What is the reimbursement rate for NCMS hospitalization?

Reimbursement ratio of NCMS for critical diseases:

If the medical expenses are less than 0-40,000 yuan, 85% will be reimbursed;

If the medical expenses are less than 4-80,000 yuan, 90% will be reimbursed;

If the medical expenses are more than 8 yuan, 95% can be reimbursed.

The reimbursement ratio for NCMS major diseases will vary according to the level of the hospital. The reimbursement method is for medical expenses that exceed the maximum payment limit for basic medical care, and the reimbursement ratio will vary depending on the scope of medical expenses.

Extended information: The new type of rural cooperative medical care 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 mainly coordinated for serious diseases. The system was officially launched in 2003.

It raises funds in the form of individual payment, collective support and funding. Since 2018, after the institutional reform, the new type of rural cooperative medical care has been implemented by the National Medical Security Administration.

Farmers seek medical treatment. It is necessary to establish and improve the rural medical assistance system and do a good job of linking it with the new rural cooperative medical system. Increase support for medical assistance funds at all levels, give full play to the leading role of civil affairs departments, and mobilize social forces such as the Red Cross and ** Society, charities, and various enterprises and institutions to raise funds through multiple channels.

Further improve relevant policies and measures, clarify the scope of assistance, raise the level of assistance, and focus on solving the problems of rural five-guarantee households and poor families.

While helping the recipients of assistance to participate in cooperative medical care, appropriate subsidies should be given to the part of the medical expenses that are too heavy for the individual to bear. In view of the fact that the rural poor have low family income and great living difficulties, more preferential policies should be given to rural aid recipients in the pilot work of new rural cooperative medical care. Through the coordination and complementarity of the new type of rural cooperative medical care and medical assistance, we will jointly solve the outstanding problem of poor farmers' difficulty in seeking medical treatment.

Medical supervision. Health administrative departments at all levels should strengthen supervision and control over the service behavior and expenses of medical institutions, adopt effective measures to curb the unreasonable growth of rural medical expenses, and reduce the burden of medical expenses on peasants. It is necessary to establish an entry and exit system for designated medical institutions for cooperative medical treatment and introduce a competition mechanism; Formulate a catalogue of basic drugs and diagnosis and treatment for cooperative medical treatment, strictly stipulate the proportion of drugs and diagnosis and treatment expenses outside the catalogue to total medical expenses, and implement a system of patient review and signature; Strictly control the average inpatient expenses and average outpatient expenses of designated medical institutions, and control the proportion of drug income in the income of designated medical institutions.

It is necessary to strengthen the supervision of township health centers and maintain the public welfare nature of public health centers. To attach importance to and strengthen the application of traditional Chinese medicine and ethnic medicine, qualified traditional Chinese medicine medical institutions should be included in the scope of designated medical institutions, and suitable traditional Chinese medicine and traditional Chinese medicine diagnosis and treatment items should be included in the list of basic drugs and diagnosis and treatment of cooperative medical treatment, so as to meet the needs of farmers for traditional Chinese medicine and ethnic medicine. **The competent departments shall, in conjunction with the health administrative departments, explore the establishment of rural medical service project specifications and medical standards that are in line with the actual situation.