The new rural cooperative medical insurance first requires families to join the new rural cooperative medical insurance. The population of the cooperative medical plan must be consistent with the household registration book; secondly, the new rural cooperative medical insurance only provides assistance for serious illnesses, and does not provide assistance for work-related injuries, alcoholism, traffic, etc. Accidents, fights, family planning, suicide and self-harm, etc. will not be exempted.

1. Scope of settlement

1. Bed fee: the maximum is 11 yuan/day for township health centers, and the maximum is 15 yuan/day for hospitals at or above the city level.

2. Drug fees: The "Hebei Province New Rural Cooperative Medical Care Essential Drug Catalog" is implemented, and drugs outside the catalog will not be reimbursed.

3. Inspection fee: The maximum limit is 600 yuan.

4. Treatment fee: The amount within 300 yuan will be calculated based on the actual amount, and the portion above 300 yuan will be included in the reimbursement scope at 50%.

5. Surgery fee: calculated according to the charging standard approved by the price department.

6. Blood transfusion expenses: Blood transfusion expenses (limited to 500 yuan) incurred for critical illness rescue or surgery are included in the scope of reimbursement, and other blood transfusion expenses are not reimbursed.

7. Material fee: maximum limit is 2,000 yuan. (Items that are not reimbursable under the urban employee medical insurance will not be included in the scope of reimbursement)

II. Referral regulations

1. Those who are transferred to a municipal hospital for hospitalization in this city will be treated as 90 % will be included in the calculation of reimbursable medical expenses;

2. For hospitalization in hospitals outside the city, 80% will be included in the calculation of reimbursable medical expenses;

3. In military hospitals and for-profit hospitals For hospitalization in a hospital, 60% will be included in the calculation of reimbursable medical expenses;

4. If there is no transfer certificate, 60% will be included in the calculation of reimbursable medical expenses.

3. Compensation ratio

After verification, the medical expenses can be settled in proportion (35%-70%). The maximum annual compensation amount per person is 2 Ten thousand yuan.

IV. Closing Procedure

After the insured person is discharged from the hospital, he or she will submit the hospitalization invoice, discharge record, expense list, transfer certificate and personal ID card signed or stamped by the patient himself. Copies or household registration certificates should be submitted to the township joint management office, and after review, they will be sent to the Municipal Rural Insurance Business Management Center.

V. Related Matters

1. The insurance period in 2005 is from January 1 to December 31, 2005. The hospitalization medical expenses of the insured during this period can be settled. All outpatient medical expenses will not be reimbursed.

2. All medical expenses for the current year must be settled before the end of February of the following year. Overdue reimbursement will no longer be provided.

3. Hospitalization expenses without discharge records, expense lists or medical orders will not be reimbursed; medical expenses that are not recorded in the expense list or medical orders, as well as diagnostic and treatment items that are not reimbursable under the urban employee medical insurance regulations, will not be included. Reimbursement scope.

4. Original invoices must be provided when reimbursing all medical expenses. Medical expenses for hospitalization more than once during the year must be reported in installments on a proportional basis and cannot be calculated cumulatively.

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