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If you have a sick person, you can be reimbursed if you have not stopped paying the NCMS.
NCMS Reimbursement Procedure:
1) Application acceptance.
1. Applicant: the participating patient or his/her spouse, parents and children. If the participating patient is unable to apply in person and does not have a spouse, parents or children, his brother or sister shall apply on his or her behalf; Where there are no brothers or sisters, the responsible person of the villagers' committee shall apply on their behalf.
If the application is made by the **person, a copy of the ID card of the **person and the supporting materials of the relationship with the participating patient shall be submitted.
2. Acceptance institutions: designated medical institutions below the county level (including county level, the same below).
3. Application result:
1) If the identity certificate materials of the participating patients applying for reimbursement are true and the submitted materials are complete, they shall be accepted on the spot;
2) If there is any doubt about the identity materials of the participating patients, they should be handed over to the cooperative medical management agency for verification;
3) If the submitted materials are incomplete, all the materials that need to be completed shall be notified in writing at one time.
2) Expense accounting county-level designated medical institutions: The preliminary examination and calculation personnel of the cooperative medical window of county-level designated medical institutions shall accept the application for reimbursement of medical expenses, review the materials submitted by the applicant, specifically calculate the medical expenses and compensation amount within the scope of compensation, and fill in the "New Rural Cooperative Medical Hospitalization Compensation Form" and sign the accounting opinion. Township designated medical institutions:
The preliminary examination and calculation personnel of the cooperative medical window of the township health center shall accept the application for reimbursement of medical expenses, review the materials submitted by the applicant, specifically calculate the medical expenses and compensation amount within the scope of compensation, and fill in the "New Rural Cooperative Medical Hospitalization Compensation Form", and after signing the preliminary examination and calculation opinions, the reviewers or township full-time auditors shall review the preliminary examination items and compensation amounts, and sign the review opinions.
3) The payment of expenses shall be made by the cashing personnel of the cooperative medical window of the designated medical institutions below the county level according to the review opinions, and the medical expenses that should be reimbursed shall be paid to the applicant, and the applicant or his/her ** person shall sign the "New Rural Cooperative Medical Hospitalization Compensation Form".
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Can I use the NCMS that will be reissued after I am sick, and will I be reimbursed?
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It can be retrospective, but it is not compensated. According to the relevant regulations, the new rural social endowment insurance treatment consists of basic pension and personal account pension. Rural residents who participate in the new rural social endowment insurance and meet the conditions stipulated by the state shall receive the benefits of the new rural social endowment insurance on a monthly basis.
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OK. NCMS Policy:
1.Payment time: from October 28, 2016 to December 10, 2016, and the treatment period is from January 1, 2017 to December 31, 2017.
2.Participants: All urban and rural residents in the county who have not participated in the medical insurance for urban employees and urban residents.
3.Payment standard: In 2017, the individual financing standard is 150 yuan per person per year. Insured persons who participate in NCMS are also entitled to the treatment of NCMS serious illness medical insurance.
4.Place of payment: the village (community) where the household registration is located or the village (community) where the place of residence is located.
5.Required information: Personal ID card or household registration booklet.
6.The maximum payment limit during the year: 450,000 yuan (the specific implementation plan is subject to the provisions of the document of the current year).
According to the provisions of the state, farmers who participate in the new rural cooperative medical insurance should pay the participation fee for the next year before the end of the year. In order to facilitate the payment of fees by migrant workers, the participation payment must be due before the end of February of the current year at the latest, and no reissue will be made after the deadline, except for newborns in the current year. According to the policy, it is no longer possible to make up for his own participation procedures.
If the household does not participate in the NCMS, and the inpatient medical expenses incurred by the household participants in the household need to be reimbursed by NCMS in the current year, the non-participating personnel of the household must pay 390 yuan per person (i.e., 70 yuan for the self-payment of the participation and 320 yuan for the financial matching funds at all levels) before they can enjoy the reimbursement compensation, and the supplementary personnel cannot enjoy the reimbursement and compensation for the medical expenses of the NCMS.
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.
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NCMS cannot be retroactively paid. If NCMS has been paid for several years, there is no need to make up the fee when it is paid again, because the principle of NCMS payment is based on the principle of autonomy and voluntariness, and it is not mandatory, and the fee payable is paid once a year. However, NCMS can only be paid within the specified payment time, and it cannot be paid again after the expiration date.
NCMS is paid annually, so it is only for one year, whether to participate in NCMS is voluntary, farmers can choose to participate or not according to their personal needs, but if they do not pay this year, then next year, they will not be able to enjoy any reimbursement benefits related to NCMS.
