Shandong Dezhou Medical Insurance Reimbursement Standard?

How to reimburse the trainees for medical expenses? After participating in the new rural cooperative medical system, with the new rural cooperative medical certificate, farmers in four counties can choose designated medical institutions to see a doctor at will throughout the county. When hospitalization is needed, you can choose designated township hospitals or county-level hospitals for hospitalization in the county. At present, the reimbursement methods of participants in the new rural cooperative medical system are slightly different in different counties. Take Ganyu County as an example: the medical expenses of village clinics are 25%, the medical expenses of town health centers are 30%, and hospitals above the county level are more than 3,000 yuan; The maximum compensation per person per year is 20,000 yuan (reimbursement income). How can rural five-guarantee households and poor families participate in the cooperative medical system? If they are willing to participate in the new rural cooperative medical system but cannot afford it, the civil affairs department can help them to participate in the new rural cooperative medical system through medical assistance. Some poor farmers who still have great difficulties after suffering from serious illness through cooperative medical assistance can also be given appropriate medical assistance. How do farmers in urban areas participate in cooperative medical care Since the beginning of this year, the municipal health department has begun to establish a new rural cooperative medical insurance system in urban areas and rural areas. The regulations on insurance, medical care and reimbursement for rural residents in suburbs are slightly different from those in rural areas in four counties. The new rural cooperative medical system in suburban rural areas is implemented by the whole family, and medical expenses can be reimbursed within the prescribed scope as long as the premium is paid in advance. To participate in the new rural cooperative medical insurance in cities and towns this year, the individual payment standard is 10 yuan, and the government will give subsidies according to the standard not lower than that of 20 yuan; Individual farmers' insurance premiums are collected by local township governments, village committees or neighborhood committees. The scope of medical insurance reimbursement The urban new rural cooperative medical system belongs to inpatient medical insurance. For the treatment expenses, medicine expenses, examination expenses, laboratory expenses, operation expenses and bed expenses incurred by the insured during April this year 1 day to March next year1day, the Municipal New Rural Cooperative Management Committee entrusted the Municipal Life Insurance Company to perform the reimbursement procedures. If the insured person is hospitalized in the urban area due to illness, he can freely choose the designated service institution of urban cooperative medical insurance for diagnosis and treatment. At the same time of hospitalization, you should bring your agricultural insurance and personal identity card (or household registration book) to the agricultural insurance Commissioner of the hospital for registration. When going through the discharge formalities, you should contact the agricultural insurance handling personnel of the hospital, go through the reimbursement procedures for medical expenses and receive compensation. How to seek medical treatment in different places If the insured wishes to seek medical treatment in a medical institution outside the city, the medical department of the third-level hospital of this city (currently the First People's Hospital of this city) will issue a referral certificate. If it is really necessary to transfer to other medical institutions for treatment, the referral formalities shall be handled after the examination by the Municipal Agricultural Insurance Center; If it is a long-term insured person, it should inform the relevant departments in time so as to indicate the situation on the agricultural insurance. For those who go out for a long time, if they need hospitalization, they can be treated in the designated medical institutions of basic medical insurance recognized by the basic medical insurance department of urban workers in different places, and there is no need to go back to this city for referral procedures. Of course, if the insured encounters an emergency, he can also seek medical treatment flexibly, but he still needs to abide by relevant regulations. If the insured person is hospitalized for emergency reasons, he can be treated in the nearest medical institution. After discharge, with the relevant certificates of the insured, agricultural insurance, emergency hospitalization certificate, original invoice of hospitalization medical expenses, detailed list of medical expenses, medical records and discharge records, they will be reimbursed to the agricultural insurance center.