Characteristics of the current reimbursement of the new rural cooperative:
One is limited by the new rural cooperative drug catalog and diagnosis and treatment catalog, that is, the use of drugs outside of the catalog is not reported, the cost of materials and examination fees are also partially reported, so that the reasonable cost of the cost of medical expenses is lower than the cost of medical care, and then subtracted from the starting line of the corresponding proportion of reimbursement, the actual reimbursement ratio is lower than the theoretical reimbursement ratio.
The second is that the role of major medical assistance is not quite obvious, most farmers participate in the New Farmers' Cooperative hope to see tangible benefits, so that they are willing to participate in the New Farmers' Cooperative, but in order to ensure that the New Farmers' Cooperative fund is enough to use the reimbursement rate of the law is the township higher than the county, county higher than the municipal, the municipal higher than the provincial, the provincial higher than the provincial, for example, in the township health centers to see a doctor, the starting line 100-200 yuan, reimbursement rate of 85%, the starting line is 100 yuan, the reimbursement rate is 85%.
Thirdly, medical institutions below the county level are subject to the management and restriction of the county's new rural cooperative, such as in accordance with provincial regulations: the use of drugs outside the directory of the township shall not exceed 5%, the county shall not exceed 10%, the county shall not exceed 15% outside the provincial and municipal levels, but the county and municipal level medical institutions rarely comply with the provisions of the provisions of the majority of hospitals are still maximizing the benefits of the premise of the misuse of drugs, the abuse of the examination of the situation is relatively common, and some imported drugs, special drugs, the examination of the case is more common. The situation is that some imported drugs and special drugs are often not included in the reimbursement catalog of the New Farmers' Cooperative, which leads to a situation of too low reimbursement.
Fourth, you mentioned the children under 14 years of age suffering from leukemia for the national implementation of the project, the new rural cooperative reimbursement of 70%, civil reimbursement of 20%, a total of 90%, this is the actual situation, but according to the policy of the major aid away, but also must be done to the procedures of the major aid and hospitalization in the designated medical institutions, or else still according to the major coordinated to give the reimbursement.