（记者魏铭言）昨天，卫生部介绍，2013年，我国农村医疗保障重点将向大病转移。肺癌、胃癌等20种疾病全部纳入大病保障范畴，大病患者住院费用实际报销比例不低于70%，最高可达到90%。

(Reporter MingYan wei)yesterday,The ministry of health is introduced,In 2013,,China's rural medical security key to transfer a serious illness.Lung cancer/Gastric cancer and kind of disease, all included in the category of guarantee of a serious illness,A serious illness of the patient in the actual cost reimbursement ratio not less than 70%,The highest can reach 90%.

报销提高5个百分点 Submit an expense account is increased by 5%

　　从2002年开始，我国逐步建立了政府组织引导，农民自愿参加，个人、集体和政府多方筹资，以大病统筹为主的新型农村合作医疗制度。目前，新农合制度已覆盖约8.12亿人，覆盖率达98%以上。今年，新农合全国人均筹资达到340元，其中各级政府补助增加到人均280元，新农合总筹资额可达到2700亿元。

Starting from 2002,Our country has set up the government organization guide,Farmers voluntarily participate in the,personal/The collective and government financing,With a serious illness as a whole is given priority to the new rural cooperative medical system.At present,New farmers joint system has covered about 812 million people,Coverage of more than 98%.This year,New farming together the national per capita financing reached 340 yuan,At all levels of the government subsidies increase to 280 yuan per capita,New farmers raised together always can reach 270 billion yuan.

　　卫生部介绍，今年，新农合患者看病就医的实际报销比例争取比2012年的50%左右提高5个百分点。

The ministry of health is introduced,This year,New farming combined with the actual hospital reimbursement ratio for more than 2012 years of 50% 5%.

　20种大病纳入大病保障 And kind of serious illness into a serious illness security

　　2013年，新农合的重点工作，是扩大重大疾病保障的覆盖面，提高补偿比例,避免农民因（大)病返贫。

In 2013,,New farmers, the key work,Major disease is to increase the security of the coverage,Increase compensation ratio,Avoid farmers for(big)Poverty disease.

　　卫生部相关负责人介绍，今年，将以省为单位全面推开肺癌等20种重大疾病保障工作，在已开展大病保险试点的地区，要优先将20种重大疾病纳入大病保险范围，先由新农合按照不低于70%的比例进行补偿；补偿后个人负担费用超过大病保险补偿标准的部分，再由大病保险按照不低于50%的比例给予补偿。二次补偿后，困难农民还将额外得到15%的民政医疗救助基金，这样加起来，总报销比例可达到90%。

The ministry of health relevant controller introduces,This year,The province as a unit to full implementation of lung cancer and kind of serious illness security work,In the development of a serious illness insurance pilot area,Prior to the kind of major disease into a serious illness insurance coverage,First by the new agriculture close according to not less than 70% of the compensation;Compensation individual responsibility cost more than a serious illness insurance compensation standard part,Again by a serious illness insurance according to not less than 50% of the compensation.Secondary compensation,Difficult farmers will also get an additional 15% of home medical relief fund,That adds up to,Total reimbursement ratio can reach 90%.

　　此外，卫生部对20种重大疾病制定了临床路径，遴选基本药物，并以省为单位，实施集中采购，确保农民重大疾病用药安全。同时，卫生部要求各地卫生行政部门，选择诊疗条件良好，费用控制能力和组织管理能力较强的新农合定点医疗机构作为参合农民重大疾病的定点救治机构。一般大病原则上尽可能在县级医疗机构诊治；复杂疑难病例，由接诊医院负责转诊到三级医疗机构。

In addition,The ministry of health to twenty kinds of major disease has formulated the clinical pathway,Selection of essential drugs,And to save for the unit,The implementation of centralized procurement,Ensure that farmers major disease medication safety.At the same time,The ministry of health requires all the public health administrative department,Choose good medical conditions,Cost control ability and management ability strong new farming close to nod medical establishment as ginseng adds up to farmer major disease point treatment mechanism.The general principle of a serious illness as far as possible in the diagnosis and treatment of medical institutions;Complex difficult cases,It is responsible for the hospital referral to level 3 medical institutions.

　　卫生部已下发要求，各级新农合经办机构须简化并规范重大疾病的结算报销流程，积极推行定点医疗机构的及时结报和异地结报，结合实际推进新农合与医疗救助“一站式”服务，方便参合农民患者及时得到补偿。

The ministry of health has issued requirements,New farmers at all levels close agency orgnaization shall simplify and regulate the settlement of major disease reimbursement process,Actively promote to nod medical establishment to timely "and different" report,Based on the actual process of new farmers, and medical assistance"one-stop"service,Convenient ginseng adds up to farmer patients receive timely compensation.

■ 个案 S case

　　治病花7万可报销5万 Cure spend 70000 can submit an expense account 50000

　　61岁的河南周口农民马继彪得了胰头癌、肺癌等好几种病，刚在郑州市人民医院做完手术，一共花了7万多元，这笔费用相当于他们一家两年的纯收入。

The 61 - year - old henan zhoukou farmers MaJiBiao got pancreatic head carcinoma/Lung and several kinds of disease,Just in zhengzhou city people's hospital finish operation,Total spent more than 70000 yuan,The cost is equivalent to them a two years of net income.

　　按照之前的政策，合作医疗8000元以上可以报销65%。而从今年开始，报销比例有了很大提升，8000元到5万可以报销65%，5到8万报销80%，8万以上可以报销90%。

According to the policy of before,Cooperative medical 8000 yuan of above can submit an expense account 65%.And from the beginning of this year,Reimbursement ratio had the very big promotion,8000 yuan to 50000 can submit an expense account 65%,5 to 80000 80% to submit an expense account,More than 80000 can submit an expense account 90%.

　　数字上的变化，到了农民手里是实实在在的钱。这一场大病，马继彪的医药费报了5万多元，自己只花了不到两万元。 据央视报道

Digital change,The farmers are real money in his hand.This a serious illness,MaJiBiao medical called the 50000 multivariate,I only spent less than twenty thousand yuan. According to CCTV reported