The new rural cooperative medical care, referred to as the "new rural cooperative", refers to the government organization, guidance, support, voluntary participation of farmers, individual, collective and government financing, with the main focus on the coordination of the major illnesses of the farmers' medical care mutual **** relief system. In order to reduce the burden on farmers, in 2013 Datong City issued the "New Rural Cooperative Medical Care Coordination and Compensation Program", which mainly adjusts the financial subsidy standard and reimbursement ratio of the New Rural Cooperative Medical Care in Datong City.
The program states that from 2013, the financial subsidy standard for the new rural cooperative medical care in Datong City was raised from 240 yuan to 280 yuan per person per year. Enjoy the western financial subsidy policy of Datong County, Yanggao County, Tianzhen County, Hunyuan County, Lingqiu County, Guangling County and other six counties, the central financial burden of 188 yuan, the provincial financial burden of 46 yuan, the municipal financial burden of 23 yuan, the county-level financial burden of 23 yuan; the southern suburbs of the district, Xinrong District, Zuoyun County and other three counties and districts, the central financial burden of 156 yuan, the provincial financial burden of 62 yuan, the municipal financial burden of 31 yuan, county-level financial burden of 31 yuan. The financial burden of 31 yuan.
Outpatient coordination compensation ratio of not less than 60%, the ceiling line from last year's 200 yuan to 300 yuan, and continue to the city and county hospital outpatient herbal medicine fees into the outpatient coordination, did not set up a Chinese medicine hospital, but the county people's hospitals to open Chinese medicine characteristics of the department, can be included in the outpatient coordination of the cost of outpatient herbal medicine.
The reimbursement rate for hospitalization expenses has reached 75%, and since 2013, the maximum payment limit for hospitalization has been raised to 150,000 yuan in all coordinated counties and districts. The hospitalization expenses of newborns who miss the payment period will be reimbursed in the same year as the enrolled father or mother, and will be combined with the father or mother at one ceiling line.
Each hospitalization is required to deduct the starting line, due to the condition of the need to transfer to a hospital for treatment, only the starting line of the highest level of medical institutions; children under 14 years of age and the elderly over 65 years of age, compared to the same level of medical institutions, deducted by half the starting line; oncology patients with the same disease within the year when hospitalized several times, only once the starting line is deducted.
The hospitalized normal delivery flat-rate subsidy is 500 yuan, and it is included in the scope of single disease limit payment.
In 2013, all coordinated counties and districts should include newborn disease screening and hearing screening in the scope of the New Farmers' Cooperative Reimbursement. In the case of hospitalized normal delivery, after the fixed subsidy, the cost of screening will be included in the mother's hospital expenses according to the hospitalization compensation standard; in the case of caesarean section, the cost of screening will be included in the mother's hospital expenses and will be implemented according to the hospitalization compensation standard.
Entering 2015, the new rural cooperative per capita financing standards from 390 yuan to not less than 470 yuan, financial subsidies at all levels from 320 yuan per person per year to 380 yuan, individual contributions from 70 yuan per person per year to not less than 90 yuan. Among them, enjoy the western subsidy policy of Datong, Yanggao, Tianzhen, Hunyuan, Lingqiu, Guangling 6 counties, the central financial burden of 268 yuan, the provincial financial burden of 56 yuan, the municipal financial burden of 28 yuan, the county financial burden of 28 yuan; southern suburbs, Xinrong, Zuoyun 3 counties and districts of the central financial burden of 216 yuan, the provincial financial burden of 82 yuan, the municipal financial burden of 41 yuan, the county financial burden of 41 yuan.