How to reimburse for medical treatment in other places and rural cooperative medical care

1. How to reimburse NCMS medical insurance for medical treatment in other places.

The process of reimbursement of NCMS medical insurance in other places is relatively complicated, which is also the idea that many farmers do not consider seeking medical treatment in other places. If it is inter-provincial, there will be restrictions on designated medical institutions, but this is only for a small number of areas. If you choose a non-designated medical institution for medical treatment, then the inpatient medical expenses cannot be settled in time for medical treatment in other places, and you can return to the county or township medical insurance agency in the insured place to apply for reimbursement after the individual pays the full amount in advance.

2. What materials are required for the reimbursement of NCMS medical insurance in different places?

At present, the new rural cooperative medical insurance policy is aimed at rural residents, and if you want to achieve reimbursement for medical treatment in other places, it is also conditional, first of all, you must pay the medical expenses in advance, and when you are discharged, the medical treatment unit will ask for the original invoice, and you must prepare basic materials, including the list of medications, medical records. Then, bring your ID card, medical insurance card, medication list, medical record book and other materials to the local medical management agency for reimbursement.

3. Precautions for reimbursement of NCMS medical insurance for medical treatment in other places.

1. Many farmers and friends will not be able to complete the hospitalization reimbursement in time due to various reasons, at this time, the patient or family members can issue a certificate of inter-provincial medical referral through the hospital, and then they need to return to the medical institution in the insured place for reimbursement.

2. There are strict regulations on the reimbursement time of NCMS medical insurance, and the reimbursement time of the current year is until March 31 of the following year.

3. The reimbursement scope of NCMS medical insurance is also stipulated, and the main contents that can be reimbursed include drug expenses, examination fees, laboratory fees, surgery fees, ** fees, nursing fees and other parts that need to meet the reimbursement scope of urban employees' medical insurance. If it is out of scope, it will not be reimbursed.

4. The reimbursement ratio of different medical institutions is also different, the reimbursement ratio of general outpatient is 50%, with a cap of 80 yuan, the minimum reimbursement line for inpatient hospitalization in townships is 200 yuan, and the reimbursement ratio is 85%, the minimum reimbursement line for hospitalization in county-level designated medical institutions is 500 yuan, and the reimbursement ratio is 70%, and the reimbursement threshold for hospitalization in provincial designated medical institutions is 1,000 yuan, and the reimbursement ratio is 50%.

1. For hospitalization in other places, it is necessary to apply for approval from the medical insurance of the participating place first, otherwise the participating place will not be reimbursed. With the approval of the insurance company, bring the hospitalization medical records, expense lists, hospitalization invoices, discharge summaries, disease diagnoses, ID cards, household registration books, cooperative medical books (or certificates, cards), transfer procedures or certificates (unit work certificate or emergency certificate). Go to the medical insurance settlement window of the designated hospital for reimbursement.

Article 23 of the Social Insurance Law of the People's Republic of China stipulates that 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.

If it is necessary to transfer to a hospital outside the city for hospitalization, it shall be proposed by a doctor with the title of deputy chief physician or above of a designated medical institution in the city. After the medical institution issues the transfer certificate, the certificate and relevant materials shall go through the approval procedures at the management center;

Rural cooperative medical services cannot be reimbursed for outpatient expenses for medical treatment in other places, and hospitalization expenses must be reimbursed in the place of household registration, but cannot be reimbursed in other places.

As far as reimbursement is concerned, most of the expenses of rural cooperative medical insurance participants are outpatient expenses, which cannot be reimbursed in the place of residence, and they still cannot be reimbursed if they get back to their place of residence.

Legal analysis: Rural cooperative medical care for medical treatment in other places can be reimbursed for Yu Zheng rent after the application for medical insurance in the participating places is approved. When you are hospitalized in other places, you need to apply to the medical insurance of the participating place first, and you can be reimbursed after approval, otherwise the participating place will not be reimbursed.

After the approval of the place of insurance, bring the medical records of hospitalization, invoices for hospitalization, and a list of expenses for reimbursement.

Basis of the law: 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 law in the event of old age, illness, work-related injury, unemployment, childbirth, and so forth.

Article 3 The social insurance system adheres to the principle of wide coverage, basic protection, multi-level and sustainable development, and the level of social insurance shall be commensurate with the level of economic and social development.

Article 4 Employers and individuals within the territory of the People's Republic of China who pay social insurance premiums in accordance with law have the right to inquire about payment records and records of individual rights and interests, and to request social insurance agencies to provide social insurance consultation and other related services.

Individuals enjoy social insurance benefits in accordance with the law, and have the right to supervise their own units' contributions for them.

Summary. Reimbursement method of NCMS for seeing a doctor in another place: 1. Bring the patient's ID card, two one-inch color **, and NCMS medical certificate to the county joint management office for referral and filing procedures.

2. Bring the patient's ID card, NCMS medical certificate and referral filing procedures to the referral hospital for medical treatment and go through the NCMS hospitalization procedures. 3. After discharge, the patient should be reimbursed with the patient's ID card (or household registration book), NCMS medical certificate, copy of medical record, hospitalization settlement statement (some in the form of invoice), list of hospitalization expenses, and referral filing procedures.

Reimbursement method for NCMS for medical treatment in other places: 1. Bring the ID card of the person suffering from the potato to the bureau, two one-inch color **, and the NCMS medical certificate to the county joint management office for referral and filing procedures. 2. Bring the patient's ID card, NCMS medical certificate and referral filing procedures to the referral hospital for medical treatment and go through the NCMS hospitalization procedures.

