Caidian's health insurance card in the district designated medical institutions in the free choice of hospitalization or by the referral approval process to the out-of-area referral designated medical institutions for hospitalization, hospitalization can be held on the New Agricultural Cooperative card and ID card and other valid proof of identity (five guaranteed households, low-income households, special hardship groups of people also need to provide relevant and valid proof) in the health care institutions in accordance with the provisions of the compensation standard direct reductions.
Financial departments and new rural cooperative agencies in accordance with the prescribed audit procedures for the fixed-point medical institutions to advance funds regularly audited, the funds confirmed by the audit by the financial sector designated by the agency banking institutions to be transferred.
The categories of reimbursement fees include seven categories, including drug fees, hospitalization and consultation fees, auxiliary examination fees, surgical fees, fees for implantation of large materials in the body, clinical blood fees, and other categories.
Expanded:
Excluded from the scope of the NNHB reimbursement
(1) Medical services category: out-of-hospital consultations consultation fee, medical record cost, printing fee, copying fee; visit fee, examination and treatment of expedited fee, named surgery surcharge, self-requested special care and other special medical service costs; no original computerized tax invoice; urban, residential and national policy subsidies have been reimbursed.
(2) Non-disease treatment items: all kinds of beauty, fitness and non-functional cosmetic and orthopedic surgery and other items (such as dentures, prescription glasses, cosmetic surgery, hair loss, weight loss, height enhancement, sex reassignment, etc.) costs incurred in the examination and treatment; all kinds of preventive and health care treatment items; family planning related surgical items, such as scraping, induced abortion, epithelialization, sterilization, etc. costs incurred in hospitals; all kinds of medical consultation, medical appraisal. The medical consultation, medical appraisal, and other expenses incurred in the hospitalization.
(3) diagnostic and treatment equipment and medical materials: a variety of self-use health care, massage, examination and treatment equipment; glasses, dentures, eye prostheses, prosthetic limbs, hearing aids and other rehabilitative appliances; provincial pricing department regulations can be charged separately for disposable medical materials and disinfection of noninfectious patients.
(4) treatment project category: all kinds of organ or tissue transplantation of organ source or tissue source; in addition to kidney, heart valve, cornea, skin, blood vessels, bone, bone marrow transplantation; infertility, sexual dysfunction, all kinds of sexually transmitted diseases and other costs incurred in the treatment of infertility, sexual dysfunction, all kinds of sexually transmitted diseases, etc.; myopic orthopaedics; transgender surgery and other diagnostic and therapeutic items; application of positron emission tomography ( PET), ophthalmic excimer laser therapy, human information diagnostic equipment and other inspection and treatment costs;
Qigong therapy, music therapy, nutritional therapy, magnetic therapy and other complementary therapeutic programs; fights, assaults, alcoholism, crime, drug, self-inflicted injuries, suicides, and other hospitalization costs; identified as a medical malpractice or medical disputes have arisen in the dispute has yet to be identified; unrelated to the disease. Examination fees, treatment fees and prescription drug costs that are not consistent with the diagnosis; blood transfusion and various plasma, biological products (except for blood system diseases such as hemophilia, aplastic anemia, etc.); disease projects supported by special funds.
(5) Living service items and service facilities: transportation fee for medical consultation, emergency vehicle fee; air-conditioning fee, TV fee, telephone fee, water and electricity fee, food insulation and preservation fee, meal fee; accompanying fee, escort fee, washing fee, decoction fee; recreational activities and other special living service costs.
Wuhan Central Hospital-Wuhan New Rural Cooperative Medical Policy