How to reimburse NCMS for medical treatment in other places

NCMS. Off-site reimbursement process:

1.The hospital provides patients with invoices, hospitalization details and other materials, retains the original invoices, and advances the reimbursement expenses of NCMS; Regularly transfer the bills to the NCMS agency where the patient is located.

2.When the patient is discharged, he or she can enjoy the settlement and reimbursement service at the NCMS direct settlement and reimbursement service window and pay the out-of-pocket expenses.

3.Patients with difficult diseases who cannot be diagnosed in medical institutions in the province, or who do not have the best conditions after diagnosis, can apply to the local economic reporting agency for cross-provincial medical referral before going to the hospital for hospitalization. For patients who are working abroad, visiting relatives or having an emergency department, they or their family members can apply for or re-apply for cross-provincial medical referral by contacting the local agency of the participating area.

The National Health and Family Planning Commission's New Rural Cooperative Medical System (NCMS) seeks medical treatment in other places.

The settlement management center will notify you of the progress of the process by SMS.

4.For medical treatment in designated medical institutions across provinces, medical personnel issue hospitalization certificates.

5.The patient has an ID card.

or household registration book), cooperative medical certificate, admission certificate, referral form (or referral SMS notification) to go through the admission procedures and ensure the identity card.

Match. 6.Patient hospitalized to receive**.

For medical treatment in other places, NCMS needs to be approved by the insured place and bring relevant certificates to the medical insurance settlement window of the designated reimbursement hospital for reimbursement.

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).

NCMS Medical Insurance Non-local Reimbursement Process:

1. The materials to be brought when you are discharged from the hospital are generally to inform the doctor to copy them when you are about to be discharged, and you can only make copies after the materials are sent to the medical record room, which will take one to two weeks.

2. The staff should enter all the expenses incurred by the patient in the hospitalization into the computer in order to get the compensation amount of the patient.

3. Under normal circumstances, the bank has no right to refuse to take money, of course, some counties and cities have cashiers who pay special money.

NCMS wants to reimburse in other places in two ways, one is to take the hospitalization schedule, invoice settlement documents, medical records, etc., and return to the local area for reimbursement.

This form is to be hospitalized in a hospital in a foreign country after applying for networking with the local medical insurance department**. The time of discharge can be settled directly.

2021 NCMS remote medical medical insurance reimbursement process.

1. Bring the patient's ID card, two one-inch color **, and NCMS medical certificate to the county rural cooperative medical management office to go through the referral filing procedures.

2. After discharge, the patient should be reimbursed to the cooperative medical management office with his or her ID card, NCMS medical certificate, copy of medical records, hospitalization settlement statement, list of hospitalization expenses, and referral filing procedures.

3. When you are hospitalized, you must tell the doctor that you have applied for agricultural insurance, so that you will go through the relevant procedures, and ask for medical records, medical expenses list and other vouchers when you are discharged, and keep them properly.

2. How long does it take for the reimbursement money to arrive?

1. Generally, it takes 1-2 weeks, that is, it can be obtained in about 10 days. However, in some places, it is procrastinated, and it may not be able to get it for 1 month. But don't worry, as long as it is reimbursed, the money will be transferred to your card or account, just be patient.

2. It should be noted here that for residents who are treated in hospitals in the county and city, it is recommended that it is best to reimburse NCMS within half a month to one month after discharge; Residents seeking medical treatment outside the county, city or province should apply for reimbursement within three months after being approved by the NCMS agency.

Generally, the first three days of hospitalization in a non-local hospital are filed with the local medical insurance center, and then a part of the reimbursement can be made when discharged, or no reimbursement can be made. In the future, the data of the whole hospitalization will be collected and reimbursed at the local medical insurance center, health center, or community health center. We have a lot of filing and reimbursement here, and there are very, very few people who don't file for reimbursement.

Hello. A lawyer is at your service.

1. The person or his/her family members** contact the agency in the participating place to apply for cross-provincial medical referral; 2. Choose inter-provincial designated medical institutions for medical treatment, otherwise they will not be reimbursed; 3. Patients should bring their ID cards, household registration booklets, cooperative medical certificates, admission certificates, referral forms, and referral SMS to go through admission procedures; 4. The patient is hospitalized and accepted**; 5. When the patient is discharged from the hospital, he or she can bring the materials in step 3 to settle at the NCMS direct settlement and reimbursement service window and pay the personal out-of-pocket expenses.

Regulations vary from place to place, so it is recommended to consult the local health insurance bureau or the hospital where you are visiting.

Legal Analysis: NCMS Reimbursement Process for Non-local Medical Treatment:

1. Bring the patient's ID card, NCMS medical certificate, etc. to the participating local agencies 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. The patient is hospitalized**.

4. After discharge, the patient should be reimbursed by the participating agency with his ID card, NCMS medical certificate, hospitalization expense list, etc.

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

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 **.

