2022 NCMS reimbursement policy

In 2022, the new NCMS reimbursement regulations will be reimbursed at 25% in cooperative medical designated village clinics and town and street health centers.

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 their poverty due to illness and returning to poverty due to illness.

The details are as follows: 1. The part of the medical expenses that meet the reimbursement scope of urban employee medical insurance, such as drug expenses, examination fees, laboratory fees, surgical fees, and nursing fees, incurred by the participants in the designated hospital for hospitalization due to illness during the overall planning period, is the effective medical expenses;

2. Establish a minimum payment standard and a maximum payment limit for the new type of rural cooperative medical care**. 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.

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 treatment shall be prescribed by ***. Article 30 The following medical expenses are not included in the scope of payment of basic medical insurance**

1) It should be paid out of work-related injury insurance**;

2) It shall be borne by a third party;

3) It should be borne by public health;

4) Seeking medical treatment outside the country.

Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party. Article 57 An employer shall, within 30 days from the date of its establishment, apply to the local social insurance agency for social insurance registration with its business license, registration certificate or seal of the unit.

The social insurance agency shall, within 15 days from the date of receipt of the application, examine and issue a social insurance registration certificate.

If there is a change in the social insurance registration items of the employer or the termination of the social insurance registration by the employer in accordance with the law, it shall, within 30 days from the date of the change or termination, go to the social insurance agency to change or cancel the social insurance registration.

The departments for market regulation, civil affairs, and the establishment and management organs shall promptly notify the social insurance handling bodies of the establishment and termination of the employers, and the public security organs shall promptly notify the social insurance handling bodies of the births, deaths, and registration, relocation, and cancellation of household registrations.

The reimbursement rules for the 2022 NCMS are as follows: The outpatient expenses of the participants shall be reimbursed according to the following provisions: 25% will be reimbursed in the designated village clinics and town sub-district health centers of the cooperative medical treatment, and the total outpatient compensation will be reimbursed up to 150 yuan per person per year.

Outpatient medical expenses of designated medical institutions at or above the second level (inclusive) level will not be reimbursed. When the participants reimburse the medical expenses, they should present their cooperative medical certificates, the original medical bills, outpatient medical records, and prescription reimbursement copies (the outpatient clinic implements a dual prescription system). Participants shall complete the reimbursement settlement of the previous year within one month of the following year, and those who fail to do so shall be deemed to have automatically waived the reimbursement.

If the designated medical institution fails to handle the settlement in a timely manner, the compensation fee shall be borne by the designated medical imitation institution.

Legal basisArticle 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 ***.

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 the provisions of the State.

Legal basisArticle 24 of the "Full Text of the Social Insurance Law of the People's Republic of China" The State shall establish and improve the preparation of new types of rural cooperative medical care. 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.

The reimbursement rules for NCMS in 2022 are as follows:

1. The starting line. To participate in the scope of compensation for rural cooperative medical care, 600 yuan for hospitals outside the city, 400 yuan for second-class hospitals in urban areas, and 100 yuan for designated hospitals in the city. If the medical expenses within the scope of compensation for each hospitalization do not exceed the minimum payment line, no compensation will be made;

2. Compensation ratio. How to compensate for medical expenses above the starting line, second-class hospitals will be compensated by 75%, and designated hospitals will be compensated by 90%.

Is NCMS 70 free.

1. At present, the state has not issued a unified regulation that the elderly over 70 years old do not need to pay the NCMS, and if there is, only a small number of areas have such benefits;

The people who do not need to pay for rural cooperative medical care include five-guarantee households, poor households with registered cards, and severely disabled people, etc., and according to the current policy, there is no provision that 80-year-olds do not need to pay for NCMS.

What is the NCMS personal information inquiry system?

1. Enter the local labor and social security bureau network, there is a "social security online service" item, click to enter, and then click "personal situation inquiry";

2. You can also call social security**12333 for inquiries;

3. Check with your local medical center.

Legal basisArticle 28 of the Social Insurance Law of the People's Republic of China.

