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Outpatient reimbursement
(1) Village clinics and village central clinics are reimbursed 60 yuan, with a limit of 10 yuan for prescription drugs per visit. The temporary rehydration prescription fee for doctors at the health center is limited to 50 yuan.
(2) The town health center reimburses RMB 40 for a visit, the examination fee and surgical fee limit for each visit is RMB 50, and the prescription drug fee is limited to RMB 100.
(3) A visit to a secondary hospital will be reimbursed at RMB 30, with a limit of RMB 50 for examination fees and surgical fees for each visit, and a limit of RMB 200 for prescription drugs.
(4) A visit to a tertiary hospital will be reimbursed at RMB 20, with a limit of RMB 50 for examination fees and surgical fees for each visit, and a limit of RMB 200 for prescription drugs.
(5) There is a limit of 1 yuan per prescription attached to the traditional Chinese medicine invoice.
(6) The annual compensation limit for town-level cooperative medical outpatient clinics is 5,000 yuan.
Hospitalization reimbursement
(1) Scope of reimbursement:
a. Medication expenses: auxiliary examinations: electrocardiogram, X-ray fluoroscopy, film, laboratory tests, The fee limit for physical therapy, acupuncture, CT, MRI and other examinations is 200 yuan; the operation fee (referring to national standards, if it exceeds 1,000 yuan, it will be reimbursed at 1,000 yuan).
b. For elderly people over 60 years old who are hospitalized in Xingta Town Health Center, treatment and nursing fees will be compensated 10 yuan per day, with a limit of 200 yuan.
(2) Reimbursement ratio: The town health center will reimburse 60; the second-level hospital will reimburse 40; the third-level hospital will reimburse 30.
Critical illness reimbursement and compensation
(1) Town risk fund compensation: Any inpatient who participates in cooperative medical care will be compensated in installments if the one-time or annual cumulative medical expenses reimbursed exceed 5,000 yuan. That is, the compensation for 5,001-10,000 yuan is 65, and the compensation for 10,001-18,000 yuan is 70.
The annual compensation limit for town-level cooperative medical inpatient and uremia outpatient hemodialysis, and cancer outpatient radiotherapy and chemotherapy is 11,000 yuan.