However, I am also from Anyang, Henan Province, and as soon as you say that I know where the problem arises, the reimbursement rate of the New Farmers' Cooperative refers to the reasonable cost, not the total cost. First of all, the starting line, Anyang City Cancer Hospital for the city of third-class hospitals, from June 1, its starting line for 1500 yuan; Secondly, the self-payment drugs, Henan Province, the new rural cooperative policy: according to the needs of the condition, the provincial and municipal medical institutions are allowed to have 15% of the self-payment drugs, but this part of the non-reporting; Thirdly, according to the Henan Province, the new rural cooperative diagnostic directory, the majority of the examination fee at 85% of the reasonable cost of the inclusion of the fourth. Most of the material costs are included in the reasonable costs at 80% (individual 70%), and the other part and the part beyond 20,000 yuan are paid by the self-payment. In this way, if you do the math again, minus these four non-reimbursable items, how much of your medical expenses are left? So there is a gap between the theoretical and actual reimbursement ratios, and this phenomenon is even more pronounced in provincial medical institutions, where the starting line alone is $3,000, and the actual reimbursement may be as high as 40%.
You mentioned the referral certificate, I recall a problem, from May 1, Henan re-standardized the referral system, the hospitalization of patients must be implemented level by level referral, that is, the township level can only be transferred to the county level, the county level can only be transferred to the provincial and municipal level, the county level medical institutions for referral after the county must be promptly approved by the county office of the New Agricultural Cooperative and then hospitalized in the appropriate medical institutions, in addition to the emergency and mental illness do not require Except for emergency and mental illness, which do not require paper referral, the reimbursement rate will be adjusted downward by 10% if other normal referrals are not implemented; hospitalization and then referral must be done within three days, which will also be reduced by 10%. Outside of the province working or living in hospitalization must call in time to register for the record!