The information of participating farmers can only be found on the new rural cooperative medical system, but it belongs to the private network with limited authority. If you want to inquire about the information of individual rural cooperatives, you can ask the cooperative medical service personnel to help you inquire on the rural cooperative network.
Rural cooperative medical care refers to the economic system of mutual medical assistance for farmers, which is organized, guided and supported by the government, with farmers participating voluntarily and jointly funded by individuals, collectives and the government. Take individual contributions, collective support and government funding to raise funds. Rural cooperative medical care is a medical security system created by farmers themselves in China, which has played an important role in ensuring farmers' access to basic health services and alleviating poverty caused by illness and returning to poverty due to illness.
exist problem
Low social satisfaction
Low security level
The publicity is not in place.
The procedure is too cumbersome.
Three-layer guarantee
The first layer is rural cooperative insurance.
The second layer is accident insurance.
The third level is medical assistance to the poor.
Reimbursement ratio
Outpatient compensation
(1) village clinics and village center clinics are reimbursed 60%, and the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration for doctors in health centers is 50 yuan.
(2) Reimbursement for medical treatment in town health centers is 40%. The limit of examination fee and operation fee for each visit is 50 yuan, and the limit of prescription drug fee is 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 drug fee 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.
(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.
Hospitalization compensation
(1) Reimbursement scope:
A. Drug expenses: auxiliary examination: the expenses for ECG, X-ray fluoroscopy, radiography, laboratory tests, physical therapy, acupuncture, CT and nuclear magnetic resonance are limited to 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 the town health center, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.
(2) Reimbursement ratio: town hospitals reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.
(3) Compensation for serious illness
Compensation from town risk fund: if the medical expenses of inpatients participating in cooperative medical care exceed 5,000 yuan at one time or for the whole year, they should be compensated by stages, that is, 5001-kloc-0/0000 yuan is 65%, and10001-8000 yuan is 75%.
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.