Which department is in charge of NCMS, how does the reimbursement process go, and how much is it rep

1. Prepare materials: reimbursement materials - valid invoices, hospitalization certificates, hospitalization expense lists, self-financed drug lists, referral certificates, etc., receive the reimbursement approval form, first go to the village committee to issue a certificate, and then go to the township.

2. Bring the prepared materials to the joint management office of the township ** to check, fill in and receive the reimbursement approval form. If you don't have surgery done in a county designated hospital, you will go to the township hospital to find the director to issue a certificate, and then go to the township ** joint management office, which is the case in Guigang, which may vary from place to place.

3. Take a copy of the patient's ID card and a copy of the handler, bring all the reimbursement materials (it is recommended to buy a plastic briefcase) to the county joint management office, and give them the reimbursement materials and a copy of the ID card, and he will call you back to wait for the money notice.

Childbirth can be reported, the general rate is 30%, if it is a county designated hospital, it can be 50%, if you are a township resident. You can report 70%.

The above information is just a reference, as it may vary from place to place, you can ask the people in the agricultural cooperative office, and generally they know how to do it.

NCMS is managed by the Social Security Center.

There is a stipulation on the reimbursement time of NCMS, which should be valid for three months from the day of discharge. Generally, according to the usual practice in the county, the reimbursement of hospitalization in the county is within half a month, and if the medical records outside the county or the amount in the county are relatively large, it is generally within one month, and the reimbursement for trauma needs to be investigated and verified within three months.

2. Materials required for NCMS reimbursement:

If you are hospitalized in a designated hospital in the county that has implemented informatization settlement and reimbursement, you can settle the report on the spot at the hospital when you are discharged with your cooperative medical card, ID card or household registration booklet; Those who are hospitalized in hospitals that have not implemented informatization settlement and reimbursement shall be handled at the medical insurance window of the human resources service center.

1. ID card or household registration booklet of participating inpatients;

2. Cooperative medical certificate for participating inpatients;

3. Discharge certificate;

4. Receipts for medical expenses;

5. Detailed list of hospitalization expenses;

6. Other materials required to be submitted by the county and urban cooperative medical management agencies.

Note: NCMS basic medical insurance implements the model of "outpatient co-ordination + inpatient co-ordination + major diseases (according to disease types)"; Outpatient co-ordination includes: general outpatient clinics, large-scale outpatient services for special diseases, and contracted services for family doctors; Inpatient co-ordination includes:

general hospitalization, hospital delivery; Critical diseases (according to the type of disease) include: medical treatment compensation for 25 major diseases such as congenital heart disease in children, and the NCMS Critical Illness Insurance will compensate the remaining medical treatment expenses that meet the requirements after the NCMS basic medical insurance in accordance with local policies.

The cap line for overall reimbursement of general outpatient clinics shall not be less than 400 yuan, and there is no minimum payment line for compensation. For special diseases (including chronic diseases and special diseases), there is no minimum payment line for compensation for large outpatient expenses, the reimbursement ceiling is not less than 20,000 yuan, and the policy compensation ratio is not less than 60%.

For patients with special diseases who choose the contracted services of family doctors, the Plan clarifies that the policy of medical compensation will be given in the agreed "1+1+1" combination service medical institutions.

Legal analysis: NCMS is managed by the social security center, and the reimbursement process is as follows: 1. The insured person goes to the cooperative medical point for medical treatment.

2. Pay at the outpatient and inpatient department with the prescription and examination, first pay by yourself, or go to the NCMS window to register for discharge, and pay the fee by yourself during the period. 3. After the end of the medical treatment, take the medical certificate, ID card, and household registration invoice to the NCMS window for review, reimbursement, and receive reimbursement; Or after the end of the day, take out the hospital certificate, hospitalization invoice, medical certificate, ID card, household registration book, go to the NCMS window for review, reimbursement and receive reimbursement.

Legal basis: Article 70 of the Labor Law of the People's Republic of China The State shall develop social insurance, establish a social insurance system, and establish social insurance**, so that workers can receive help and compensation in the event of old age, illness, work-related injury, unemployment, childbirth, etc.

Article 71: The level of social insurance shall be commensurate with the level of social and economic development and the capacity of society to bear it.

Are you there? NCMS is managed by the Social Security Center. 1. The insured person goes to the noisy cooperative medical point for medical treatment; 2. Pay at the outpatient and inpatient department with the prescription and examination, first pay by yourself, or go to the NCMS window to register for discharge, and pay the fee by yourself during the period. 3. After the end of the medical treatment, take the medical certificate, ID card, and household registration invoice to the NCMS window for review, reimbursement, and receive reimbursement; Or after the end of the day, take out the hospital certificate, hospitalization invoice, medical certificate, ID card, household registration book, go to the NCMS window for review, reimbursement and receive reimbursement.

Legal basis: Article 24 of the Social Insurance Law of the People's Republic of China 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 care for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State. Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency and rescue of false oak medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

Legal Analysis: NCMS is managed by the Social Security Center. 1. The insured person goes to the cooperative medical point for medical treatment; 2. Pay at the outpatient and inpatient department with the prescription and examination, first pay by yourself, or go to the NCMS window to register for discharge, and pay the fee by yourself during the period. 3. After the end of the medical treatment, take the medical certificate, ID card, and household registration invoice to the NCMS window for review, reimbursement, and receive reimbursement; Or after the end of the day, take out the hospital certificate, hospitalization invoice, medical certificate, ID card, household registration book, go to the NCMS window for review, reimbursement and receive reimbursement.

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

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 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 the provisions of the State.

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **.

Remove the minimum payment line and non-medical insurance reimbursement drugs, the reimbursement ratio is about 85%, you are hospitalized in the designated hospital of medical insurance, and when you are hospitalized, you will directly swipe the medical insurance card for reimbursement, if you are hospitalized in a different place, first go to the local medical insurance center for the record and go through the referral procedures, and then you can directly use the medical insurance card for reimbursement when you are hospitalized.

The NCMS medical insurance is uniformly reported to the township and township for handling, and the NCMS card is generally taken when you see a doctor in the designated hospital, and you will be settled when you are discharged.

Which department is in charge of NCMS, how does the reimbursement process go, and how much is it reported? NCMS is supervised by the Rural Cooperative Medical Service Center and is part of the rural health care system. The reimbursement process is generally as follows:

The patient first goes to the local village-level medical institution for diagnosis and treatment, and then brings the relevant reimbursement materials to the local rural cooperative medical service center for reimbursement. The specific reimbursement standards and reimbursement ratios may vary from region to region and are subject to local regulations.

Local Social Security Bureau. ID card and photocopy, NCMS medical certificate and photocopy, NCMS discharge compensation form, bank card, doctor's certificate, hospitalization summary, hospitalization receipt, medical details, patient's ID card, first reimbursement voucher. 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.

Information for special diseases: ** proposal for outpatient clinics for special diseases, cooperative medical certificates, medical records, relevant laboratory reports, **2.

Social Insurance Law of the People's Republic of China

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 a basic medical insurance system for urban residents. The basic medical insurance for urban residents implements 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 standards for the treatment of basic medical insurance for workers and workers, the new type of rural cooperative medical care, and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 27 Individuals who participate in the basic medical insurance for employees and reach the statutory retirement age when the cumulative contributions reach the number of years prescribed by the state shall no longer pay the basic medical insurance premiums after retirement, and enjoy the basic medical insurance benefits in accordance with the provisions of the state; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.