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According to the financial situation at all levels and the growth of farmers' income and their ability to bear it, we should gradually raise the standard of financial subsidies and the level of individual financing for farmers, and actively explore the establishment of a stable, reliable, and reasonable growth financing mechanism. In 2009, the national NCMS financing level should reach 100 yuan per person per year, of which, the first financial department will subsidize farmers in the central and western regions according to the standard of 40 yuan, and the eastern provinces will be subsidized according to a certain proportion in the central and western regions; The standard of local financial subsidies should not be less than 40 yuan, and the individual contributions of farmers should be increased to no less than 20 yuan. The per capita financing level in the eastern region should not be lower than that in the central and western regions.
Since 2010, the national NCMS financing level has been increased to 150 yuan per person per year, of which the first financial department will subsidize farmers in the central and western regions according to the standard of 60 yuan, and the eastern provinces will be subsidized according to a certain proportion in the central and western regions; The local financial subsidy standard has been raised to 60 yuan accordingly, and areas with real difficulties can be paid in two years. The increase in local funds should be mainly borne by the provincial finance, so as to minimize the burden on difficult counties (cities, districts). The payment of individual peasant fees has been increased from 20 yuan to 30 yuan per person per year, and the payment in difficult areas can be paid in two years.
All localities should continue to adhere to the principle of voluntary participation by families as units, and actively explore ways to make individual contributions to the new rural cooperative cooperative system that is in line with local conditions and is easy for the peasant masses to accept. It is possible to adopt such methods as regular and fixed-point payment by peasants, entrusting township finance and taxation offices and other institutions to collect on their behalf, collecting on behalf of villagers' committees with the consent of villagers' congresses, or having financial institutions pay on behalf of peasants through peasants' savings or settlement accounts after obtaining the consent of peasants, so as to gradually change door-to-door collection to guide peasants to take the initiative to pay, reduce financing costs, and improve work efficiency. It's best to ask your local health care provider for your standards.
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It has risen, and the state has no money to support those who receive pensions, alas! ...
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How much money used to be? I haven't been in yet.
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The annual cap line for NCMS medical expense compensation is 150,000 yuan, and the annual cap line for 23 major diseases is 200,000 yuan.
For those who meet the 25 special outpatient diseases, the annual cap line for outpatient ** is 10,000 yuan; Radiotherapy and chemotherapy for various malignant tumors in special outpatient diseases, hemodialysis and peritoneal dialysis for chronic renal failure, and anti-rejection after organ transplantation.
Aplastic anemia, hemophilia, thalassemia, severe psychosis, multidrug-resistant tuberculosis 8 special diseases, the compensable outpatient expenses are implemented with reference to the hospitalization compensation policy of the same level hospital, with an annual cap of 150,000 yuan.
Target requirements. All provinces (autonomous regions and municipalities) shall, on the basis of conscientiously summarizing the experience of the pilot, intensify their work, improve relevant policies, and expand the pilot project of new rural cooperative medical care. In 2006, the number of pilot counties (cities and districts) in the country reached about 40% of the total number of counties (cities and districts) in the country; in 2007 it expanded to about 60%; In 2008, it was basically implemented nationwide.
By 2010, the goal of basically covering rural residents under the new rural cooperative medical system will be achieved. The eastern region can speed up the pace on the basis of standardized management, and areas with the right conditions can explore various forms of rural medical security methods.
In promoting the pilot work, all localities should implement the principles of voluntariness, mutual assistance, openness, and service, insist that peasants voluntarily participate in the family unit, and do not engage in coercive orders; Adhere to the mutual assistance and mutual aid nature of the cooperative medical system, and mobilize farmers to jointly resist the risk of disease; Adhere to openness, justice and fairness, standardize operations, and strengthen supervision; Adhere to the convenience and benefit of the people, and truly benefit farmers.
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The national financing standards for NCMS are not uniform.
1. The reimbursement ratio is not uniform, and the state allows appropriate adjustments to be made according to the actual economic situation of the region within the scope of the policy.
However, there are four reimbursement modes: First, outpatient reimbursement is co-ordinated, and the expenses paid by oneself at the time of participation are reimbursed and used in the village clinic and township health center, which is limited to the outpatient account funds; The second is the reimbursement of chronic disease outpatient clinics, which is in line with the regulations on chronic disease management, and can apply for the NCMS chronic disease certificate, and can be reported for medicine or examination in public medical institutions such as townships, counties, and cities; The third is the overall reimbursement of hospitalization for serious illnesses, hospitalization due to illness, can be reimbursed, but the reimbursement ratio is the highest in township-level hospitals, the lowest at the provincial level, and the reimbursement ratio of general township health centers is 80-90%, 70-80% for county-level hospitals, 55-65% for municipal-level hospitals, and 40-55% for provincial-level hospitals, and the starting line is also very different; Fourth, the reimbursement of NCMS serious illness assistance, in line with the serious illness relief project, according to the diagnosis and treatment mode of serious illness assistance, the reimbursement ratio can reach 90%, and the types of diseases rescued are all serious diseases, such as children under 14 years old with congenital heart, leukemia, etc., others such as cancer surgery**, etc., you can search on the Internet to know! Fifth, reimbursement for a single disease, no matter how much money you spend, it is all reimbursement, but the expenses and reimbursement expenses are based on professional argumentation, and the people will not suffer, but if you have a minor illness, it is difficult to say!
