Medicare can reimburse for gas poisoning.
Reimbursement rate: the starting standard for the first hospitalization in a natural year is 1,300 yuan, and 650 yuan for each subsequent hospitalization. The payment rate is divided into three grades, taking tertiary hospitals as an example.
Starting standard: 30,000 yuan, 85% in-service, 91% retired, 30,000-40,000 90% in-service, 94% retired, more than 40,000, 95% in-service, 97% retired. General hospitalization is 90 days for a billing cycle.
Psychiatric hospitalization of 360 days as a settlement cycle, the starting and ending standards are halved. The integrated fund pays up to 70,000 yuan in a natural year. The maximum payment for hospitalized large amount is 100,000 yuan, and the payment ratio for hospitalized large amount is always 70%.
The new rural cooperative medical care, referred to as "new rural cooperative", refers to the government organization, guidance, support, voluntary participation of farmers, individuals, collectives and the government of multiple financing, to the main medical co-ordination of farmers' medical mutual **** relief system.
In accordance with the provisions of the new rural cooperative policy, belonging to the participating farmers personal accidental injury gas poisoning hospitalization costs can be compensated by the new rural cooperative reimbursement, if there is a third-party responsible party will not be compensated for reimbursement.
Expanded Information:
National Basic Medical Insurance Diagnostic and Treatment Programs Scope:
A National Basic Medical Insurance Diagnostic and Treatment Programs Scope
The National Basic Medical Insurance does not cover the cost of diagnostic and treatment programs. /p>
(A) service items category
1, registration fees, out-of-hospital consultation fees, medical records cost.
2. Special medical services such as visit fee, expedited fee for examination and treatment, surcharge for named surgery, quality premium fee, and self-invited special nurse.
(2) Non-disease treatment program category
1, a variety of cosmetic and body-building programs, as well as non-functional cosmetic and orthopedic surgery.
2, a variety of weight loss, fat gain, height increase program.
3, all kinds of health checkups.
4, a variety of prevention, health care treatment programs.
5, all kinds of medical consultation, medical appraisal.
(C) diagnostic and therapeutic equipment and medical materials
1, the application of positron emission tomography (PET), electron-beam CT, ophthalmic excimer laser treatment device and other large-scale medical equipment for the examination and treatment program.
2, eyeglasses, dental prostheses, eye prostheses, prosthetic limbs, hearing aids and other rehabilitative appliances.
3, a variety of self-use health care, massage, examination and treatment equipment.
4, the provincial price departments stipulate that the disposable medical materials can not be charged separately.
(D) therapeutic items category
1, all kinds of organ or tissue transplantation of organ source or tissue source.
2. Transplantation of organs or tissues other than kidney, heart valve, cornea, skin, blood vessel, bone and bone marrow transplantation.
3. Orthopedic surgery for myopia.
4, qigong therapy, music therapy, health care nutritional therapy, magnetic therapy and other complementary treatment programs.
(E) other
1, a variety of infertility (pregnancy), sexual dysfunction treatment program.
2, a variety of scientific research, clinical verification of the treatment program.
Two, the national basic medical insurance to pay part of the cost of the scope of treatment
(a) diagnostic and treatment equipment and medical materials
1, vibration imaging device (MRI), single-photon emission computer scanning device (SPECT), color Doppler, medical linear gas pedal, and other large-scale medical equipment for the examination, treatment projects.
2. Extracorporeal shock wave lithotripsy and hyperbaric oxygen therapy.
3, pacemakers, artificial joints, artificial crystals, vascular stents, and other body replacement of artificial organs, body placement materials.
4. Disposable medical materials that can be charged separately as stipulated by the price department of each province.
(B) treatment program category
1, hemodialysis, peritoneal dialysis.
2, kidney, heart valve, cornea, skin, blood vessels, bone, bone marrow transplantation.
3, heart laser perforation, anti-tumor cellular immunotherapy and fast neutron therapy programs.
(3) The inspection and treatment items of expensive medical instruments and equipment and medical materials as stipulated by the labor security departments of each province.
Baidu Encyclopedia - National Basic Medical Insurance