随州新型农村合作医疗增加门诊统筹补偿模式
2009
12/05
11:12
3294
市卫生局局长裴在刚介绍，为扩大参合农民受益水平，2010年，国家对新农合政策作了较大调整。一是提高新农合筹资水平。二是实行住院统筹加门诊统筹的补偿模式，这样使得一些不需住院而在门诊看病的患者也可以得到补偿，适当扩大门诊补助病种，从而扩大参合农民受益面。门诊统筹一般不设起付线，补偿比例为20-30%。三是将当年出生的新生儿纳入新农合报销范围，新生儿个人无需缴纳参合费用。对参加新农合的农村孕产妇实施住院分娩定额补助。四是对五保户、低保户、特困户取消住院费用补偿起付线，同时提高住院补偿封顶线，由目前的3万元提高到4万元。
据了解，2009年，全市参合农民近180万人，参合率达94.1%。1至11月，全市有60多万住院患者累计享受新农合补助资金1.45亿元，住院补偿率达到42.6%。
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