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Table 2 Description of the health insurance policies related to the reimbursement and payment method for TB treatment from six counties in Zhenjiang and Hanzhong, respectively, in 2012

From: Factors that associated with TB patient admission rate and TB inpatient service cost: a cross-sectional study in China

Policy

Zhenjiang

Hanzhong

Dantu

Yangzhong

Jurong

Chenggu

Mianxian

Zhenba

Specific policy

No

No

No

No

No

No

Policy of reimbursement rate and regulations

Outpatient service

40 %

No

30 %

800 CNY

2,500 CNY

2,000–2,500 CNY

Inpatient service

60–90 %

65–80 %

Regulation

Deductible: 300–500 CNY

Deductible: 200–300CNY

Ceiling: 80,000–200,000 CNY

Ceiling: 130,000CNY

Policy of payment method and regulations

Payment method

Global budget

Fee-for-service

regulations

Jurong:

Zhenba:

Average medical cost: 5500 CNY for inpatient service

Average medical cost for inpatient service: 3800 CNY in secondary hospital and 8500 CNY in tertiary hospital

  1. Data source: health policy documents related to TB prevention and treatment, issues by agencies of New Rural Cooperative Medical System