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Answer: Hello, legal analysis: 1. The annual cap line of NCMS medical expense compensation is 150,000 yuan, and the annual cap line of 23 major diseases is 200,000 yuan; 2. For those who meet the 25 types of special outpatient diseases, the annual cap line for outpatient treatment is 10,000 yuan; 3. Among the special outpatient diseases, there are 8 special diseases such as radiotherapy and chemotherapy for various malignant tumors, hemodialysis and peritoneal dialysis for chronic renal failure, anti-rejection after organ transplantation, aplastic anemia, hemophilia, thalassemia, severe psychosis, and multidrug-resistant tuberculosis, and the compensable outpatient expenses shall be implemented with reference to the hospitalization compensation policy of hospitals at the same level, with an annual cap of 150,000 yuan.
Legal basis: Social Insurance Law of the People's Republic of China Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with national regulations.
Question: What if there is a cap.
What should I do if I report that it has been capped?
Answer: After participating in the NCMS payment, there are also restrictions on medical insurance reimbursement, such as the starting line, reimbursement ratio and cap line, that is to say, there are regulations on the threshold and upper limit of reimbursement, such as the upper limit of NCMS reimbursement of 120,000 yuan, if this amount is exceeded, it is equivalent to a cap, and you can no longer enjoy reimbursement.
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In 2018, how much will the NCMS in rural areas be reimbursed "at most"? Do farmers know about it!
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Town risk ** compensation: All inpatients who participate in cooperative medical care will be compensated for one-time or annual cumulative reportable medical expenses exceeding 5,000 yuan, that is, 65% of 5,001-10,000 yuan, 70% of 10,001-18,000 yuan, and the annual limit of compensation for inpatient and uremia outpatient hemodialysis, tumor outpatient radiotherapy and chemotherapy for town-level cooperative medical treatment is 10,000 yuan.
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More than 80% of each hospitalization was reported in the county, 60% was reported in the city, and it was reduced to 30-40 when transferred to other cities.
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Summary. Hello fellow <>, I'm happy to answer for you. The algorithm for reimbursing 70% of the initial 1,000 yuan for rural cooperative medical care is as follows:
The starting 1000 yuan reimbursement means that you must spend at least 1000 yuan to meet the reimbursement standard when you are hospitalized, and the reimbursement of 70% means that if you spend 1000 yuan during the hospitalization, then 70% of the reimbursement is 700 yuan, and if you consume 2000 yuan, then the reimbursement ratio of 70% is 1400 yuan.
How to calculate the reimbursement of 70% of the starting 1,000 yuan for rural cooperative medical care.
Hello fellow <>, I'm happy to answer for you. The algorithm of 70% reimbursement for the initial 1,000 yuan of rural cooperative medical care is as follows: the initial reimbursement of 1,000 yuan means that you must spend at least 1,000 yuan or more to meet the reimbursement standard when you are hospitalized, and the reimbursement of 70% means that if you spend 1,000 yuan during the hospitalization, then 70% of the reimbursement is 700 yuan, and if you consume 2,000 yuan, then 70% of the reimbursement ratio is 1,400 yuan.
The algorithm is the amount of money you spend on a hospital stay, multiplied by 70 percent, and that's the amount of reimbursement. For example: 1000 times 70% (that is, 700.)
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How to calculate the reimbursement of 70% of the starting 1,000 yuan for rural cooperative medical care.
Hello, 70% of the reimbursement of 1000 yuan for rural cooperative medical care is calculated in this way, 1000 yuan is the threshold fee, and the cost after more than 1000 yuan will be reimbursed by 70%, for example, if you spend 5000 yuan on hospitalization, except for 1000 yuan, there is 4000 yuan left, and the 4000 yuan can be reimbursed 70%, that is, 2800 yuan can be reimbursed, that is, 50o0 a 10o0 = 40004000
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In 2014, the payment was 90 yuan, in 2015 it was 120 yuan, in 2016 it was 150 yuan, in 2017 it was 180 yuan, and with the annual increase of 30 yuan, it was estimated to be 210 yuan in 2018. The above is based on the calculation of previous years, and there is also a saying that 240 yuan will be paid in 2018.
Cooperative medical care, a new type of rural cooperative medical care, referred to as "NCMS", refers to the system of mutual medical assistance and mutual aid for farmers that is organized, guided and supported, voluntarily participated by farmers, raised by individuals, collectives and multiple parties, and coordinated for serious diseases.
Funds are raised by means of individual payment, collective support and funding. Rural cooperative medical care is a medical security system created by farmers in China themselves, which has played an important role in ensuring that farmers have access to basic health services and alleviating the poverty caused by illness and the return to poverty due to illness.
