1. Outpatient service: charge directly to the health center, and the patient or his family members sign the prescription, but pay after exceeding the amount in family account.
2. Hospitalization: being hospitalized in one's hometown, reporting directly when discharged from township hospitals, with the deductible line 150 yuan, and reporting 75% after exceeding the deductible line. The patient or family members sign the prescription, and the hospital registers it in the diagnosis.
New rural cooperative medical system;
1, refers to the economic system of farmers' medical mutual aid, which is organized, guided and supported by the government, with farmers participating voluntarily, and individuals, collectives and governments raising funds in various ways, focusing on co-ordination of serious diseases.
2, it takes the form of individual contributions, collective support and government funding to raise funds.
3. China has clearly stated that governments at all levels should actively guide farmers to establish a new rural cooperative medical system based on overall planning of serious illness.
4. In 2009, China made an important strategic plan to deepen the reform of the medical and health system, and established the status of the new rural cooperative medical system as the rural basic medical security system.
To sum up, the reimbursement ratio of rural cooperative medical care is also stipulated, and the reimbursement ratio of outpatient and inpatient is different, as follows: rural outpatient reimbursement: village hospitals can be reimbursed 60%, town hospitals can be reimbursed 40%, secondary hospitals can be reimbursed 30%, and tertiary hospitals can be reimbursed 20%. Reimbursement for hospitalization in rural areas: township hospitals can reimburse 60%. 40% of secondary hospitals and 30% of tertiary hospitals. Serious illness reimbursement: 65% of expenses within 5000 yuan to 1 10,000 yuan can be reimbursed; 70% of expenses from 10000 yuan to 18000 yuan can be reimbursed. However, the level of hospitals is different, so the proportion of reimbursement is different, which should be based on the regulations of hospitals.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 23
Employees should participate in the basic medical insurance for employees, and employers and employees should pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.