Yunnan Province Xinxin Rural Cooperative Medical Care Reimbursement Ratio:

1. Hospitalization will be reimbursed proportionally according to hospitals of different levels. The minimum payment threshold is 100 yuan at the town level, 300 yuan at the Anning city level, 600 yuan at the Kunming city level, and 800 yuan at the provincial level. The compensation ratio is 70% at the town level, 50% at the Anning city level, and 30% at the Kunming city and provincial level. The maximum cumulative hospitalization compensation limit for participants throughout the year is 15,000 yuan. Participants who hold the "Rural Extremely Poor Household Relief Certificate", "Rural Minimum Living Security Fund Receipt Certificate" and "Rural Five Guarantee Household Support Certificate" issued by the Civil Affairs Bureau can be exempted from the hospitalization deductible when reimbursing.

2. Participating mothers will be compensated for their hospital delivery, and a price-limited charging policy will be implemented (referring to all direct costs incurred during the hospital delivery, including bed fees, nursing fees, examination fees, laboratory fees, and surgery fees) , medicine fees, etc.), the charge for normal single-child hospital delivery at the town level is controlled within 400 yuan, and a one-time compensation of 400 yuan is provided for each case; the medical institutions at the Anning municipal level and above are controlled within 600 yuan, and a one-time compensation of 400 yuan is provided for each case. Participating women who are in critical condition or who live or work out of town will receive a one-time compensation of 400 yuan for each normal single-child delivery in a non-designated medical institution.

3. Anning City’s New Rural Cooperative Medical System designated medical institutions:

(1) Village level: village-level clinic.

(2) Town level: seven town health doctors.

(3) Anning Municipal Level: Anning People’s Hospital, Anning Traditional Chinese Medicine Hospital, Anning Maternal and Child Health Hospital, Yunhua Hospital, Ludai Tong’an Base Hospital, Kungang Hospital, Dian University Hospital (private) Hospital).

(4) Kunming Municipal Level: Kunming First People’s Hospital, Kunming Third People’s Hospital (Kunming Infectious Diseases Hospital), Kunming Children’s Hospital, Kunming Maternal and Child Health Hospital, Kunming Hospital of Traditional Chinese Medicine, Yunnan Provincial Psychiatric Hospital, Kunming Yan'an Hospital.

(5) Provincial level: The First Affiliated Hospital of Kunming Medical College (Yunda Hospital), The Second Affiliated Hospital of Kunming Medical College (Workers Hospital), The Third Affiliated Hospital of Kunming Medical College (Yunnan Cancer Hospital) ), the First People's Hospital of Yunnan Province (Kunhua Hospital), the Second People's Hospital of Yunnan Province (Yunnan Red Cross Hospital), the Third People's Hospital of Yunnan Province, the 43rd Hospital of the People's Liberation Army in Kunming, and the Yunnan Provincial Armed Police Corps Hospital.

4. Medical treatment and compensation procedures for participating personnel: Participants are within the city and are not restricted by administrative divisions. They can freely choose designated medical institutions. However, when they are hospitalized outside the jurisdiction of our city, they must go through designated medical institutions or Reimbursement can only be obtained with the approval of the joint management office of the town and sub-district offices. Critically ill patients or participants who live or work in other places can be referred (see treatment) first, and then go through the transfer procedures. If they are hospitalized in non-designated medical institutions, their compensation standards will be based on the provincial hospital compensation ratio. When participants hold the "Anning City New Rural Cooperative Medical Care Certificate" and go to the new rural cooperative medical institution for treatment, their medical expenses will be reduced or exempted on site in accordance with regulations. The compensation procedures are as follows:

(1) Outpatient clinic: Participants hold the "Medical Care Certificate" "Certificate" will be exempted on-site at various health centers and village clinics (offices).

(2) Medical stay: On-site exemptions will be implemented for participants who hold a "Medical Certificate" to be hospitalized in designated medical institutions at the city or town level (including: trauma injuries require a certificate from the joint management office of the town or sub-district office, which is a supplementary scope) ). If you are transferred to a medical institution outside the jurisdiction of our city for hospitalization, you must return to the town health center where your household registration is located with the hospitalization transfer certificate, hospitalization receipt, diagnosis certificate, discharge certificate, patient ID card (household registration book), medication list and other relevant materials. The Municipal Traditional Chinese Medicine Hospital shall review and reimburse.

5. The time limit for compensation procedures for out-of-city medical treatment is within two months after discharge. In principle, no compensation will be provided after the deadline. However, due to inconvenient transportation for medical treatment in other places, incomplete reimbursement materials and the need to supplement, natural disasters and other special reasons If it is overdue, an extension may be considered at our discretion.

6. Standards and procedures for applying for critical illness assistance:

Participants will incur one-time out-of-pocket expenses due to hospitalization for serious diseases (total hospitalization expenses minus the cooperative medical reimbursement amount and insurance compensation If the amount of assistance and other assistance subsidies) is more than 10,000 yuan (inclusive of 10,000 yuan), 25% of the out-of-pocket expenses will be subsidized for 10,000 to 30,000 yuan (inclusive of 30,000 yuan); 50% of the out-of-pocket expenses will be subsidized for more than 30,000 yuan.

Materials and procedures required to apply for serious illness assistance:

(1) I submit a written application and fill in the application form and submit it to the village (neighborhood) committee;

(2) After receiving the application, the village (neighborhood) committee will promptly investigate and understand whether the applicant has received subsidies. If the situation is true, it will be publicized in the village (resident) group where the applicant lives for 5 days. If there is no objection, the application will be reviewed and stamped. It will then be handed over to the town and street offices for joint management.

(3) After receiving the application form, the joint management office of the town and sub-district office will carefully check whether the applicant has received subsidies. If the application is true, it will be reviewed and stamped and submitted to the municipal joint management office. After receiving the application form, the Municipal Joint Management Office will carefully verify that the applicant has received subsidies. If the situation is true, it will propose subsidy opinions in accordance with the subsidy standards and submit them to the expanded office meeting of the Director of the Municipal Health Bureau for review. After the review is approved, a funding notice will be issued. The subsidy funds will be allocated to the health center where the applicant is located. The health center will do a good job in disbursing subsidies in accordance with the municipal joint management office's subsidy notice.

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