Hospitalization compensation reimbursement scope:
A. Medication expenses: auxiliary examinations: electrocardiogram, X-ray, film, laboratory tests, physical therapy, acupuncture, CT, MRI*** The fee limit for various examinations such as vibration is 200 yuan; the operation fee (refer to the national standard, 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: 60% is reimbursed by the town health center; 40% is reimbursed by the second-level hospital; 30% is reimbursed by the third-level hospital.
Critical Illness Compensation
Town Risk Fund Compensation: All inpatients participating in cooperative medical care whose one-time or annual cumulative medical expenses exceed 5,000 yuan will be compensated in stages, that is, 5,001-10,000 The compensation is 65% for RMB 10,001-18,000 Yuan, and the compensation is 70% for RMB 10,001-18,000.
After deducting self-paid items, hospitalization expenses will be reimbursed at 30%, and the portion exceeding 5,000 will be reimbursed at 65%.
The specific reimbursement depends on the local area. If it is a gallstone surgery, CIT is recommended, which has good gallbladder-preserving stone removal and relatively low charges.