In line with the basic medical insurance drug list, diagnosis and treatment items, medical Jing Xiangchang service facility standards and emergency, rescue medical expenses, in accordance with the provisions of the state from the basic medical insurance **.

The NCMS is actually a rural medical insurance, the full name is called the new rural cooperative medical care, which has been implemented in rural areas for one or two decades, whether it is a major illness or a minor illness, as long as it is within the scope of national protection, it can be reimbursed according to a certain reimbursement ratio and amount. However, in recent years, the NCMS payment ratio has also ushered in a certain range, but with this, the reimbursement ratio of NCMS is also increasing, including the restrictions on the reimbursement scope of NCMS and hospitalization, and many drugs have been included in the reimbursement scope of NCMS. So how many times can the new farmer be reimbursed in a year?

What is the reimbursement amount and percentage? Let's take a look at the new regulations on the reimbursement ratio of NCMS in 2022.

For example, the reimbursement limit for township cooperative medical outpatient clinics in most areas is 5,000 yuan per year, the reimbursement limit for special outpatient diseases is 10,000 yuan per year, the reimbursement limit for inpatient medical treatment is 150,000 yuan per year, and the reimbursement for critical illness insurance is 200,000 yuan per year. Note that NCMS reimbursement is not a full reimbursement, but a certain percentage will be reimbursed according to different circumstances and expense ladders.

Summary. Dear, I'm honored to have your question The information that the teacher found for you here is: 2022 NCMS Reimbursement Policy:

The reimbursement policy of NCMS in 2022 is the reimbursement standard and settlement procedure for outpatient medical expenses. Compensation for general outpatient medical expenses: According to the compensation regulations, the compensation amount is 55%, and the daily compensation per person does not exceed 40 yuan.

The annual compensation limit for no one is 100 yuan, the annual compensation amount is less than 100 yuan, and the large outpatient medical expenses: After participating in the rural cooperative medical care and using the annual compensation amount (100 yuan) for ordinary outpatient services, the starting line for unsettled outpatient medical expenses is 2,000 yuan for the whole year, and the procedures and time limits for the settlement and reimbursement of inpatient medical expenses. To participate in the city's designated medical treatment and admission, you need to bring your ID card and new rural cooperative medical card to go through the hospitalization procedures.

When discharged, the hospital will give real-time settlement and reimbursement in accordance with the relevant provisions of compensation. Reimbursement standard for inpatient medical expenses.

Dear, I'm honored to have your question The information that the teacher found for you here is: 2022 NCMS Reimbursement Policy: The 2022 NCMS reimbursement policy is the outpatient medical expense compensation standard and settlement procedure.

Compensation for general outpatient medical expenses: According to the compensation regulations, the compensation amount is 55%, and the daily compensation per person does not exceed 40 yuan. No one has an annual compensation limit of 100 yuan, and the annual compensation amount is less than 100 yuan, and large outpatient medical expenses:

After the annual compensation amount (100 yuan) for the use of general outpatient clinics in rural cooperative medical care, the starting line for the unsettled outpatient medical expenses incurred throughout the year is 2,000 yuan, and the procedures and time limits for the settlement and reimbursement of inpatient medical expenses. In the city's designated medical treatment and admission, to participate in the rural cooperative medical care, you need to bring your ID card and the new rural cooperative medical card to go through the hospitalization procedures. When discharged, the hospital will give real-time settlement and reimbursement in accordance with the relevant provisions of compensation.

Reimbursement standard for inpatient medical expenses.

Suggestion: Dear [Xian Hall File Flower] Now that the epidemic is repeated, you must pay attention to the <> of the slag when you go out and pretend to be chaotic

Wear a mask when you go out, wash your hands frequently! I wish you a happy life <> hospitalization in a different place has not been reported, can I still be reimbursed for NCMS when I go back?

Yes, kiss.

Now I am about to be discharged from the hospital, and I have not reported it.

Good. Thank you.

Is it also a normal reimbursement?

Reimbursement ratio policy.

The initial reimbursement rate is 30%.

Normal reimbursement of relatives.