Extended data:

The scope and proportion of rural medical insurance reimbursement in Tongchuan city

1, outpatient compensation:

(1) The village clinics and village center clinics will be reimbursed 60%, and the cost limit of prescription drugs for each visit is 10 yuan. Please ask a doctor from a health center.

Limit of prescription drug fee for rehydration in 50 yuan.

(2) 40% reimbursement for medical treatment in town health centers, with the limit of 50 yuan for each examination and operation, and the limit of prescription drug fee 100.

Yuan.

(3) The reimbursement for medical treatment in secondary hospitals is 30%, and the limit of each examination fee and operation fee is 50 yuan, and the limit of prescription drugs is 200.

Yuan.

(4) 20% reimbursement for medical treatment in tertiary hospitals, with the limit of each examination fee and operation fee in 50 yuan and the limit of prescription drug fee in 200 yuan.

Yuan.

(5) The prescription attached to the invoice of traditional Chinese medicine is limited to 1 yuan.

(6) The annual compensation limit for rural cooperative medical clinics is 5,000 yuan.

2, hospitalization compensation

(1) Reimbursement scope:

1. Drug expenses: auxiliary examinations: electrocardiogram, X-ray fluoroscopy, radiography, laboratory tests, physical therapy, acupuncture, CT, nuclear magnetic resonance, etc.

Inspection fee limit 200 yuan; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan).

B, 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.

Yuan.

(2) Reimbursement ratio: town hospitals reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.

3. Compensation for serious illness

(1) urban risk fund compensation: all inpatients who participate in rural cooperative medical insurance should declare medical expenses in one lump sum or in years.

If the amount exceeds 5,000 yuan, it will be compensated by stages, that is, 500 1- 1 10,000 yuan will be compensated by 65%, and1-1.8,000 yuan will be compensated by 70%.

(2) The annual compensation limit for hemodialysis, radiotherapy and chemotherapy in the town-level cooperative medical system inpatient and uremia clinic is1.65,438+0.000 yuan.

Warm Tips for Rural Medical Insurance in Tongchuan City

Compared with the system started in 2007, the new version of basic medical insurance, industrial injury insurance and health insurance in Anhui Province was released on 20 10.

In the medical insurance drug list, there are 2422 kinds of drugs A and B, which is an increase over the last edition of the Drug List.

More than 300 kinds of medicines. At the same time, the scope of medical insurance fund payment has gradually expanded, and outpatient diseases and chronic diseases have been standardized.

The circumference is increasing.

In addition, Tongchuan City strives to solve the flow between urban and rural areas by doing a good job in the transfer of medical insurance relations and the settlement of medical treatment in different places.

The relationship between rural medical insurance in Anhui province is transferred and continued, and then the relationship between medical insurance in different systems and different regions is transferred and continued.

Smooth transfer and connection. Through the medical insurance management cooperation and handling service docking with the "Yangtze River Delta" region, it is constantly ending.

Be good at the settlement method of medical treatment in different places, so that the insured in our province can better enjoy the medical insurance treatment in different places.

Tongchuan City will continue to implement the basic medical insurance system for urban residents in livelihood projects and increase the proportion of medical insurance reimbursement.

Meet. In order to help insured residents further understand the residents' medical insurance policy and master how to participate in insurance, seek medical treatment and submit an expense account.

Procedures, in order to better enjoy the government's policy of benefiting the people, Tongchuan Human Resources and Social Security Bureau recently announced the resident doctors.

Guarantee the 20 15 degree treatment and reimbursement policy.