Whether NCMS can return to its hometown for reimbursement for medical treatment in other places.

You need to go through the referral registration procedures at the local county cooperative medical office in Changle, and then go to Qilu Hospital for **, and after being discharged, bring the participation certificate, ID card, household registration book, diagnosis certificate, discharge certificate, settlement statement, expense list, case copy and referral certificate to the Changle first cooperative medical office for reimbursement.

Please read it carefully; 1. Insured residents should bring their basic medical insurance certificates for urban residents to the designated hospitals of the city's residents' medical insurance to go through the hospitalization procedures.

2. If the insured residents are discharged from the hospital, they only need to pay off the medical expenses borne by the individual to go through the discharge procedures in the inpatient department, and the medical expenses that should be reimbursed by the medical insurance shall be paid directly by the municipal medical insurance center to the designated hospital, and there is no need for the individual to pay in advance, that is, the reimbursement procedures will be completed when discharged.

3. If you are transferred to a higher-level hospital for hospitalization due to your condition, the doctor in charge shall issue a resident medical insurance referral approval form, which shall be reviewed and stamped by the hospital medical insurance office, and the approval form and your own medical guarantee shall be submitted to the resident medical insurance office of the municipal medical insurance center for examination and approval before you can go to the designated higher-level hospital for diagnosis and treatment (except for emergency rescue, and the referral procedures will be completed within two working days). The medical expenses shall be fully advanced by the individual, and after discharge, the following materials shall be submitted to the Resident Medical Insurance Office of the Municipal Medical Insurance Center for reimbursement.

1. Referral certificate approved by the Municipal Medical Insurance Center;

2. Disease diagnosis certificate and discharge certificate issued by the superior hospital at the time of discharge;

3. Reimbursement ticket for hospitalization expenses;

4. Copies of medical records and doctor's orders;

5. Summary list of hospitalization consumption details.

Based on the above, I believe you have the answer.

Materials to bring: inpatient medical records, expense lists, hospitalization invoices, discharge summaries, disease diagnosis certificates, ID cards, household registration books, cooperative medical books (or certificates, cards), transfer procedures or certificates (unit part-time work certificate or emergency certificate).

Legal basis: "Notice on Accelerating the Pilot Work of New Rural Cooperative Medical Care" With the increase in the number of pilot projects and the increase in the level of subsidies, all localities should carefully calculate, scientifically formulate and adjust the compensation plan for farmers' medical expenses on the basis of analyzing and summarizing the cooperative medical system and the best situation. The formulation and adjustment of the program should grasp the following principles:

First, on the basis of establishing risks, we should insist on achieving a balance between the income and expenditure of cooperative medical care with a slight surplus;

Second, the new ** and local financial subsidy funds should be mainly used for the overall planning of serious diseases**, and can also be appropriately used for small medical expenses subsidies to improve the subsidy level of cooperative medical care;

Third, the compensation plan should be taken into account as a whole, and the difference between neighboring counties should not be too large;

Fourth, the adjustment of the compensation plan should be implemented from the new year to maintain the continuity and stability of the policy.

Legal Analysis: Reimbursable Available. 1. Fill in the "Declaration Form for Non-local Work and Residence Personnel of Basic Medical Oak Macro Therapy Insurance" and seal it; 2. The list of required reimbursement is this:

In general, it is necessary to have a discharge statement, a list of expenses, a discharge summary, a copy of the case, a copy of the ID card, a copy of the household registration book, and a referral certificate in the health center. 3. Take the completed "Application Form" to the social security institution for review; 4. After the review is passed, you can directly rely on the medical insurance card to settle the card in the networked medical institutions and pharmacies.

Legal basis: Social Insurance Law of the People's Republic of China Article 2 The State shall establish social insurance systems such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to protect citizens' right to receive material assistance from the State and society in accordance with the law in the event of old age, illness, work-related injury, unemployment, childbirth, etc.

The procedures required for reimbursement of NCMS hospitalization back to the local area are as follows:

1.The insured person shall bring valid reimbursement materials (ID card or household registration book, medical security card for urban and rural residents (cooperative medical card) and its copy, relevant bank card (passbook) and copy, discharge summary, bills, and general list of expenses. The hospital must provide proof of whether the hospital is a local social security designated medical unit.

2.The reimbursement materials shall be submitted to the municipal medical insurance agency for urban and rural residents for reimbursement. After the municipal medical insurance agency for urban and rural residents completes the reimbursement procedures, the reimbursement will be directly credited to the relevant bank account.

3.If you are hospitalized in a foreign medical institution, the minimum payment for hospitalization reimbursement is 1,000 yuan, 60% of the reimbursable amount paid by medical insurance**, and 40% of the reimbursable amount of personal self-responsibility (the specific reimbursement ratio varies from place to place and may be adjusted every year).

Therefore, the receipts, lists, prescriptions, details, medical insurance manuals, case diagnosis certificates, etc. of various expenses incurred in the hospital must be handled before discharge, and then these materials are strong support after returning to the local area, and because the approval time is too long, it is necessary to wait patiently.

Legal basis: Social Insurance Law

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.

