For some friends with rural hukou, they will voluntarily participate in the new rural cooperative medical system, and they can enjoy corresponding benefits when they get sick in the future.
1. The reimbursement standard for hospitalization of the new rural cooperative medical system in 2020 is 1, and the reimbursement scope for hospitalization of the new rural cooperative medical system in 2020 includes the following contents: (1) Drug expenses: auxiliary examination: examination expenses such as electrocardiogram, X-ray fluoroscopy, radiography, laboratory tests, physiotherapy, acupuncture, CT, nuclear magnetic resonance, etc. 200 yuan; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan).
(2) The elderly over 60 years old are hospitalized in Xingta Town Health Center, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.
2. In 2020, the hospitalization reimbursement standard of the new rural cooperative medical system is as follows: (1) township hospitals will reimburse 60%;
(2) 40% reimbursement for secondary hospitals;
(3) 30% reimbursement for tertiary hospitals.
3. Overall, the hospitalization reimbursement of the new rural cooperative medical system is still relatively strong, and the coverage of serious illness insurance should be connected with urban residents' medical insurance and the new rural cooperative medical system. The medical insurance for urban residents and the new rural cooperative medical system should provide basic medical security according to the policy.
4, the new rural cooperative medical insurance deductible compliance medical expenses above 50 thousand yuan (including 50 thousand yuan), the payment ratio is 50%; 50,000 yuan to 6,543,800 yuan (including 6,543,800 yuan), and the payment ratio is 55%; 654.38+100000 yuan, 60%. The proportion of payment is determined according to the level of medical expenses. In principle, the higher the medical expenses, the higher the proportion of payment, and try to reduce the burden of personal medical expenses.
Second, how much can be reimbursed for hospitalization 10000?
1. A friend spent 1 10,000 in hospital. How much can they reimburse? Different identities and hospitals have different reimbursement rates.
(1) Students and children: In a settlement year, medical expenses below180,000 yuan that meet the scope of reimbursement occur, and the threshold for tertiary hospitals is 650 yuan, with the reimbursement ratio of 50% and the upper limit of 2,000 yuan; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%. (2) At least 70 years of age: in a settlement year, medical expenses below 6,543,800 yuan that meet the scope of reimbursement occur, and the threshold for tertiary hospitals is 650 yuan, with the reimbursement ratio of 50% and the upper limit of 2,000 yuan; The qifubiaozhun for secondary hospitals is 300 yuan, and the reimbursement rate is 60%; There is no Qifubiaozhun in first-class hospitals, and the reimbursement rate is 65%. 2. For those who participate in the new rural cooperative medical system, the part of the annual one-time or accumulated medical expenses of inpatients that exceeds 5,000 yuan will be compensated by stages, that is, 500 1- 10000 yuan is 65%, and10001-8000 yuan is 70%. The annual compensation limit of town-level cooperative medical system hospitalization, uremia outpatient hemodialysis and tumor outpatient radiotherapy and chemotherapy is 1. 1 ten thousand yuan.
Third, the reimbursement process after discharge at one's own expense
1. For some friends who are hospitalized with sudden illness, the first thing to consider after discharge is hospitalization reimbursement. Because at the beginning, I paid for it myself and spent a lot of money. So what is the reimbursement process after self-funded discharge?
2. Reimbursement after discharge at one's own expense belongs to the category of paying medical expenses first, then taking bills and then reimbursing. This situation is time-limited and should be dealt with as soon as possible. When I pay in the hospital, I should tell the hospital that I have a medical insurance card first. 3. At present, the reimbursement process after discharge at one's own expense is divided into two situations, one is to reimburse yourself after getting the bill, and the other is to settle directly with social security. (1) When discharged from the hospital, the unit to which it belongs shall go to the social medical insurance agency for settlement on the specified date with the insured's diagnosis and medical records, effective expense bills, compound prescriptions, hospitalization expenses list, etc. (2) If you want the hospital to settle directly with social security, you need to swipe the social security card before hospitalization. If you don't brush your social security card, you can't apply for direct settlement and reimbursement with social security after discharge. 4. If the insured person needs to be referred or transferred due to his illness, he/she should put forward the opinion of transfer after being diagnosed by the deputy chief physician and director of the department in the designated medical institution, and should also fill in the application by his/her unit, which will be approved by the medical insurance management department of the designated medical institution. After approval, the referral or transfer formalities can be handled. General transfer is limited to specialized hospitals in the province, and the fees need to be paid in advance. The reimbursement standard is that you need to bear 10% first, and then reimburse according to the local reimbursement ratio.