What is the reimbursement ratio for accidental injuries under NCMS medical insurance?

The reimbursement rate of NCMS for accidental injuries is 50%. The compensable part of the hospitalization expenses for external injuries shall be compensated according to 50% of the disease compensation standard of the corresponding designated medical institutions. Reimbursement process for accidental injuries NCMS:

1) Reporting and registration. If a participating farmer is injured in an accident and is hospitalized in a designated medical institution of NCMS in the city, the patient or his family members shall file an accident within three days.

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How much can be reimbursed for NCMS accidental injuries can be divided into 2 situations:

Reimbursement of outpatient expenses for accidental injuries.

In fact, the Accidental Injury Outpatient Fee is only for accidental injuries that occur among students who are not responsible for them. For the part of the outpatient medical expenses exceeding 50 yuan, the medical insurance** will pay 60%, and the maximum payment limit per person is 3,000 yuan each time.

Accidental Injury Hospitalization Reimbursement.

The part above the threshold of the reimbursable expenses in the accidental injury hospitalization medical expenses will be compensated at a rate of 40%, with an annual cap of 30,000 yuan, and the minimum reimbursement policy will not be implemented, and the hospitalization expenses will not be included in the scope of serious illness insurance.

During the overall planning period, the drug expenses, examination fees, laboratory fees, surgery fees, ** fees, nursing expenses and other parts that meet the reimbursement scope of urban employee medical insurance (i.e., effective medical expenses) incurred by the participants in the designated hospital due to illness are incurred.

Dear, students should have student insurance, it's the kind of insurance that you can buy at the beginning of school.

Question: We need to apply for medical insurance.

Then apply for a flat risk?

Question: We were hospitalized.

Discharge medical insurance does not reimburse.

What are we going to do.

Answer: If you are hospitalized, you can pay directly with medical insurance when you are discharged. Is there no reimbursement item in NCMS, you can consult a doctor. Because this reimbursement scope is stipulated by the Chinese family, we can't help it.

The reimbursement rate for accidental injuries is generally around 40%, and if the medical conditions are more advanced, the reimbursement ratio may be larger.

NCMS accident. What is the general injury reimbursement rate? In the case of NCMS accidents, the reimbursement ratio is generally around 65 70.

The reimbursement rate varies from region to region, but it should be around 60 percent. The reimbursement rate of NCMS is not very high.

The proportion of reimbursement for the accident insurance of the agricultural cooperative system, as long as they are hospitalized, should be able to report about 6 or 70 of the board.

The reimbursement ratio of NCMS is related to the level of the hospital, and the higher the hospital grade, the lower the reimbursement ratio. The reimbursement ratio of general township hospitals is 70-90%, and the reimbursement ratio of municipal hospitals is 30-70%.

Reimbursement ratio of NCMS accident injury in Gong'an County.

NCMS has only 40 percent of the accidental injuries.

Summary. Hello! Glad to serve you :

1. Can NCMS reimburse 60% of accidental injuries? The threshold for hospital fees for Class III hospitals is 200. The reimbursement rate for medical insurance is 85 percent.

The threshold for the fee standard for Class II hospitals is 400. The reimbursement rate for medical insurance is 70%. The threshold for the fee standard of a Class 1 hospital is 600.

2. The reimbursement ratio of medical insurance is 60%. For first-class hospitals to transfer to the province for medical treatment, the threshold of the fee standard is 600. The reimbursement rate for medical insurance is 60%.

For first-class hospitals to transfer to other provinces for medical treatment, the threshold of the fee standard is 600. The reimbursement rate for medical insurance is 55 percent. If there are multiple hospitalizations in one insurance year, the minimum payment standard for the first and second hospitalizations shall be borne by the individual.

The minimum payment standard for the third and above hospitalizations shall be paid by the co-ordination**. The maximum payout limit for an insurance annual pool** is $50,000.

How much can NCMS be reimbursed for accidental injuries.

Hello! We are glad to serve you: 1. Can NCMS be reimbursed 60% for accidental injuries?

The threshold for hospital fees for Class III hospitals is 200. The reimbursement rate for medical insurance is 85 percent. The threshold for the fee standard for Class II hospitals is 400.

The reimbursement rate for medical insurance is 70%. The threshold for the fee standard of a first-class hospital is 60% reimbursement rate for medical insurance. For first-class hospitals to transfer to the province for medical treatment, the threshold of the fee standard is 600.

The reimbursement rate for medical insurance is 60%. For first-class hospitals to transfer to other provinces for medical treatment, the threshold of the fee standard is 600. The reimbursement rate for medical insurance is 55 percent.

If there are multiple hospitalizations in one insurance year, the minimum payment standard for the first and second hospitalizations shall be borne by the individual. The minimum payment standard for the third and above hospitalizations shall be paid by the co-ordination**. The maximum payout limit for an insurance annual pool** is $50,000.

