Where to go for the second reimbursement of agricultural cooperatives? Where to reimburse for the se

Requirements: Hospitalization certificate, special diseases.

The conditions for the second reimbursement of NCMS are as follows:

1. Participated in the New Rural Cooperative Medical System of that year.

2. In that year, there was a large balance of NCMS, and the local government issued a secondary reporting policy, and the document was generally issued at the beginning of the second year.

3. If the medical expenses meet the minimum payment standard, (the specific amount depends on the requirements of local documents), the compliant medical expenses borne by individuals above the minimum payment standard will generally be reimbursed in different grades.

4. Theoretically, it must be a one-time medical expense to reach the minimum payment line, and multiple medical treatments cannot be combined into one time.

After the residents who have participated in the urban residents' medical insurance are reimbursed by the normal medical insurance, the remaining personal out-of-pocket expenses within the scope of medical insurance reimbursement can be reimbursed if they exceed the annual per capita disposable income of urban residents in the city in the previous year (referred to as the minimum payment amount). If the excess is less than 50,000 yuan, 50% will be reimbursed by the critical illness insurance fund; Expenses exceeding 50,000 yuan will be reimbursed by 60% of the critical illness insurance funds.

For the second reimbursement of rural cooperative medical care, you should go to the local medical insurance center to handle it. Because the medical insurance center is responsible for handling the second reimbursement.

If you are NCMS, then in principle, there can be no secondary reimbursement, that is, you can only be reimbursed once, but there is a serious illness subsidy for special cases.

For the second reimbursement of NCMS medical expenses, you still have to go to NCMS to handle it.

You don't need to handle the second reimbursement of the NCMS yourself, and there is a special agency in the township that will handle it directly for you and send you the money.

If you have guitar insurance in addition to joining the agricultural cooperative system, you can have a second reimbursement.

Just go to the local agricultural cooperative system to handle it.

If you want to go to the ** office, you usually go to the place where you go to the social security or agricultural insurance to consult.

Go to the civil affairs department to apply for a second reimbursement for serious illness assistance.

1. NCMS reimbursement process:

1. Information required for reimbursement:

Outpatient reimbursement materials: outpatient invoices, cooperative medical certificates (or medical records).

Hospitalization reimbursement materials: hospitalization invoices, cooperative medical certificates (or medical records), detailed list of expenses, discharge summary, and other relevant certificates.

2. Outpatient special disease reimbursement materials: outpatient invoices, special disease cooperative medical certificates.

Handling special disease carrying materials: special disease outpatient ** proposal, cooperative medical certificate record, medical record, relevant laboratory report, ** two.

2. Reimbursement process:

After the insured household prepares the required materials for reimbursement, it will be handed over to the village (community) cooperative medical liaison, who will review and report to the town cooperative medical liaison, and the town liaison will send it to the district agricultural office settlement and reimbursement center for reimbursement. Guidelines for the reimbursement of new rural cooperative medical care.

Direct reimbursement by the hospital: When hospitalization due to illness goes through the hospitalization procedures, a new type of rural cooperative medical certificate will be issued to the hospital to directly participate in the reimbursement.

Extended Materials. After the reimbursement of basic medical insurance, urban residents shall pay more than the annual per capita disposable income of urban residents in Beijing within the scope of the basic medical insurance policy, and rural residents shall pay more than the annual per capita net income of rural residents in Beijing in the previous year within the scope of the basic medical insurance policy. It is included in the payment scope of serious illness insurance for urban and rural residents in Beijing, and "secondary reimbursement" is carried out.

At the time of discharge, the settlement will be completed, and if it is a serious illness, you can also apply for relief from the local civil administration.

Secondary reimbursement. The location is generally at the NCMS of the local health bureau.

Hall. The starting line of NCMS serious illness insurance is 15,000 yuan, which means that the part of reasonable expenses exceeding 15,000 yuan after the reimbursement of NCMS hospitalization will be reimbursed on a proportional basis. 50% reimbursement to 50,000, 60% reimbursement to 5 to 100,000, and 70% reimbursement to more than 100,000.

Reimbursement procedures for NCMS critical illness insurance:

Patient ID card.

Photocopy, copy of Agricultural Bank Card, copy of cooperative medical card, medical record, diagnosis certificate, total list of expenses, referral certificate required outside the county. If the patient is unable to provide his or her bank card, he or she can prove the relationship between the same household registration staff or the village committee.

Go to the civil affairs department to apply for a second reimbursement for serious illness assistance.

NCMS reimbursement process:

1. Information required for reimbursement:

Outpatient reimbursement to bring information:

Outpatient invoices, cooperative medical early dispensing certificate (or medical records).

Hospitalization reimbursement to bring:

Hospitalization invoices, cooperative medical certificates (or medical records), detailed list of expenses, discharge summary, and other relevant certificates.

2. Information for outpatient special disease reimbursement:

Outpatient invoices, special disease cooperative medical certificates.

Handling special diseases to carry information:

Proposal for outpatient clinic for special diseases, cooperative medical certificate calendar, medical record, relevant laboratory report, **2.

Legal basis. Article 24 of the Law on Social Insurance.

The State shall 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 26.

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

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.

It can be reimbursed by two key burns.

So in this case, it is generally a person who is in line with the serious illness assistance, so after the reimbursement is made once, then the balance can be reimbursed twice, and the general paragraph is purely carried out in the medical insurance center.