Second, the insured patients to the county designated medical institutions hospitalization, with their identity cards and new rural cooperative medical card, directly to the receiving institution for admission procedures, attention must be paid to ensure that the cooperative medical card, medical records, cost lists and hospitalization invoices on the consistency of the patient's information. When discharged from the hospital, the medical institution will provide the patient with a certificate of illness, a one-day list of expenses and an invoice for the total expenses after settling the patient's expenses as they are, and the patient will go to the cooperative medical compensation window of the hospital with his/her cooperative medical card and the information provided by the hospital, and will be compensated on the spot after the staff of the window has examined and approved the case. Specific reimbursement ratio: 70% of the medical expenses of patients hospitalized in township designated medical institutions, no starting line; 55% of the medical expenses of patients hospitalized in county-level designated medical institutions, starting line of 100 yuan.
Third, insured patients hospitalized in designated medical institutions at or above the county level can be in the township cooperative medical management office or county cooperative medical management office for referral procedures, but the patient needs to provide relevant diagnostic certificates. When discharged from the hospital, the hospital needs to provide the patient with a certificate of illness, a list of costs, total cost invoices and other information. After the patient is discharged from the hospital, he or she can go to the township cooperative medical care office within 30 days with the information provided by the hospital, hukou and the new rural cooperative medical care card to go through the compensation procedures. The proportion of compensation for medical expenses of hospitalized patients is 40%, and the starting line is 300 yuan.
Four, need to go to out-of-province and non-designated medical institutions, the insured patients must go to the county co-management office for the relevant referral procedures, and must provide relevant diagnostic certificates. When you are discharged from the hospital, you must also ask for a certificate of illness, a list of expenses, a total cost invoice, and within 30 days after discharge, return to the patient's township with a household registration, cooperative medical card and the above information for compensation procedures. The reimbursement ratio is 40% and the starting line is 300 yuan.
Fifth, go out to work in the working local non-designated medical institutions hospitalized and not in accordance with the requirements of the referral of insured patients, categorized as a case of treatment, the compensation ratio of 30%, set a starting line of 300 yuan, the required information with the previous three, within 60 days after discharge to the patient's township for compensation procedures.
Sixth, hospitalization ceiling line of 30,000 yuan per person per year.
Since the new rural medical care may be adjusted at any time, the county new rural cooperative medical care management office of the explanation shall prevail