Rural insurance reimbursement scope

Legal analysis: 1. Scope of reimbursement for examination expenses: treatment, injection, infusion, debridement and suturing, acupuncture and cupping, B-ultrasound, electrocardiogram, X-ray, laboratory tests, disposable infusion sets, syringes and other related expenses. 2. Scope of drug expense reimbursement: The scope of reimbursement for drugs and rural cooperative medical hospitalization stipulated in local policy documents. 3. Scope of reimbursement for hospitalization expenses: Reimbursable expenses such as medication, examination fees, treatment fees, surgery fees, laboratory fees, hospitalization fees and other related expenses during hospitalization. Medical expenses for special outpatient services can be reimbursed. 4. Scope of reimbursement for special diseases: chemotherapy for malignant tumors, dialysis treatment for severe uremia, rejection treatment after tissue and organ transplantation, decompensated cirrhosis, aplastic anemia, psychiatric tuberculosis, systemic lupus erythematosus, and childhood autism. , mental illness, hemophilia, phenylketonuria (limited to children under 10 years old).

Legal basis: "Guiding Opinions of the State Council on the Pilot Program of New Rural Social Pension Insurance" Article 12: Relevant system transition Areas with old-age rural insurance) should properly handle the issue of creditor's rights of the old-age pension fund and make a good connection with the new rural insurance system. In the new rural insurance pilot areas, all insured persons who have participated in the old rural insurance, are over 60 years old and have received the old rural pension, can directly enjoy the new basic pension; those who have participated in the old rural insurance and are under 60 years old Insured persons who have not received pensions should merge the personal account funds of the old rural insurance into the personal account of the new rural insurance, continue to pay according to the payment standards of the new rural insurance, and enjoy corresponding benefits when they meet the prescribed conditions. The connection method between the new rural insurance and the basic pension insurance for urban employees and other pension insurance systems will be formulated by the Ministry of Human Resources and Social Security in conjunction with the Ministry of Finance. It is necessary to properly connect the new rural insurance system with the social security of land-expropriated farmers, the later support policy for reservoir resettlement, the rural family planning family incentive and support policy, the rural five-guarantee support, social preferential care, rural minimum living security system and other policies and systems, Specific measures will be studied and formulated by the Ministry of Human Resources and Social Security and the Ministry of Finance in conjunction with relevant departments.