Please help a friend who knows the reimbursement policy of NCMS

Question 1: NCMS is only a department for the state to reimburse (compensate) farmers for medical expenses. To put it bluntly, it is the money that can only be reimbursed to you after you spend the money, and no one can use the money in advance without very special circumstances.

To be clear, no one would dare, because it was against the law! If you can find someone or a leader who is willing to take on this responsibility, then you should be able to lend it out and then use the reimbursement money to make up for it.

Question 2: There is a problem with the reimbursement of this medical record. If you have a problem with your old IQ, do you have a disability certificate?

If there is a disability certificate, then the medical record should include an IQ problem (or intellectual disability) or something like that. Because NCMS stipulates that the consequences of alcoholism and its sequelae will not be reimbursed, if you are disabled, then there are still discussions. Because although the NCMS serves farmers, after all, it is not as good as the civil affairs relief departments, and they all have their own institutional constraints, so I hope to understand.

There are four solutions:

1. Relatives pay in advance, and reimbursement after discharge.

2. Negotiate with the leaders of NCMS to borrow money, which depends on the connections.

3. Negotiate with the hospital to reduce the cost and so on.

4. After the condition is stable, be discharged from the hospital in advance, first reimburse the previous one, and then take the reimbursement money and then be hospitalized.

Good luck!

You can go to the local civil affairs bureau to see, if it really doesn't work, just call the relevant TV station, find **, and find a reporter for help......

[Legal Analysis].The reimbursement scope of the new rural cooperative medical care is: the drug expenses, examination fees, laboratory fees, surgery fees, ** fees, nursing fees and other parts that meet the reimbursement scope of the medical insurance for urban employees (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.

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.

[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 measures for the new type of rural cooperative medical care shall be stipulated by ***.

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 **.

The above is only the current information combined with my understanding of the law, please refer to it carefully!

If you still have questions about this issue, it is recommended that you organize the relevant information and communicate with a professional in detail.

The reimbursement process of NCMS is as follows:

1. Prepare the discharge summary, invoice, and medication schedule issued by the hospital;

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

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

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 basis].Article 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 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.

Article 7. The social insurance administrative department is responsible for the social insurance administration of 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.

Legal analysis: If there is a disease after the purchase of NCMS**, as long as the designated hospital of NCMS **, take the cooperative medical certificate to the NCMS window of the hospital to handle hospitalization, and after the hospitalization, bring the ID card, household registration book, cooperative medical certificate, hospitalization certificate, discharge certificate, medical fee receipt and hospitalization invoice to the NCMS window for settlement, and Li Blind will directly reimburse the settlement window.

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 measures for the new type of rural cooperative medical care shall be stipulated by ***.

Article 16 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.