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Hubei Zhongxiang handed over 286, of which 6 were said to be overdue. I just want to ask if there is no money in the social security card, you only deduct one person, and the rest have to be paid by yourself, so why do I want your bank buckle I won't pay it myself!
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I am in Heze Peony District, which has grown to 285 this year, why is it not a uniform price across the country? Who took this money in the end?
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The annual amount of money collected by rural cooperative medical care is related to the local medical level and the use of NCMS medical care in the current season, and there are differences in different places.
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Rural cooperative medical care is just to help the hospital to make money unbridled, small illness calls you to be hospitalized, hospitalization is less than 5 days without reimbursement, medication care computer a clear list, inspection fees what what efficient drugs are not reimbursed, there was no medical insurance within 2000 can be done, with medical insurance after spending, reimbursement also, cooperative medical care is really increasing the burden of rural people.
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Tongxiang, Zhejiang, 490 people last year, 560 people this year, rising every year, from the initial convenience for the people to see a doctor to collect dozens of yuan to now collect hundreds, is it really a welfare people? For an ordinary family, it costs thousands of dollars a year for a family to pay.
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I am from Changqing District, Jinan, Shandong, this year it has risen to 300 yuan per person, and last year it was 200 yuan, and the pressure is too great.
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I am comforting Chaijihou Lake in Funan County We are 250 per person, but there is another item that must be paid for 12 sanitation Claiming that if you don't pay the sanitation fee, you won't pay the rural cooperative medical care I hope the relevant departments can check that it's not easy for the people to rely on the sky to eat.
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At the beginning of the year, I spent more than 2,100 yuan on pneumonia hospitalization in Shunde Second Hospital and reimbursed 466 yuan, I don't know what the meaning is.
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We in Jiaozhou, Qingdao, Shandong Province last year 350 yuan, this year I think of 490 yuan, my household registration in the family in the field, also bought the local medical insurance, I don't want to buy at home, the result is that if there is a family does not pay, other people if they are sick and hospitalized will not be reimbursed, how can there be this statement!
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I have to pay 300 yuan this year in Yingkou, Liaoning, and our family of 6 has to pay 1800, which is rising every year, and I can't afford it.
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At the beginning, the purpose of cooperative medical care was to make everyone affordable to see a doctor and reduce the burden on the peasants, but judging from the fact that it is increasing every year, this is not to reduce the burden on families in need, but to increase the burden, and the state does not know what to think of dozens of yuan to hundreds now.
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Hunan Changde was 220 yuan last year, and this year it has risen to 250 yuan! The more expensive it is, the smaller the hospital reimbursement ratio is......
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How much does each person need to pay for Liaoning Rural Cooperative Medical Expenses this year?
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We in Xiaogushan Village, Wulu Town, Zhuanghe, Liaoning Province, last year it was 250 yuan per person, and this year it was 400 yuan per person, which has risen too much. The burden of the common people is getting heavier and heavier, my parents are reluctant to pay because they have risen too much this year, and they don't know what to do in the future, it is really too difficult for farmers!
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Why does Lusigang Town, Qidong, Jiangsu Province pay 350 yuan? Why do you only need to pay more than 200! Isn't this thing unified?
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I am from Suiping County, and last year I received 200 yuan per person, and this year I received 250 yuan. I don't know how to get it, the price will increase every year.
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Why did I Jiangyan, Jiangsu Province cooperate with the doctor Liao to 500 yuan per person this year. The pressure on farmers is too great.
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How to calculate the reimbursement of 70% of the starting 1,000 yuan for rural cooperative medical care.
Hello, glad to answer for you. <>
The calculation method for 70% reimbursement of 1,000 yuan for rural cooperative medical care is: yuan and merger. The reimbursement ratio of NCMS is determined under the joint consultation of the region**, the medical insurance department and the insured personnel, and the specific proportion will vary depending on the region, year, medical project and other factors, and the insured personnel should pay attention to check the local policies and regulations.
In the formula for calculating the percentage of reimbursement for NCMS, the calculation base of the out-of-pocket part refers to the total amount of medical expenses excluding the reimbursement part of NCMS. For different medical programs, the proportion of reimbursement for NCMS will also be different. For serious illness medical expenses, the reimbursement ratio of NCMS will be higher.
The specific refund process is as follows:
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Reimbursement is possible! 1. Reimbursement in a remote hospital (provided that the hospital is a designated medical institution, you can reimburse your expenses, and you can go to the hospital's joint management department for consultation) and then go through hospitalization and other procedures; >>>More
Rural cooperative medical care, the annual payment is only for the current year, you have never paid it before, and you can pay this year's 280 yuan this year.
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With the development of modern society, people's living standards have gradually improved, and the living conditions have been infinitely satisfied, and people can enjoy more and more welfare systems provided by the state and society, which has facilitated people's lives and improved people's happiness index. Especially in the rural areas, more and more systems have been popularized in the rural areas, and a number of systems have been implemented in the rural areas that can reduce the burden on the peasants, and the peasants have shown a sincere smile on their faces. Rural cooperative medical care is an initiative that helps farmers to rest assured that they do not have to worry too much about costs in the process of illness. >>>More