Can the agricultural insurance reimburse the hospitalization expenses for illness

The reimbursement procedure for agricultural insurance is:

1.Reimbursement procedures for medical treatment outside the county**.

When seeking medical treatment outside the county**, you can choose a public hospital** independently, and you need to prepare an invoice (original), a discharge summary, a certificate of illness, and a general list of hospitalization expenses when you are discharged, and the above vouchers must be stamped with the hospital seal. Pregnant women need to present a medical birth certificate, and the compensation recipient can go to the center for verification with the above materials and personal ID card, medical certificate, and household registration booklet for compensation. If you are not in good health or have difficulty moving, you can entrust someone else to handle it, but you must provide the patient's personal and wound cleaning imaging data (mobile phone video or **).

2.Procedures for hospitalization compensation in the prefecture.

The procedure for hospitalization compensation in the county is: independently choose the designated medical institution in the county to be hospitalized**, register with the cooperative medical reimbursement center of the hospital where you are staying within 24 hours of admission with the patient's ID card, medical certificate and household registration booklet, and be directly reimbursed when discharged.

3.If I don't register within 24 hours of hospitalization, can't I get reimbursed?

If you do not register within 24 hours, according to the regulations of the Municipal Health Bureau, the new rural cooperative medical insurance system, automatic locking, can not be registered and reimbursed, if you want to be reimbursed, the hospital must go through the relevant application approval procedures, the procedures and the process is more troublesome, and all the drug cost list must be re-entered, adding a lot of difficulties to the hospital, but in order for farmers to be compensated, there can still be a remedy, can be reimbursed, I hope that the masses can bring all the relevant documents to submit to the hospital when they see a doctor, In this way, we can reduce unnecessary troubles for both parties.

For NCMS reimbursement, generally only the following materials need to be brought: hospitalization certificate, copy of hospitalization certificate, invoice for total payment of expenses and cooperative medical reimbursement form (stamped with the seal of the NCMS office), and submit them to the relevant departments for approval. For more information on the secondary reimbursement of NCMS, please refer to **.

Legal Analysis: Reimbursable. Medical Insurance 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 must wait for the filing before you can copy them, and it 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, and for the safety of the patient, it must be audited, so it will take 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.

Legal basis: Article 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 ***.

For NCMS reimbursement, generally the following materials are required: hospitalization certificate, copy of hospitalization certificate, invoice for total payment of expenses and reimbursement form for chiropractic fever of cooperative medical treatment (stamped with the seal of the joint medical office), and submit it to the relevant departments for approval. For information about the second reimbursement of Xinnong Sakura, please refer to **.

If you are hospitalized, if you are hospitalized in this county or transferred to a hospital after being hospitalized in this county (there are transfer procedures), you can report 60%-75%, and if you are hospitalized directly outside the county, you can only report 50%. Guess.

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Legal Analysis: No, there is a need for a process.

Legal basis: Article 72 of the Social Insurance Law of the People's Republic of China: The establishment of social insurance agencies in the overall region.

According to the needs of work, social insurance agencies may set up branches and service outlets in their respective areas with the approval of the local social insurance administrative departments and institutional establishment management organs.

The personnel expenses of the social insurance agencies and the basic operating and management expenses incurred in handling social insurance shall be guaranteed by the finance department at the same level in accordance with the provisions of the State.

Rural insurance hospitalization is not a direct reimbursement. When hospitalization due to illness goes through the procedures for blind hospitalization, a new type of rural cooperative medical certificate will be issued to the hospital to directly participate in the reimbursement. Through the new rural cooperative medical office, the reimbursement materials are obtained by the individual to the new rural cooperative medical office, and the town agricultural medical office submits the account to the county agricultural medical office, and the town agricultural medical office notifies the person to come to receive the reimbursement expenses.

Article 28 of the Social Insurance Law in line with the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards, as well as emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **. Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be settled directly by the social insurance agency and the medical treatment institution and the drug business unit. The social insurance administrative department and the health administrative department shall establish a settlement system for medical expenses for medical treatment in other places, so as to facilitate the basic medical insurance benefits for the insured persons.

1. Before admission, patients need to provide cooperative medical certificates and ID cards (household registration booklets) to designated medical institutions, and pay the full amount of the hospitalization deposit to the hospital. 2. The staff of the designated hospital should enter the patient's various hospitalization information and daily use ** and drug details in a timely manner. 3. After the patient is discharged from the hospital, the full-time staff of the cooperative medical office will review and calculate the amount of compensation according to the relevant regulations of the cooperative medical treatment, and the hospital will pay the compensation to the patient in advance, and register it on the cooperative medical management system.

Article 8 of the Detailed Rules for the Implementation of the Social Insurance Law of the People's Republic of China stipulates that the medical expenses incurred by the insured persons in the agreed medical institutions shall be paid from the basic medical insurance in accordance with the provisions of the state if they meet the standards of the basic medical insurance drug catalog, diagnosis and treatment items, and medical and medical treatment service facilities. If the insured person really needs emergency treatment or rescue, he or she can seek medical treatment in a non-agreed medical institution; The scope of drugs that must be used for rescue purposes may be appropriately relaxed. The specific management measures for medical services for emergency and rescue of insured persons shall be formulated by the overall planning area according to the actual local situation.