Can rural cooperative medical care be used in other places?

Legal analysis: The new rural cooperative medical care can be used across provinces, but the reimbursement must be returned to the place where the household registration is located, and it cannot be reported across provinces.

1. Reimbursement process and required materials.

1. Fill in the "Declaration Form for Non-local Work and Residence of Basic Medical Insurance" 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.

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 national regulations.

Summary. Hello fellow <>

We'll be happy to answer for you. Rural cooperative medical care can be used in other places, but the reimbursement rate of rural cooperative medical care in other places is relatively low, generally at 20%, and in some areas it is 15%.

Can rural cooperative medical care be used in other places?

Hello fellow <>

We'll be happy to answer for you. Rural cooperative medical treatment can be used in other places, but the reimbursement of rural cooperative medical treatment in other places is relatively low, generally at 20%, and in some areas it is 15%.

The following is the reimbursement process of NCMS in different places: Go through the referral filing procedures Bring the ID card or household registration book of the person suffering from high school, and bring two one-inch color ** and NCMS medical certificates to the local agency or call the local agency to apply for referral and filing procedures. Hospitalization procedures for NCMS Bring the patient's ID card, NCMS medical certificate and referral filing procedures to the referring medical Ku Nianchun Hospital for NCMS hospitalization, which must be an inter-provincial designated medical institution of NCMS.

Apply for reimbursement After discharge, bring the patient's ID card or household registration booklet, NCMS medical certificate, copy of medical record, hospitalization statement, list of hospitalization expenses, and referral filing procedures to the participating agency to apply for reimbursement.

Rural cooperative medical care can be used in other places, and the process of medical reimbursement in other places is:

1. Before or within 3 days after hospitalization, call NCMS Consulting** to register and record the hospitalization and medical treatment;

2. After being discharged from the hospital, a closed residence certificate must be issued by the sub-district office or neighborhood committee in the place of residence, and if you are working abroad, you must have a work certificate issued by the work unit;

1) Copy of medical record;

2) Summarize the detailed list;

3) Hospitalization bills;

4) Discharge certificate;

5) Patient's ID card;

6) Cooperative medical certificate and residence or work certificate.

4. If you are directly going to the province for chemotherapy from the place where you participate, you must go through the referral and transfer procedures before leaving, and then you can go to other places for hospitalization**;

5. The proportion of reimbursement outside the province is the lowest, the general starting line is about 2000, and the reimbursement ratio is 45% of the reasonable expenses, and the lower the hospital level, the higher the reimbursement ratio.

The legal basis is sedan chairArticle 28 of the Social Insurance Law of the People's Republic of China.

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards, and emergency and rescue medical expenses shall be paid from the basic medical insurance in accordance with national regulations.

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.

The use of rural cooperative medical insurance is mainly divided into three situations: referral for medical treatment, non-referral for medical treatment, and living in other places. At present, it is relatively difficult to handle referral for medical treatment, and non-referral for medical treatment means that there is no referral, no local social security agency, and direct medical treatment to hospitals outside the province, which is generally to reduce the reimbursement ratio. If you live in a different place, then you can be reimbursed directly in the other place.

Rural cooperative medical insurance 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. Funds are raised by means of individual payment, collective support and funding. Rural cooperative medical care is a medical security system created by farmers in China 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.

Medical insurance payment line: the payment standard line of medical insurance**, if it reaches the minimum payment line, it will be reimbursed by medical insurance** according to regulations.

Medical insurance cap line: the maximum payment limit of medical insurance**, the maximum amount of reimbursement that the insured can receive from medical insurance in a year.

The annual payment standard for individual farmers should not be less than 10 yuan, and in areas with good economic conditions, the payment standard can be increased accordingly. Whether the employees of township enterprises participate in the new rural cooperative medical care shall be determined by the county people. Township and township collective economic organizations that have the capacity should give appropriate support to the new type of local rural cooperative medical care.

The type of rural collective economic organization and the standard of contribution to support the new type of rural cooperative medical care shall be determined by the people at the county level, but the part of the collective contribution shall not be apportioned to farmers.

Encourage social groups and individuals to fund the new rural cooperative medical system. The annual subsidy from the local government to farmers participating in the new type of rural cooperative medical care shall not be less than 10 yuan per capita. The specific subsidy standards and graded burden ratios shall be determined by the provincial people.

Answer hello; "Yes. The basic medical insurance for migrant workers can be transferred across provinces. The provisions of the "Interim Measures for the Transfer and Continuation of Basic Medical Security Relationships for Migrant Workers". Yes, you can.

Question: Now that I am seeking medical treatment in another province, I need a referral certificate, and I am not hospitalized in my hometown, what should I do with the referral certificate.

I can't use this medical insurance, and I have to pay for it myself?

Answer 1: Find the attending doctor of the hospital in the place of insurance to issue a diagnosis certificate, and the attending doctor will put forward the reason for the referral throughout his life, and then the director of the department will put forward the referral opinion. 2. Go to the billing office of the hospital and hand over the diagnosis certificate and referral opinion to the staff for stamping. 3. Bring your medical insurance card, ID card, and referral certificate to the local medical insurance agency for referral registration, and you will receive a receipt after the completion of the process.

