The reimbursement ratio for rural medical critical illness assistance is 50 to 90. The reimbursement ratio will vary according to different hospital levels. The materials required for rural medical critical illness relief mainly include basic personal information materials, application forms, various income certificates, medical diagnostic materials and fee receipts, etc. The reimbursement ratio for rural medical critical illness assistance is 50 to 90, and the reimbursement ratio will vary according to different hospital levels. The materials required for rural medical critical illness relief mainly include basic personal information materials, application forms, various income certificates, medical diagnostic materials and fee receipts, etc.
1. What is the reimbursement ratio for rural medical critical illness assistance? The reimbursement ratio for rural medical critical illness assistance is about 50 to 90%. In addition to medical expenses exceeding the maximum payment limit of the basic medical pooling fund, the reimbursement ratio will be different according to different ranges of medical expenses. General medical expenses below 0-40,000 yuan can be reimbursed85; medical expenses between 40,000-80,000 yuan can be reimbursed90; medical expenses above 80,000 yuan can be reimbursed95, and within each medical year, The maximum payment limit is 150,000 yuan. The reimbursement ratios in different medical institutions are as follows: There is no minimum payment standard for those whose hospitalization expenses are less than 400 yuan in first-level medical institutions; the subsidy ratio in second-level medical institutions will increase to 75-80; The subsidy ratio for hospitalization expenses in tertiary hospitals can be increased to 55-60%; the subsidy ratio for hospitalization expenses in provincial tertiary medical institutions will be increased to 55%.
2. Materials required for rural medical critical illness assistance Materials required for rural medical critical illness assistance are as follows: 1. Personal application; 2. Proof of family income; 3. Medical diagnosis, copies of medical history; 4 .Medical reimbursement voucher and medical expense receipt; 5. Copy of applicant’s ID card and family register; 6. Copy of rural commercial bank passbook.
3. How to reimburse rural cooperative medical care. The materials and procedures required for rural cooperative medical reimbursement are as follows: 1. Materials required for rural cooperative medical reimbursement: (1) Documents required for outpatient reimbursement: outpatient invoice, cooperative medical certificate This (or medical record). (2) Documents to be carried for hospitalization reimbursement: hospitalization invoice, cooperative medical certificate record (or medical record), detailed list of expenses, discharge summary, and other relevant certificates. (3) Documents to be carried for outpatient special disease reimbursement: outpatient invoice, special disease cooperative medical certificate calendar. (4) Bring documents for special diseases: outpatient treatment proposal for special diseases, cooperative medical certificate, medical records, relevant laboratory reports, and two photos. 2. Rural Cooperative Medical Care Reimbursement Process: (1) The insured household will submit all the required information for reimbursement to the village (community); (2) The cooperative medical liaison officer will review the village (community) cooperative medical care liaison officer and then submit it to the town cooperative medical system. The town liaison officer will send the reimbursement to the district Nongyi Office Complaint Center for reimbursement.