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Analysis on reimbursement ratio of comprehensive treatment in Tangcheng Hospital of Xi Province
65,438+0. Out-patient compensation: 60% of the medical expenses of village clinics and village center clinics are reimbursed, and the prescription fee for medical treatment is limited to 10 yuan, and the prescription fee for temporary rehydration of doctors in health centers is limited to 50 yuan. 40% reimbursement for medical treatment in the town health center, the limit of medical examination fee and operation fee is 50 yuan, and the limit of prescription drug fee is 100 yuan. The reimbursement for treatment in secondary hospitals is 30%, and the examination fee and operation fee are limited to 50 yuan, and the prescription drug fee is limited to 200 yuan. Third-level hospitals will be reimbursed 20%, with examination fees and operation fees limited to 50 yuan and prescription drug fees limited to 200 yuan. Chinese medicine invoice with prescription, limit 1 yuan. The annual compensation limit for rural cooperative medical clinics is 5000 yuan. 2. Reimbursement scope of hospitalization compensation: auxiliary examination medicine fee: 200 yuan; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan). 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. Reimbursement ratio: town health centers reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%. 3. Serious illness compensation town risk fund compensation: All inpatients who participate in cooperative medical care whose medical expenses exceed 5,000 yuan at one time or for the whole year shall be compensated by stages, that is, 500 1- 10000 yuan is 65%,1001-.
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