4. Go through the filing procedures for medical treatment in other places at the social security agency, and choose a designated medical institution. 5. When seeking medical treatment in a different place, hand over the receipt to the hospital, and you can directly use the medical insurance to settle when you are discharged.

The medical expenses for non-local treatment are paid by the individual in advance, and when the ** is over, the person or his/her ** person will go to the medical insurance center for reimbursement. The following materials need to be prepared for the reimbursement of medical expenses of insured employees: 1. Personal medical insurance certificate; 2. The approval of the city's second-class or above hospitals ** diagnosis and transfer form); 3. Hospitalization invoices, summary list of expenses and discharge summary stamped by the hospital where the patient was treated; 4. The original and photocopy of the ID card of the ** person and the valid bank card or passbook of the reimbursement personnel.

If the hospitalization does not go through the relevant procedures for NCMS referral in accordance with the regulations, NCMS has the right not to reimburse it. Basically, hospitalizations outside NCMS counties across the country must issue a referral certificate, and patients are generally required to go through the procedures before or within 3 days after hospitalization, and go to the NCMS institutions at the county (district) level in the participating prefectures.

Hello, yes, the process of handling medical reimbursement in other places: 1. Before hospitalization or within 3 days after hospitalization, call the hometown NCMS consultation** to register and record the hospitalization. 2. After being discharged from the hospital, a residence certificate must be issued by the sub-district office or neighborhood committee in the place of residence, and if you are working abroad, you must have a work certificate issued by the work unit.

3. After discharge, take a copy of the medical record, a summary list, a hospitalization fee bill, and a discharge certificate, and then take the patient's ID card, cooperative medical certificate and residence or work certificate back to the place where you participate in the hospital for reimbursement. 4. If you are directly going to the province for chemotherapy from the place where you participate, you must go through the referral and transfer procedures before leaving, and then you can go to other places for hospitalization**; 5. The proportion of reimbursement outside the province is the lowest, the general starting line is about 2000, and the reimbursement ratio is 45% of the reasonable cost.

6. Non-local settlement of medical insurance: Establish a settlement mechanism for remote medical treatment, and explore ways for retirees resettled in other places to seek medical treatment and settle on the spot. Formulate measures for the transfer and continuation of the basic medical insurance relationship, and solve the problem of cross-system and cross-regional transfer and continuation of the basic medical security relationship for migrant workers and other migrant workers.

Do a good job of connecting the medical insurance for urban workers, medical insurance for urban residents, the New Rural Cooperative Medical System, and urban and rural medical assistance.

Yes, NCMS for medical treatment in other places can be reimbursed within 10 working days after being discharged from the hospital to get the hospital diagnosis certificate to NCMS for filing. For reimbursement, bring your ID card, medical certificate, household registration book, filing and registration form, details of payment expenses stamped by the hospital, hospitalization bills, copies of medical records, etc. However, the reimbursement rate is much lower than that of local medical treatment.

Off-site reimbursement process:

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.

Rural cooperative medical care can only be used in other places when hospitalization costs are incurred, but it must be registered with the local hospital for referral and transfer before admission.

Summary. Specific analysis:

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. The patient should bring his ID card (or household registration book), cooperative medical certificate, admission certificate, referral form (or referral SMS) for admission procedures;

4. When the patient is discharged from the hospital, he or she should settle at the NCMS direct settlement and reimbursement service window, pay attention to bring all the materials and pay the personal out-of-pocket expenses.

2. The proportion of rural cooperative medical insurance in different places.

1.For medical treatment in township health centers, the minimum payment line is 100 yuan, and the reimbursement ratio is 90%.

2.For medical treatment in county-level designated hospitals, the minimum payment line is 200 yuan, and the reimbursement ratio is 82%.

3.For medical treatment in a designated hospital at the municipal level, the starting line is 500 yuan, and the reimbursement ratio is 65%.

4.For medical treatment in provincial designated hospitals, the starting line is 700 yuan, and the reimbursement ratio is 55%; For medical treatment in non-designated hospitals outside the province, the starting line is 1,000 yuan, and the reimbursement ratio is 45%.

Can Rural Cooperative Medical Insurance be used off-site?

Hello, dear, I am sorting out the answer for you, please wait for two minutes. Thank you.

Hello, dear, yes. It can be used in other places, and the NCMS can be reimbursed within 10 working days after being discharged from the hospital.

Specific analysis: 1. I or my family members ** contact 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. The patient should bring his ID card (or household registration book), cooperative medical certificate, admission certificate, referral form (or referral SMS) for admission procedures; 4. When the patient is discharged from the hospital, he or she should settle at the NCMS direct settlement service window, pay attention to the materials with a complete number of widths, and pay the personal out-of-pocket expenses with a smile. 2. The proportion of rural cooperative medical insurance in different places is 1

For medical treatment in township health centers, the minimum payment line is 100 yuan, and the reimbursement ratio is 90%. 2.For medical treatment in county-level designated hospitals, the minimum payment line is 200 yuan, and the reimbursement ratio is 82%.

3.For medical treatment in a designated hospital at the municipal level, the starting line is 500 yuan, and the reimbursement ratio is 65%. 4.

For medical treatment in provincial designated hospitals, the starting line is 700 yuan, and the reimbursement ratio is 55%; For medical treatment in non-designated hospitals outside the province, the starting line is 1,000 yuan, and the reimbursement ratio is 45%.