Under what circumstances can rural cooperative medical care be reimbursed 20

I'm in Yixingbu, so let's take it as an example

Ordinary: A book (cooperative medical book) will be reimbursed 200 yuan a year (designated hospitals) for more than that, and no report for the deficiency (only 200 for more than 200, not for the shortage, not for a penny).

Serious illness: 70% reimbursement (I don't know if I didn't experience it myself; My father was hospitalized for surgery a few months ago, which cost more than 40,000 yuan, and after he was discharged from the hospital, he was reimbursed 70% of nearly 30,000 yuan).

As for the reimbursement amount of 200 that year, we didn't report it, and it was troublesome, and we had to toss it for 2 days to report it once.

Brief description of the reimbursement process:

Hospitalization voucher (certificate issued by the attending doctor of the hospital), payment voucher, hospitalization list (not one day less), general discharge list (to be compared with the hospitalization list one by one, the difference is not a penny, it is not good), cooperative medical book (approved and stamped at the street, township and township levels), the patient's ID card household registration book and the ID card of the handler (original + copy); Take the above materials to the local cooperative medical office to declare, and after the inspection is correct on the same day, you will get the money the next day (a passbook of a designated bank);

o( ohaha take the money and go (the process is a bit cumbersome, but it's still quite smooth)

I want to ask about the patients I saw in the outpatient department of the hospital, but I was not hospitalized, so can the rural cooperative medical care be reimbursed.

Reimbursement is possible. Rural Cooperative Medical Insurance.

It is a social security card. As for the reimbursement process and how much can be reimbursed. Each place has different policies, so it will be a little different. The reimbursement rate will also vary according to the local area, and it is still necessary to go to the local hospital or clinic for specific consultation.

Reimbursement ratio. The reimbursement ratio is the largest reimbursement ratio for county-level hospitals, followed by municipal-level hospitals and provincial-level hospitals. Of course, the proportion of township hospitals in the local area is the highest, as high as 90%. In terms of proportion, it is still good, and it is relatively high.

Partial reimbursement. Not all drugs in rural cooperative medical care will be reimbursed, and some expensive drugs will not be reimbursed. The cost of expensive drugs is also relatively high, our country has a large population, and now it is an era with a high incidence rate, the state cannot give you all reimbursement, and the economy does not allow it, and all reimbursement has become the era of free medical treatment for the whole people.

Therefore, there will be some products that you need to pay for yourself, such as nutrient solutions and blood products.

Rural cooperative medical outpatient clinics are reimbursable. The New Rural Cooperative Medical System (NCMS) Clinic, that is, a new type of rural cooperative medical care, refers to the system of mutual assistance and mutual assistance for farmers under the organization, guidance and support of the first class, which is voluntarily participated by farmers, raised funds by individuals, and adopted by the collective and political judgment Liangfu in a variety of ways. Raising funds requires individual contributions, collective support, and capital contributions.

The process of reimbursement of rural cooperative medical insurance is as follows:

1. Hospitalization of medical personnel or outpatients with specific diseases in designated hospitals can be reimbursed by real-time online settlement, such as reimbursement by the medical office for other reasons. The medical expenses shall be paid in advance by the individual, and the hospital shall obtain the certificate of disease diagnosis, the invoice of the hospital charges, the detailed list of the summary of expenses, the information of the hospital and the information of the participating in the cooperative medical treatment, the ID card or household registration booklet, the bank passbook (card) and fill in the approval form for the reimbursement of the cooperative medical treatment, which shall be reviewed by the village committee and add opinions, and shall not be processed after the deadline;

2. The preliminary examination materials will be handled by the street medical office;

3. The joint medical office will send the audit materials to the Municipal Social Security Bureau for examination and approval.

Social Insurance Law of the People's Republic of China

Article 29.

The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.

Cooperative medical outpatient clinics can be reimbursed.

Rural cooperative medical care is a kind of insurance, and many rural people have participated in it, which has certain benefits.

Rural cooperative medical outpatient clinic refers to the system of mutual assistance and mutual aid of farmers under the organization, guidance and support of the first and the other, which is voluntarily participated by farmers, raised funds individually, collectively and in a variety of ways, and coordinated for serious diseases. It raises funds in the form of individual payment, collective support and funding.

You can report ah, cooperative medical care is a kind of national medical security service, the report is medical expenses, do not ask you what reason you are sick or hospitalized, you only need to go to the hospital for medical treatment, and participate in the rural cooperative medical care, then take the relevant medical documents to reimburse, but it is a certain percentage, the reimbursement ratio of various places is also different, and some drugs are not included in the reimbursement! You'd better go to your local hospital for a consultation.

In 2018, the rural cooperative medical care has been merged with the urban residents' medical insurance, collectively known as the urban and rural residents' medical insurance. Urban and rural residents enjoy the same medical treatment. Outpatient hospitalizations are reimbursable.

Outpatient medical treatment needs to sign a contract every year to reimburse outpatient medical expenses, and the first time you go to the doctor every year, you will automatically sign a contract, that is, only this hospital can reimburse outpatient medical expenses this year. The total amount of outpatient reimbursement per year varies from region to region. Hospitalization is not divided into contracted hospitals, no matter if you are in the ** medical treatment, you can be reimbursed, the higher the hospital level, the lower the insurance ratio, and vice versa.

40% of the drugs used within the scope of medical insurance will be reimbursed, and the self-financed drug department will reimburse.

Some of the cooperative medical services cannot be reported, if the surgery can be reimbursed about 80 percent, some drugs can be reported, some drugs can not be reported, and each drug has a different reimbursement ratio.

The reimbursement for rural cooperative medical care is a little less, generally between 30 and 50 percent, and some drugs are between 75 and 80 percent, depending on the drugs you use.

Can Yunke be reimbursed for the drip and rural cooperative medical care?

Can Ruijin and Huichang be directly reimbursed for rural medical treatment?

Legal analysis: If there are huge expenses such as hospitalization, the reimbursement ratio and reimbursement amount of employee medical insurance will be higher. After the employee medical insurance has been paid for a certain number of years, he can enjoy it free of charge after retirement. The resident medical insurance is paid for one year and managed for one year.

Legal basis: Social Insurance Law of the People's Republic of China

Article 23 Employees shall participate in the basic medical insurance for employees, and the employer and the employees shall jointly pay the basic medical insurance premiums in accordance with the provisions of the State. Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.

Article 24: The State is to establish and improve a new type of rural cooperative medical system. The management measures for the new type of rural cooperative medical care shall be stipulated by ***.

Article 25 The State shall establish and improve the basic medical insurance system for urban residents. The basic medical insurance for urban residents is a combination of individual payment and subsidy. Those who enjoy the minimum living guarantee, the disabled who have lost the ability to work, the elderly over the age of 60 and minors from low-income families, etc., will be subsidized by **.

Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care, and basic medical treatment for urban residents shall be implemented in accordance with state regulations.