[time range]
the March year before this year's disease patients can get reimbursement
after the policy documents of major disease insurance in our province were issued, the Provincial Bureau of people's society jointly convened a meeting with the relevant departments in March 31st to take part in the work meeting of the people's major diseases insurance of the province. We have made a comprehensive plan for the implementation of serious illness insurance. In accordance with the unified requirements of the province, in April, all localities should start reimbursement of serious illness insurance and compensate for the medical expenses since January 1st this year. According to statistics, the province's serious illness insurance has already compensated 962 people, and the total cost of compensation is 3 million 761 thousand yuan. [reimbursement quota]
the minimum of 10 thousand yuan for disease insurance is up to 200 thousand yuan
the policy of large disease insurance in our province, the compliance cost of the individual burden after the basic medical insurance reimbursement is more than the part of the starting standard, and the compensation is given by the major disease insurance, the actual compensation ratio is not less than 50%. In 2014, the standard of starting and paying is 10 thousand yuan, the standard medical cost of the individual above the standard above is compensated according to the amount of medical expenses, and the personal burden of 10 thousand yuan and more than 100 thousand yuan (100 thousand yuan) is compensated for 50%, the part of 100 thousand yuan is given to 60%, and the maximum compensation limit of the individual year is limited. The amount is 200 thousand yuan.
on the basis of the residents' basic medical insurance compensation and the compensation for the residents' large illness insurance, the burden of medical expenses is still heavy and conforms to the conditions of medical assistance, and the civil affairs department can also give some assistance to the target of the rescue.
assuming a rural resident suffering from a large illness, a total of 300 thousand yuan for medical expenses, 270 thousand yuan in the policy range, 100 thousand yuan for the basic medical insurance reimbursement, and a total of 170 thousand yuan per person in the policy range.
[compensation range]
20 kinds of major diseases will no longer compensate for
next year, considering that our province has carried out the new NCMS medical insurance in the last year, in order to improve the new and old policies, ensure the smooth transition of the system. In 2014, the rural residents and urban residents have the 20 types of major diseases stipulated in the original NCMS. The medical expenses of the disease are compensated separately.
the medical expenses incurred by the residents are compensated by the basic medical insurance of the residents. The part of the personal medical expenses over 10 thousand yuan shall be compensated by 73%, and the part under 10 thousand yuan is compensated for 17%, and the maximum compensation limit of the individual year is 200 thousand yuan. The scope of the compliance medical costs for the 20 major diseases is still in accordance with the provisions of the Ministry of health of Shandong province and other departments such as the Ministry of health and other departments of the original Shandong Province on the publication of the.Gt (Trial) of the medical costs of the 20 major diseases of the new agricultural cooperation and the large disease insurance (Trial) (Trial) (Lu Weinong 2013) 2). The determination of the specific diseases of the 20 types of major diseases is still in accordance with the original provincial health department and other departments "about the issuance of.Lt; the implementation plan for the implementation of the medical insurance for the major diseases of the new rural cooperative medical care in Shandong province (Trial).Gt; the notifications" (No. 6 of Lu Weinong Wei Fa [2012]).
to further enhance the fairness of the disease insurance system, we have determined that since 2015, the residents' major diseases insurance no longer implemented the 20 kinds of major diseases compensation policies, and unified the compensation according to the amount of medical expenses.
20 major diseases
childhood leukemia, children's congenital heart disease, end-stage renal disease, breast cancer, cervical cancer, severe mental disease, AIDS opportunistic infection, multi drug resistant tuberculosis, hemophilia, chronic myelocytic leukemia, cleft lip and palate, lung cancer, esophagus cancer, gastric cancer, type I diabetes, hyperthyroidism, Acute myocardial infarction, cerebral infarction, colon cancer and rectal cancer.