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Legal analysis: the proportion of NCMS accident reimbursement is: the starting line of the township and town designated hospitals in the city is 300 yuan, and 60% compensation is made for more than 300 yuan; The county-level payment line in the city is 900 yuan, and 45% compensation will be made for more than 900 yuan; The starting line of the municipal (prefecture city) is 2,500 yuan, and 40% compensation will be made for more than 2,500 yuan; The minimum payment line above the provincial level (inner) is 4,000 yuan, and the compensation for more than 4,000 yuan is 35%; The minimum payment line above the provincial level (outside) is 9,000 yuan, and the compensation for more than 9,000 yuan is 30%.

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

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 **.

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.

Hello dear! I've seen your question and I'm trying to sort out the answer, and I'll get back to you in five minutes, so please wait a minute

Hello, I'm glad to answer for you [happy] Accidental injuries are reimbursed by NCMS, but accidents caused by third parties are not covered by NCMS. The reimbursement scope of the new rural cooperative medical care is: the part of the reimbursement scope (i.e., effective medical expenses) incurred by the participants in the designated hospital for diagnosis and treatment due to illness during the overall planning period, such as drug expenses, examination fees, laboratory fees, surgery fees, ** fees, nursing fees, etc., which meet the reimbursement scope of urban employees' medical insurance.

The new type of rural cooperative medical care** payment establishes a minimum payment standard and a maximum payment limit. Hospitalization expenses below the hospital's annual payment standard shall be paid by the individual. If the minimum payment standard is reached during the same pooling period, the hospitalization expenses incurred by two or more hospitalizations can be reimbursed cumulatively.

Hospitalization expenses exceeding the minimum payment standard shall be calculated in stages and reimbursed cumulatively, with a maximum limit for cumulative reimbursement per person per year.

Reimbursement process of NCMS for accidental injury: 1. Patients with accidental injuries applying for hospitalization compensation need to submit the following materials at one time: the compensation application form signed by the joint management office of the hospital, the registration form for hospitalization compensation for accidental injuries of Laiwu NCMS, the hospitalization invoice, the list of expenses, the cooperative medical certificate, the ID card, the hospitalization diagnosis certificate, the copy of the hospitalization medical record, and the accidental injury certificate of the village committee where the household registration is located (the school shall provide the certificate for the students who are enrolled in the school).

2. If the hospitalization expenses for accidental injury are less than 10,000 yuan, the township joint management office shall be responsible for the review, and make a review opinion, and report to the district joint management office for approval; If the hospitalization expenses for accidental injuries are between 10,000 yuan and 30,000 yuan, the district joint management office shall be responsible for review and approval; If the hospitalization expenses for accidental injuries are more than 30,000 yuan, the Municipal Joint Management Office shall be responsible for review and approval. 3. Within 20 days after the patient is discharged from the hospital, the materials submitted for the application for compensation shall be submitted to the town, district and municipal joint management office respectively in accordance with the review authority. After receiving the information, the joint management office shall conduct a review, and if there is no objection to the review, it shall be publicized before compensation.

If there are objections, within 30 days, carry out a household survey and verification in the village, and the investigation in line with the compensation provisions shall be publicized before compensation.

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Nonsense! It's already invalid and you don't delete it?

Summary. Hello, the reimbursement ratio for accidental injuries of NCMS is 200 yuan, and the starting line for township health centers and community service centers is 200 yuan, which can be reimbursed 90%; The starting line of the second-level designated hospital is 400 yuan, which can be reimbursed 82%; The starting line of the first-level designated hospital is 1,500 yuan, and the reimbursement is 70%; The starting line for provincial hospitals is 2,200 yuan, which can be reimbursed by 70%.

How much can NCMS be reimbursed for accidental injuries.

If you don't have accident insurance in NCMS, will you be reimbursed for riding a fall injury?

Hello, the reimbursement ratio for accidental injuries of NCMS is 200 yuan, and the starting line for township health centers and community service centers is 200 yuan, which can be reimbursed 90%; The starting line of the second-level designated hospital is 400 yuan, which can be reimbursed 82%; The starting line of the first-level designated hospital is 1,500 yuan, and the reimbursement is 70%; The starting line for provincial hospitals is 2,200 yuan, which can be reimbursed by 70%.

Is it reimbursed for medical treatment in other places and return to the local area?

Dear and dear, hospitalized patients who are injured due to accidents are also required to submit a confirmation certificate of the cause of the accidental injury signed and stamped by the village (residence) where the household registration is located and the medical records of the hospital after discharge. Those who cannot provide valid proof and records will not be accepted. The reimbursement cycle shall be completed within 30 working days from the acceptance of the NCMS window of the District Administrative Service Center, and the reimbursement will be made after investigation and review by the inspectors of the NCMS Industry Management Center; If the responsibility is borne by a third party, no reimbursement will be made; If the inpatient also bears part of the responsibility, he or she shall go to the NCMS window of the district administrative service center to reimburse part of the medical expenses with the agreement or relevant certificates.