1. New rural cooperative medical system

The new rural cooperative medical system is a new rural cooperative medical system organized, guided and supported by the government, focusing on the overall planning of serious diseases. Funds are raised by individual contributions, collective support and government subsidies.

2. The new rural cooperative medical service agency

The new rural cooperative medical system is generally handled by the relevant person in charge of the village Committee where the household registration is located, and then from the village to the town. Newborns usually go to the birth hospital to apply for a birth certificate, and then go to the local medical insurance service point to apply for insurance for newborns.

3. Payment standard of new rural cooperative medical system

Because the policies of different provinces and cities are different, each region can formulate standards and reimbursement rates according to local actual conditions. For example, in 20 19, the individual payment standard in Guizhou, Bozhou, Hainan, Dalian and Luoyang was 220 yuan per person, and in 20 19, the payment standard in Zhejiang Province was 350 yuan per person. The actual payment standard is subject to the relevant notice issued by the local government.

Second, can general outpatient expenses be reimbursed in the new rural cooperative medical system?

Rural residents who have generally participated in the new rural cooperative medical system can get reimbursement from the new rural cooperative medical system when they are out-patient or hospitalized in designated medical institutions. However, it should be noted that those who do not receive outpatient treatment in designated medical institutions or private hospitals cannot be reimbursed. Moreover, reimbursement with the new rural cooperative medical system is carried out according to a certain proportion.

1. The reimbursement standard for medical treatment in village clinics and village center clinics is 60%, and the prescription drug fee limit for each visit is 10 yuan, and the prescription drug fee limit for temporary rehydration for doctors in health centers is 50 yuan;

2. The reimbursement standard for medical treatment in town health centers is 40%, and the examination fee and operation fee for each visit are limited to 50 yuan, and the prescription fee is limited to 100 yuan;

3. The reimbursement standard for medical treatment in secondary hospitals is 30%, and the examination fee and operation fee for each visit are limited to 50 yuan and the prescription fee is limited to 200 yuan;

4. The reimbursement standard for medical treatment in tertiary hospitals is 20%, and the examination fee and operation fee for each visit are limited to 50 yuan and the prescription fee is limited to 200 yuan;

5. Among them, the invoice of traditional Chinese medicine is attached with the standard reimbursement limit of each prescription 1 yuan; Town-level cooperative medical outpatient compensation is limited to 5000 yuan per year.

In addition, if the medical expenses caused by obesity are not reimbursed, such as beauty; There are also expenses arising from abnormal referral between hospitals, injuries caused by illegality, and expenses beyond the reimbursement period, which can not be reimbursed by the new rural cooperative medical system.

Third, what is the scope and process of reimbursement for the new rural cooperative medical system?

1. Reimbursement scope of new rural cooperative medical system

The medical expenses, inspection expenses, laboratory expenses, operation expenses, treatment expenses and nursing expenses incurred by the insured in the designated hospital due to illness during the overall planning period are in line with the reimbursement scope of medical insurance for urban workers (that is, effective medical expenses). Generally, the new rural cooperative medical system has a minimum payment standard and a maximum payment standard, so everyone should pay attention to it when reimbursing.

2. Reimbursement process of new rural cooperative medical system

Patients who participate in the new rural cooperative medical system will go to designated medical institutions with medical certificates, pay their own expenses at the toll booth with inspections and prescriptions, and then go to Yongquan of the new rural cooperative medical system for review, reimbursement and reimbursement with identity documents, medical certificates and invoices during the reimbursement period.

The implementation of the new rural cooperative medical system is mainly to improve the situation of "poverty caused by illness and returning to poverty due to illness", so it is a guarantee for yourself to pay the fees on time.