Legal basis. Article 24 of the Full Text 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 ***.
Article 26 of the Full Text 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 the provisions of the State.
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If it is not possible to make up the payment, according to the provisions of the state, the farmers who participate in the new rural cooperative medical insurance shall pay the participation fee for the next year before the end of the year. In order to facilitate the payment of fees by migrant workers, the payment must be closed before the end of February of the current year at the latest, and no reissue will be made up after the deadline, except for newborns in the current year.
Legal basis: Interim Regulations on the Collection and Payment of Social Insurance Premiums
Article 2 These Regulations shall apply to the collection and payment of basic old-age insurance premiums, basic medical insurance premiums, and unemployment insurance premiums (hereinafter collectively referred to as social insurance premiums).
The term "paying units and paying individuals" as used in these Regulations refers to units and individuals that should pay social insurance premiums in accordance with relevant laws, administrative regulations, and regulations.
Article 3 The scope of collection and payment of basic old-age insurance premiums is as follows: State-owned enterprises, urban collective enterprises, foreign-invested enterprises, urban private enterprises, and other urban enterprises and their employees, as well as public institutions and their employees who practice enterprise management.
Scope of collection of basic medical insurance premiums: state-owned enterprises, urban collective enterprises, foreign-invested enterprises, urban private enterprises and other urban enterprises and their employees, state organs and their staff, public institutions and their employees, private non-enterprise units and their employees, social organizations and their full-time personnel.
Scope of collection of unemployment insurance premiums: state-owned enterprises, urban collective enterprises, foreign-invested enterprises, urban private enterprises and other urban enterprises and their employees, public institutions and their employees.
The people of provinces, autonomous regions, and municipalities directly under the Central Government may, on the basis of actual local conditions, stipulate that urban individual industrial and commercial households shall be included in the scope of basic endowment insurance and basic medical insurance, and may also stipulate that social organizations and their full-time personnel, private non-enterprise units and their employees, and urban individual industrial and commercial households and their employees with employees shall be included in the scope of unemployment insurance.
The base and rate of social insurance premiums shall be implemented in accordance with the provisions of relevant laws, administrative regulations and social insurance premiums.
Article 15 Where the people of provinces, autonomous regions and municipalities directly under the Central Government stipulate that the taxation authorities shall collect social insurance premiums, the taxation authorities shall promptly provide the social insurance agencies with the payment information of the paying units and paying individuals; The social insurance agency shall summarize the relevant circumstances of the attack and report it to the administrative department for labor and social security.
Article 16 The social insurance agency shall establish a record of payment, of which the basic endowment insurance and basic medical insurance shall also record the personal account in accordance with the regulations. The social insurance agency is responsible for keeping the payment records and ensuring their integrity and security. The social insurance agency shall send the notice of the basic endowment insurance and basic medical insurance accounts to the paying individuals at least once a year.
The payment slip accompanies the ante and the individual who pays the fee has the right to inquire about the payment record in accordance with the regulations.
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Summary. Pro-<>
Hello, I will answer this question for you, can NCMS make up the payment: Yes, the new rural cooperative medical care is paid annually, and it can be paid up. However, the supplementary payment has no effect, because it is not made in the current year, and it can be used for medical reimbursement in the current year.
The payment in the current year will only take effect on January 1 of the following year, and the medical reimbursement can be made in the following year.
Can NCMS make up for it?
Hello dear<> I will answer this bridge seepage question for you, can the new shortage of early agricultural cooperative medical system be paid: can be paid, the new rural cooperative medical care is paid annually, and it can be paid up. However, the supplementary payment has no effect, because it is not made in the current year, and it can be used for medical reimbursement in the current year.
The payment of the current year will only take effect on January 1 of the following year, and the medical reimbursement can only be made in the following year.
Article 23 of the 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 employees 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.
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NCMS cannot be retroactively paid.
If the NCMS has been paid for several years, there is no need to make up the fee when it is paid again, and the travel is not due to the principle of NCMS payment, which is based on the principle of autonomy and voluntariness, and the dismantling and modification payment is not mandatory, and the fee should be paid once a year.
However, the new agricultural cooperative cooperative system can only be paid within the specified payment time, and it cannot be paid again after the expiration date.
NCMS is paid annually, so it is only for one year, whether to participate in NCMS is voluntary, farmers can choose to participate or not according to their personal needs, but if they do not pay this year, then next year, they will not be able to enjoy any reimbursement benefits related to NCMS.
Article 24 of the Social Insurance Law 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 ***.
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.
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