3. After being discharged from the hospital, the patient should be reimbursed at the joint management office with his or her ID card (or household registration book), NCMS medical certificate, copy of medical record, hospitalization settlement statement (some in the form of invoices), list of hospitalization expenses, and referral filing procedures.

The main thing is to report in advance.

Summary. Hello, glad to answer for you. How to reimburse rural cooperative medical care in other places, 1. Fill in the declaration form for non-local work and residence of basic medical insurance and seal it; 2. List of required reimbursements:

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 use the medical insurance card to settle the settlement in the networked medical institutions and pharmacies.

Hello, very high orange state xing for you to answer. How to reimburse rural cooperative medical care in other places, 1. Fill in the declaration form of basic medical insurance for non-local work and residents, and seal it; 2. List of required reimbursement: 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 use the medical insurance card to settle the settlement in the networked medical institutions and pharmacies.

If the reimbursement can be made in another place, it will be reimbursed directly in the other place, and if it cannot be reimbursed, it will be reimbursed back to the insured place with the above-mentioned materials, and the hospital or social security institution will compensate for the settlement after the review.

1 If you are hospitalized in a different place, you need to apply to the medical insurance of the participating place first, and only after approval, otherwise the participating place can not be reimbursed. 2. With the approval of the place of insurance, bring the hospitalization 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). Go to the medical insurance settlement window of the hospital designated for reimbursement for the tour group.

2 [Legal basis]: Article 10 of the Social Insurance Law stipulates that employees shall participate in the basic endowment insurance, and the employer and the employee shall jointly pay the basic endowment insurance premiums. Individually-owned businesses without employees, part-time employees who have not participated in the basic pension insurance at the employer, and other flexibly employed persons may participate in the basic pension insurance, and the basic pension insurance premiums shall be paid by the individual.

The method of pension insurance for civil servants and staff managed with reference to the Civil Servants Law shall be prescribed by ***.

Hello dear! If you are an insured person of rural cooperative medical care and need to be reimbursed for medical treatment in other places, you can follow the steps below:1

Obtain the "Settlement Voucher for Outpatient Treatment in Other Places" or "Settlement Voucher for Hospitalization for Medical Treatment in Other Places" from the local cooperative medical management department or relevant medical institutions, and consult the relevant reimbursement regulations. 2.When seeking medical treatment in other places, it is necessary to provide outpatient or inpatient settlement vouchers, ID cards, medical insurance cards and other relevant information, and the hospital will settle or provide expense invoices for reimbursement by individuals in accordance with the relevant policies of rural cooperative medical care.

3.In the case of reimbursement, the outpatient or inpatient settlement voucher, expense invoice (if any), medical insurance card, ID card and other materials shall be provided to the local cooperative medical management department or relevant rubber and air stimulation medical institutions, and reimbursement shall be made in accordance with regulations. It should be noted that the specific operating regulations may vary from place to place, so it is best to understand in advance to avoid misunderstandings due to different regulations.

Hello, for the method of reimbursement of rural cooperative medical reimbursement in other places, you can follow the steps below: 1. Fill in the declaration form for non-local work and residence of basic medical insurance and seal it; 2. Required reimbursement list: In general, you need to carry the discharge statement, expense list, discharge summary, copy of the case, copy of ID card, copy of household registration book, and referral certificate of 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 and conceal the medical insurance card in the networked medical institutions and pharmacies for settlement.

If you are reimbursed for rural cooperative medical care for hospitalization in other places, you need to bring the diagnosis certificate, hospitalization expense schedule, discharge form, case copy and other materials to the designated hospital or social security institution for reimbursement in other places. If the reimbursement can be made in the other place, the reimbursement can be made directly in the other place, and if it cannot be reimbursed, bring the above materials back to the insured place for reimbursement, and the hospital or social security institution will settle and compensate if the conditions meet the requirements after review. It should be noted that if you are hospitalized in a different place, you need to apply to the medical insurance of the participating place first, and only after approval, otherwise the participating place can not be reimbursed.

After the approval of the place of insurance, you need to bring the hospitalization 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 work certificate or emergency certificate) to the medical insurance settlement window of the designated reimbursement hospital for reimbursement. Hopefully, you will find the above helpful.

Summary. Hello, the reimbursement steps of rural cooperative medical care in other places are as follows: 1. When settling in the hospital, ask the hospital for invoices and a list of expenses.

2. Bring your medical insurance card, ID card and other relevant documents to the local rural cooperative medical management department or local social security center. 3. Submit the invoices and expense lists, medical insurance cards, ID cards and other relevant documents issued by the hospital to the staff for review. 4. After the review is passed, you can directly receive the reimbursement or transfer the reimbursement to your bank account.

Hello, the reimbursement steps of rural cooperative medical care in other places are as follows: 1. When settling in the hospital, ask the hospital for invoices and a list of expenses. 2. Bring your medical insurance card, ID card and other relevant documents to the local rural cooperative medical management department or the local Zehepai social security center.

3. Submit the invoices and expense lists, medical insurance cards, ID cards and other relevant documents issued by the hospital to the staff for review. 4. After the review is passed, you can directly receive the reimbursement or transfer the reimbursement to your bank account. <>

It is recommended that you consult the local rural cooperative medical management department or social security center in advance to understand the specific local operation procedures and policies, so as to complete the reimbursement procedures smoothly. <>