Summary. For medical treatment in other places, NCMS reimbursement requires the following procedures:

Prepare your medical insurance card, ID card, medical expenses and other materials;

Reimbursement is then made to institutions such as medical institutions;

The reimbursable expenses are then approved by medical institutions, etc.;

The final payment is made to the insured patient.

How to reimburse NCMS for medical treatment in other places?

For medical treatment in other places, NCMS reimbursement requires the following procedures: first prepare your medical insurance card, ID card, diagnosis and treatment fees and other materials; Then reimburse the ulnar spine of medical institutions and other institutions; and then approved by Lingkai medical institutions and other reimbursable expenses; The final payment is made to the insured patient. Wild accompaniment.

There is no filing across provinces.

Go to the record. Farmers do not file for local records across provinces.

Farmers do not file for local records across provinces.

Anti-tumor**.

Hello Follow the formalities above.

First of all, it is necessary to go to the local hospital to issue a procedure for permission to go to the local hospital.

Then go to the local medical insurance department to go through the networking procedures of the pickup wheel code of the hospital in other places.

The payment method for cooperative medical care is as follows:

1. WeChat payment. Open the WeChat app on the mobile phone, click "I" in the lower right corner - pay - pay - social security and medical insurance - select the province and city for urban and rural residents medical insurance - correctly enter the ID number and name of the insured - click to confirm the payment number - click next - pay immediately, and the display of "payment successful" is completed;

2. *** payment. Pay attention to the local agricultural cooperative system***, and then enter *** and enter personal information to register. After successful registration, click on the bottom of the chat page to find NCMS payment, and click pay to complete NCMS payment;

3. Pay on the official website. Log in to the social insurance online declaration service platform of the local city, enter the online self-service payment interface, enter the name, ID number, read and accept the checkbox, click to send SMS verification code, enter the verification code for inquiry, and then the relevant information of the insured will be displayed, and you can click to pay after confirming that it is correct, and remember to check the payment result after the payment is completed;

NCMS reimbursement process for remote medical treatment:

1. The patient's family members can bring the patient's ID card (or household registration book), two one-inch color **, and NCMS medical certificate to the local agency for referral and filing procedures, or they can call to handle it;

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. The patient is hospitalized**.

4. After discharge, the patient shall be reimbursed to the participating agency with his/her own 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.

Legal basis

Social Insurance Law of the People's Republic of China

Article 25 The State shall establish and improve the 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 from low-income families, and minors who need to accompany the individual will be subsidized.

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Reimbursement is possible. The reimbursement method of NCMS medical insurance for remote medical treatment is as follows:

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 shall be reimbursed to the travel section of the Co-management Office with the patient's personal tremor certificate (or household registration book), NCMS medical certificate, copy of medical record, hospitalization statement, list of hospitalization expenses, and referral filing procedures.

What is the reimbursement ratio of NCMS medical insurance for outpatient treatment in other places?

1. The reimbursement ratio of general outpatient clinics is 50%, and the annual reimbursement per person is capped at 80 yuan;

2. Outpatient observation can be reimbursed up to 30 yuan per day and 1,000 yuan per year;

3. The reimbursement ratio for outpatient serious illnesses is 50%, and patients with hepatic sclerosis stuffiness, cerebral thrombosis and sequelae of cerebral hemorrhage, rheumatoid arthritis (active stage), femoral head necrosis, hypertension with complications, diabetes, pulmonary heart disease, systemic lupus erythematosus, aplastic anemia, organ or tissue transplantation anti-rejection**, leukemia, severe mental illness, congenital adrenal hyperplasia, and congenital hypothyroidism will be reimbursed a cap of 10,000 yuan per person per year; Patients with malignant tumors, uremia, and hemophilia will be reimbursed a cap of 30,000 yuan per person per year.

What are the reimbursement groups of NCMS?

1. The expenses that can be reimbursed according to the regulations incurred by the personnel participating in the county's new rural cooperative medical care due to various diseases in the outpatient and inpatient clinics of the designated medical institutions in the county;

2. Personnel participating in the county's new rural cooperative medical care, during the period of work, business, business trip, and family visits, in the local medical insurance designated medical institutions outside the county outpatient and inpatient expenses can be reimbursed according to the regulations.

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 ***.

NCMS reimbursement in different places, if the hospital you live in has opened the network, you can directly settle the settlement at the time of discharge, and you will be reimbursed.

If you are not connected to the Internet, you can issue a transfer certificate at the local place where you pay the insurance, go through the discharge procedures, and go back to the local area for reimbursement.

No, go to the hospital in the insured place to issue a referral certificate first. Then go to a designated hospital in a different place for treatment, so that you can be reimbursed in time.

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

After the approval of the place of insurance, bring the medical records of hospitalization, invoices for hospitalization, list of expenses, disease diagnosis certificate, summary of discharge, ID card, household registration book, cooperative medical booklet, and transfer procedures to the medical insurance settlement window of the designated reimbursement hospital for reimbursement.

The law is based on the fiber:

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 principles of wide coverage, basic protection, multi-level, and sustainability, 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.