Can NCMS be reimbursed across provinces, and can NCMS be reimbursed across provinces

Taking Linyi City as an example, NCMS can be reimbursed across provinces.

In accordance with the provisions of Article 23 of the Measures for Basic Medical Insurance for Residents of Linyi City, insured residents shall go to designated medical institutions for medical treatment with social security cards or second-generation resident ID cards, and the designated medical institutions shall be responsible for verifying the insured identity and implementing immediate settlement after discharge according to the policy. The expenses incurred should be paid by the basic medical insurance for residents, and the settlement shall be made by the agency and the designated medical institutions.

The inpatient medical expenses incurred by insured residents in designated medical institutions without instant settlement function (including medical treatment in other places) shall be paid by the insured residents first, and shall be submitted to the local agency for review and reimbursement with relevant information in a timely manner after the end of the following year, and shall not be processed after the deadline.

Insured residents should implement the system of primary diagnosis, hierarchical diagnosis and treatment, and step-by-step referral for medical treatment, and generally should follow the principle of "first in the county, then in the city, and then outside the city". For those who need to go through the referral filing formalities in the city but fail to go through the referral filing formalities in accordance with the regulations, the reimbursement ratio of the corresponding level of hospitals will be reduced by 10 percentage points.

If the insured resident is transferred to a designated medical institution outside the city for hospitalization due to special conditions, a transfer certificate shall be issued by a designated medical institution of the second level or above in the insured place, and reported to the county-level agency for the record. If the insured resident needs to be hospitalized in a different place or due to an acute or critical illness, he or she shall, within 5 working days from the date of hospitalization, go through the relevant formalities with the emergency outpatient medical records and other medical records at the handling agency in the place of insurance in accordance with the above provisions.

NCMS medical insurance can be reimbursed in other places.

NCMS Medical Insurance Non-local Reimbursement Process:

The materials to be brought when you are discharged from the hospital are generally to be copied by the doctor when you are about to be discharged, and when the materials are sent to the medical record room, you will have to wait for the filing before you can make copies, which will take one to two weeks.

The staff should enter all the expenses incurred by the patient in the hospital into the computer in detail, so as to get the amount of compensation for the patient, for the safety of the first, we also have to audit, so it takes more time to get the compensation outside the county.

Under normal circumstances, banks do not have the right to refuse to take money, and of course, some county and city agricultural insurance centers have cashiers who pay money.

"New Rural Cooperative Medical System", the full name of the new rural cooperative medical care, refers to the system of mutual medical assistance and mutual aid for farmers that is organized, guided and supported, voluntarily participated by farmers, raised by individuals, collectives and multiple parties, and is mainly based on the overall planning of serious diseases.

NCMS is a medical security system created by Chinese farmers themselves, which has played an important role in ensuring that farmers have access to basic health services and alleviating the poverty caused by illness and the return to poverty due to illness. The reimbursement scope of NCMS generally includes three parts: outpatient compensation, hospitalization compensation and serious illness compensation.

The reimbursement scope of the new rural cooperative medical care is:

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.

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.

NCMS reimbursement in different places, if you don't pay attention to these problems, the reimbursement will be 20% less, you know?

How to reimburse NCMS for non-local hospitalization?

NCMS can be reimbursed in different places, and there are currently three main types of reimbursement. For referral for medical treatment, 10% will be paid in the province and 15% will be paid outside the province, and then reimbursed according to the original proportion; Reimbursement will be made directly at the original rate. If there is no referral for medical treatment, the reimbursement will be reduced by 10% according to the original proportion; Reimbursement is made at 25%.

Non-local residence: 10% reimbursement will be reduced according to the original proportion; 45% reimbursement is available for those with proof of residence, and 35% for those without proof of residence.

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

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.

Legal analysis: The new agricultural tour can be stalked about across provinces.

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 methods of the new type of rural cooperative medical care are determined by the best regulations.

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.

The New Rural Cooperative Medical Insurance Yinyin can be reimbursed by different escorts.

Article 26 of the Social Insurance Law of the People's Republic of China: 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.

Article 27: Individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, the cumulative contributions reach the number of years prescribed by the state, and they will 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.