According to the national requirements, in 20021year, the per capita financial subsidy standard of basic medical insurance for urban and rural residents will reach not less than that of 580 yuan per person per year, and the individual payment standard will reach 320 yuan per person per year. Further strengthen the connection of the triple security system of basic medical insurance, serious illness insurance and medical assistance, and give full play to the comprehensive security function.
Measures for the implementation of the new rural cooperative medical system in Hanchuan Article 1 These measures are formulated to further improve the new rural cooperative medical system in our city, establish and improve the rural social security system, strive to improve the health level of rural residents, accelerate the pace of building a new countryside in our city, promote the economic development of our city and build a harmonious society.
Medical expenses for work-related injuries shall be paid by the work-related injury insurance fund if they participate in work-related injury insurance; If there is no insurance, it shall be paid by the employer. Medical expenses for work-related injuries shall not be paid by the medical insurance fund.
medical insurance
Outpatient treatment: 80% of the expenses of general outpatient service at the grass-roots level in village clinics and township health centers (community health service centers) are reimbursed, with the highest annual reimbursement of 100 yuan/person.
City (county) level 2 and above designated hospitals large general outpatient expenses (excluding special disease outpatient service), one-time reached 300 yuan and accumulated more than 600 yuan, more than 40% reimbursement, annual reimbursement limit 1.500 yuan/person.
56 kinds of special diseases in outpatient department. After the application is confirmed, according to the proportion of hospitalization reimbursement in designated hospitals, you can enjoy the reimbursement treatment below the limit. Need to carry recent relevant medical records and physical examination reports, apply to the medical insurance agency of the insured place, and issue the outpatient special disease treatment card if it meets the requirements after expert appraisal, and enjoy the outpatient treatment of special diseases with the card.
Medical system reimbursement
1, reimbursement for outpatient service of new rural cooperative medical system: the reimbursement rate for rural clinics and health centers is 60%; The reimbursement rate of town health centers is 40%; The reimbursement rate of secondary hospitals is 30%; The reimbursement rate of tertiary hospitals is 20%; The reimbursement of township-level cooperative medical clinics does not exceed 5,000 yuan per year.
2. Reimbursement for serious illness of the new rural cooperative medical system: the proportion of township and village subsidies for outpatient co-ordination is 65% and 75% respectively; There is no deductible for hospitalization expenses of first-class medical institutions; The subsidy ratio of secondary medical institutions will be increased to 75%-80%; The subsidy ratio of tertiary medical institutions will be increased to 55%-60%; The proportion of subsidies for provincial tertiary medical institutions has increased to 55%.
3. Reimbursement for hospitalization of the new rural cooperative medical system: the reimbursement rate of town hospitals is 60%; The reimbursement rate of secondary hospitals is 40%; The reimbursement rate of tertiary hospitals is 30%. Medical care, the full name of the new rural cooperative medical insurance, is a welfare medical system based on the voluntary mutual assistance of the masses and relying on the collective economy to prevent and treat diseases.
The cooperative medical system is a medical security system created by farmers themselves in China, which has played an important role in ensuring farmers' access to basic health services, alleviating poverty caused by illness and returning to poverty due to illness.