reference only, and the specific details are subject to local standards. These four situations of the new rural cooperative medical system will not be reimbursed! 1. Those who have not seen a doctor in a designated medical institution of the new rural cooperative medical system will not be reimbursed! Nowadays, there are more and more medical institutions, and the selectivity of seeing a doctor is also increasing. Farmer friends only choose to go to the designated medical institutions of the new rural cooperative medical system. Those who do not belong to the designated medical institutions of the new rural cooperative medical system cannot be reimbursed! 2. Transfer to hospital for treatment without approval will not be reimbursed! Farmers' friends in designated hospitals may need to go to hospitals with better medical conditions for treatment, but they must go to the hospital for transfer procedures first, because only after the approval of the current hospital can they meet the reimbursement requirements of the new rural cooperative medical system, otherwise they will not be reimbursed! 3. Reimbursement beyond the time limit requirements will not be reimbursed! Farmers may think that they can be reimbursed at any time as long as they see a doctor in a hospital. Because of the busy farming, they didn't reimburse the medical expenses at the first time. When they think about it, they find that the reimbursement period has expired, which will lead to the inability to reimburse. 4. Special medical expenses will not be reimbursed. Special medical expenses refer to flying eagles such as orthopedics, plastic surgery, dental implants, artificial limbs, organ transplantation and consultation fees. , can not be reimbursed by the new rural cooperative medical system.