First, the proportion of reimbursement for rural cooperative medical care in Zibo
(A) the new rural cooperative medical outpatient reimbursement ratio
1. The reimbursement rate of village clinics and health centers is 60%;
2. The reimbursement rate of town hospitals is 40%;
3. The proportion of stroke in secondary hospitals is 30%;
4. The reimbursement rate of tertiary hospitals is 20%;
5. The reimbursement limit for township-level cooperative medical clinics is 5000 yuan/year.
(B) the proportion of hospitalization reimbursement of the new rural cooperative medical system
1. New EEG, X-ray fluoroscopy, radiography, laboratory tests, physiotherapy, acupuncture, CT, MRI and other auxiliary examination items were reimbursed to 200 yuan;
2. The operation expenses within the deductible line 1000 yuan shall be reimbursed according to the national standard, and those exceeding 1000 yuan shall be reimbursed according to 1000 yuan;
The hospitalization expenses and nursing expenses of the elderly over 60 years old can be reimbursed every day 10 yuan, with the limit of 200 yuan;
4. The reimbursement ratio of hospitals at all levels is: town hospitals reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.
(C) the proportion of serious illness reimbursement of the new rural cooperative medical system
1. The proportion of township and village subsidies for outpatient co-ordination increased to 65% and 75% respectively.
2. If the hospitalization expenses of first-class medical institutions are below 400 yuan, there is no deductible;
3. The subsidy ratio of secondary medical institutions will be increased to 75% ~ 80%;
4. Increase the subsidy ratio of tertiary medical institutions to 55%~60%.
5. The subsidy ratio of provincial tertiary medical institutions will be increased to 55%.
6. 70% of the quota for 8 serious diseases such as congenital heart disease in children, and 70% of the quota for 2 serious diseases such as lung cancer/kloc-0.
Two, the scope of reimbursement of rural cooperative medical care in Zibo.
Farmers who participate in the new rural cooperative medical system can get reimbursement from the new rural cooperative medical system, mainly including reimbursement for drugs, reimbursement for inspection expenses and reimbursement for bed expenses. Taking drug reimbursement as an example, Class A drugs can basically be reimbursed, some Class B drugs can be reimbursed, and Class C drugs cannot be reimbursed; Taking hospitalization reimbursement as an example, hospitalization bed fee or outpatient (emergency) observation bed fee can also be reimbursed.
Based on the above introduction, the reimbursement ratio of rural cooperative medical care in Zibo varies according to the level of hospitals. Farmers' medical expenses can be reimbursed in proportion as long as they are within the scope of reimbursement of rural cooperative medical care.