Nanchang critical illness medical insurance 20 19

The state has only issued relevant principles for agricultural insurance and serious illness medical insurance, and the specific implementation measures are formulated by the provinces, prefectures and counties themselves. For the specific reimbursement scope of agricultural insurance and serious illness medical insurance, please consult the local social security bureau at telephone number 12333.

Reimbursement scope of medical insurance for serious illness in rural areas:

The first diagnosis or main diagnosis is childhood leukemia (0- 14 years old), congenital heart disease (0- 14 years old), end-stage renal disease, breast cancer, cervical cancer, severe mental illness, multidrug-resistant tuberculosis, AIDS opportunistic infection, lung cancer, esophageal cancer, gastric cancer, colon cancer, rectal cancer, chronic myeloid leukemia, acute myocardial infarction, etc. For 22 major diseases, such as BH4 deficiency and critical pregnant women, after reimbursement by the new rural cooperative medical system, the annual accumulated personal expenses within the reimbursement policy of the new rural cooperative medical system are more than 3,000 yuan (including 3,000 yuan), and those outside the policy are more than 3,000 yuan (including 3,000 yuan).

In addition to the above 22 major diseases, when the annual hospitalization and serious illness outpatient medical expenses, after reimbursement, personal expenses accumulated more than 20,000 yuan (including 20,000 yuan) and personal expenses outside the policy scope accumulated more than 40,000 yuan (including 40,000 yuan).

Proportion of reimbursement for agricultural insurance and serious illness medical insurance:

1. The proportion of township and village subsidies for outpatient co-ordination increased to 65% and 75% respectively;

2. If the hospitalization expenses of first-class medical institutions are below 400 yuan, there is no deductible;

3. The subsidy ratio of secondary medical institutions will be increased to 75% ~ 80%;

4. The subsidy ratio of tertiary medical institutions will be increased to 55% ~ 60%;

5. The subsidy ratio of provincial tertiary medical institutions will be increased to 55%;

6. 70% of the quota for 8 serious diseases such as congenital heart disease in children, and 70% of the quota for 2 serious diseases such as lung cancer/kloc-0.

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