The following materials are required for reimbursement of NCMS medical treatment in other places:

1.The patient's original "Agricultural Cooperative Certificate", household registration booklet, and ID card;

2.The province's unified approval form for referral and transfer of new rural cooperative medical care; (For migrant workers or residents in other places, the approval form for referral and transfer of new rural cooperative medical treatment is not provided, and the certificate of the unit where the worker works or the department at or above the village level in the place of residence is required).

3.Proof of diagnosis;

4.Discharge certificate;

5.a summary list of inpatient medical expenses;

6.Invoices for hospitalization charges;

7.A copy of the inpatient medical record with the official seal.

The reimbursement process for NCMS remote medical treatment is as follows:

1.Filing for medical treatment in other places: Long-term people who work or live in other places can fill in the medical insurance declaration form for people working and living in other places, and go to the social security institution for review; If you need to seek medical treatment in a different place, you can also call to handle the referral filing procedures at the NCMS local agency with your identity information, social security card and relevant information.

2.After long-term remote work and residence personnel have passed the remote medical treatment, they can directly use their medical insurance cards to settle with their medical insurance cards in networked medical institutions and pharmacies; Patients who need to seek medical treatment in other places have gone through the referral procedures, and bring the materials to the referral hospital for medical treatment and hospitalization**.

3.If there is no direct settlement, the hospital will issue a "Description of Immediate Settlement and Reimbursement Service for Patients Referred for Inter-provincial Medical Treatment", and it is necessary to return to the participating place for reimbursement with the patient's ID card or household registration book, social security card, copy of medical record, hospitalization settlement statement, list of hospitalization expenses, referral filing procedures, etc.

The latest regulations on NCMS reimbursement in different places.

Coordinate the immediate settlement and referral process for regional emergency or migrant patients who participate in medical treatment in other places.

Emergency patients: Within 5 days, emergency patients should return to the Rural Cooperative Medical Center for re-referral with the emergency ** medical record, emergency receipt, and hospitalization deposit receipt issued by the provincial Qianyu medical institution.

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 employee 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 ***.

The reimbursement process for NCMS medical treatment in other places is as follows:

1. Prepare discharge summaries, invoices, and medication schedules issued by hospitals seeking medical treatment in other places;

2. My ID card, medical insurance card, and certificate of remote medical treatment issued by the unit (the company's official seal is required), if the enterprise is not insured, the certificate of remote medical treatment issued by the unit is not required;

3. The transfer certificate issued by the local hospital Modong Stove needs to be issued by the attending physician, signed by the department director of the attending physician, and then go to the hospital medical insurance office to apply for the transfer certificate;

4. The reimbursement for medical treatment in other places is 10% less than that for medical treatment, and 20% less if there is no transfer certificate issued by a local hospital;

5. Bring the above information to the local medical insurance office.

NCMS medical insurance card application process:

1. Prepare application materials, original and copy of ID card, one inch **, resignation procedures, copy of household register, renewal medical insurance card, medical records;

2. Then go to the pension insurance institution where the household registration is located to receive the social insurance financial subsidy form, fill it out and hand it in, and submit all the information prepared;

3. The staff will conduct a review of the information provided, which can be completed on the same day and issue payment documents; According to the bank information on the payment slip, regular transfers are sufficient; Bring the first payment slip to the medical insurance hall to get the medical insurance card, some places will have medical records, the medical record is affixed with ** and has a steel seal, you can bring it when you see a doctor.

Legal basisArticle 29 of the Social Insurance Law of the People's Republic of China.

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 social insurance administrative department and the health administrative department shall establish a settlement system for medical expenses for medical treatment in other places, so as to facilitate the insured to enjoy basic medical insurance benefits.

Article 7. The social insurance administrative department is responsible for the social insurance management work in the whole country, and other relevant departments are responsible for the relevant social insurance work within the scope of their respective duties.

The local people's social insurance administrative departments at or above the county level are responsible for the social insurance management work in their respective administrative regions, and other relevant departments of the local people's social insurance at or above the county level are responsible for the relevant social insurance work within the scope of their respective duties.

Reimbursement process for NCMS medical treatment in the province: 1. Go through the referral filing procedures. Bring the patient's ID card or household registration booklet, and bring two one-inch color ** and NCMS medical certificates to the local agency or call the local agency to apply for referral and filing procedures.

2. Handle the hospitalization procedures of NCMS. Bring the patient's ID card, NCMS medical certificate and referral filing procedures to the referring hospital for NCMS hospitalization, which must be a designated medical institution for NCMS. 3. Apply for reimbursement.

After discharge, bring the patient's blind certificate or household registration book, NCMS medical certificate, copy of medical record, hospitalization statement, list of hospitalization expenses, and referral filing procedures to the participating agency to apply for reimbursement.

Article 28 of the Social Insurance Law in line with the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards, as well as 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 settled directly by the social insurance agency and the medical institution and the drug business unit. The social insurance administrative department and the health administrative department shall establish a settlement system for medical expenses for medical treatment in other places, so as to facilitate the basic medical insurance benefits for the insured persons.