Liangping County People's Hospital rural cooperative medical reimbursement provisions for appendicitis

According to Chongqing Human Resources and Social Security Bureau, "Notice on Issuing the Implementation Measures of Chongqing Municipal Urban and Rural Residents' Cooperative Medical Insurance Municipal Coordination" (YUHSDF [2012] No. 127), the document stipulates that the hospitalization payment standards of Chongqing Municipal Urban and Rural Residents' Cooperative Medical Insurance are as follows:

1. Starting Line

The amount of the starting line that participants are required to pay for hospitalization is the following standards: Level 1 medical institutions 100 yuan / time, second level 300 yuan / time, third level 800 yuan / time.

2. Capping line

The amount of the capping line for hospitalization reimbursement for insured persons is set up as follows: 70,000 yuan/person/year for the first class and 110,000 yuan/person/year for the second class.

The outpatient fee for major diseases and the hospitalization fee among special diseases are combined to calculate the ceiling line.

3. Reimbursement Ratio

The medical expenses within the scope of the policy incurred by the insured persons for hospitalization shall be reimbursed according to the following standards: first class: 80% for the first class medical institutions, 60% for the second class, and 40% for the third class. Second grade: 5 percentage points higher than the first grade. For minors, 5 percentage points higher on the basis of insured adults in the same class."

As long as they are designated hospitals for medical insurance, they will uniformly implement the above standards, regardless of whether they are in or out of the city or public or private.

You appendicitis, the total cost minus the starting line standard, minus the non-reimbursable special materials or medicines (generally not reimbursable doctor will give you) and then multiplied by the reimbursement rate, basically how much can be reported, please consult the local social security bureau.