新农合20种大病相干划定
YI、XINNONGHE20ZHONGJIBINGDABINGPINZHONG
GENJUGUODUQINGQIUJISHANDONGSHENGYANZHONGJIBINGBINGFALV、ZHUYUANLV、YILIAOYONGDU、CHOUZIGUIFANJIBAOXIAOBILIDENG，KENDINGYIXIA20 LEIJIBINGGUIRUYANZHONGJIBINGBAOXIANGUIMO:
1、ERTONGBAIXUEBING。ZHI0～14ZHOUSUI（HAN14ZHOUSUI）ERTONGJIXINGZAOYOULIXIBAOBAIXUEBING、JIXINGLINBAXIBAOBAIXUEBING。
2、ERTONGHOUTIANXINGXINZANGBING。ZHI0～14ZHOUSUI（HAN14ZHOUSUI）ERTONGHOUTIANXINGFANGJULIQUESUN、HOUTIANXINGSHIJULIQUESUN、HOUTIANXINGDONGMAIDAOGUANWEIBI、HOUTIANXINGFEIDONGMAIBANXIAXIAOHEQIYUPANGZAXINGHOUTIANXINGXINZANGBING。
3、ZHONGMOQISHENBING。
4、RUXIANAI。
5、GONGJINGAI。
6、ZHONGXINGJINGLIJIBING。ZHIJINGLIGELIEZHENG、GELIEGANQINGXINGJINGLIFANGAI、PIANZHIXINGJINGLIFANGAI、SHUANGXIANG（GANQING）FANGAI、DIANXIANBANFAJINGLIFANGAI、JINGLIFAYUCHIZHIBANFAJINGLIFANGAIDENG。
7、XUEYOUBING。
8、NAIDUOYAOFEIJIEHE。ZHIZUISHAODUIYIYANJING、LIFUPINGNAIYAO。
9、艾滋病机遇性传染。指①细菌性传染，包罗细菌性肺炎、细菌性肠炎、败血症、细菌性脑膜炎等；②病毒性传染，包罗CMV视网膜炎、纯真疱疹病毒传染、带状疱疹病毒传染等；③寄生虫传染，包罗弓形体脑炎、隐孢子虫病等；④真菌传染，包罗卡氏肺囊虫肺炎（PCP）、口腔和食道念珠菌传染、隐球菌脑膜炎等。
10、MANXINGLIXIBAOBAIXUEBING。
11、CHUNELIE。
12、FEIAI。
13、SHIDAOAI。
14、WEIAI。
15、IXINGTANGNIAOBING。
16、JIAKANG。
17、JIXINGXINJIDUSAI。
18、NAOGENGSI。
19、JIECHANGAI。
20、ZHICHANGAI。
ER、 XINNONGHEDABINGBAOXIAOBILI:
（YI、）XINNONGHEBAOXIAOBILI: 70%，FENGDINGXIAN15WANYUAN，QIFUXIANQUJIYIYUAN500YUAN，SHIJIYIYUAN1000YUAN。
（ER、）BAOXIANGONGSIBAOXIAOBILI: XINNONGHEBAOXIAOHOU，CANSHENGJINEZHONGHEGUIYONGDU8000YUANZHINEIDE，BAOXIAOBILI17%；8000YUANYISHANGDE，BAOXIAOBILI73%；FENGDINGXIAN20WANYUAN。
三、 严重疾病实施分级医治和转诊轨制。
1.KEZAIQUXIANJIJIYISHANGXINNONGHEDINGDIANYILIAOJIGOUQUEZHENDE13LEIJIBING，QUXIANJIDINGDIANYILIAOJIGOUQUEZHENDEGAIDANGQISHOUTIAOXUANZAIQUXIANJIDINGDIANYILIAOJIGOUYIZHI；SHIJIJIYISHANGDINGDIANYILIAOJIGOUQUEZHENDEKEJIANJIEZAISHIJIJIYISHANGDINGDIANYILIAOJIGOUYIZHI，YEKEZAIQUXIANJIDINGDIANYILIAOJIGOUYIZHI。
2.XUSHIJIJIYISHANGDINGDIANYILIAOJIGOUQUEZHENDE7LEIJIBINGKEJIANJIEZAISHIJIJIYISHANGDINGDIANYILIAOJIGOUYIZHI，YEKEZAIQUXIANJIDINGDIANYILIAOJIGOUYIZHI；ZAISHIJIDINGDIANYILIAOJIGOUYIZHIRENGYOUJIANKUDE，KEZHUANZHENDAOSHENGJIYISHANGDINGDIANYILIAOJIGOUYIZHI。
3.20LEIYANZHONGJIBINGJINGZHUANZHENBEIANDE，ANXINNONGHEDABINGHUADINGBILIMIBUBINGXIANGYONGDABINGBAOXIANMIBUZHENGCE；WEIJINGZHUANZHENDAOSHENGJIYISHANGXINNONGHEDINGDIANYILIAOJIGOUYIZHIDE，GENJUYUANXINNONGHEZHENGCEHUADINGLVXING，DABINGBAOXIANMIBUXIAJIANGHUAYIBILI。
4.DAOFEIDINGDIANYILIAOJIGOUYIZHIDE，XINNONGHEHEDABINGBAOXIANJUNBUYUMIBU。
SI、BOSHANQUXINNONGHEYANZHONGJIBINGBAOXIANMIBUXIANGGANSHIBIAN
（YI、） ZENGTIANXINNONGHEBAOXIAOZILIAO:
YANZHONGJIBINGHUANZHEXINNONGHEBAOXIAOZILIAOZENGTIANHEGUIQUEZHENYILIAOJIGOUDEZHENDUANZHENGSHI,ZHENDUANZHENGSHIFUJIESUANZILIAONEI。
（ER、） YANZHONGJIBINGBAOXIANMIBULIUCHENG:
新农合弥补→→民政低保、优抚弥补（不是低保和优抚职员的跳过此步骤）→→贸易保险公司（中国国民财产保险股份有限公司博山支公司）弥补。
（SAN、） XINNONGHEYANZHONGJIBINGFASHIMIBULIUCHENG:
起首挑选住院弥补→→输出医疗证号、挑选弥补职员信息→→挑选弥补范例中的20类严重疾病住院弥补→→输出住院号、住院日期、德律风号码→→挑选定点医疗机构、医疗机构级别→→输出疾病称号→→导入用度明细→→计较→→弥补。
（SI、） YANZHONGJIBINGBAOXIAOSHUJUSHANGBAOXIANGGANTIMU:
MEIGEYUEBAOXIAOSHUJUSHANGBAOSHI，JIANGYANZHONGJIBINGBAOXIAOSHUJULINGDINGTONGJI（BIXUBAOCUNHUANZHEDELVFENGHAOMA）、BAOXIAOZILIAOLINGDINGQINGSUAN。YANZHONGJIBINGBAOXIAOZILIAOHEBINGLIQUANSHUSHANGBAOKAOHE。ZHENXINHEBANQUWAIBAOXIAOSHUJUJIBAOXIAOZILIAO（BAOLUOYANZHONGJIBING）ANYUANHUADINGLVXING。