What is the proof of NCMS reimbursement and what materials are required for NCMS reimbursement?

The certificate includes: 1. In general, it is necessary to discharge the settlement statement of the township health center in the township where it is located;

2. List of expenses;

3. Discharge summary;

4. Copy of the case;

5. Make a copy of the ID card and household registration book;

6. Referral certificate or part-time job certificate;

This reimbursement ratio should be higher now, generally from the initial 20% and some districts have been paid to 80%.

The discharge invoice from the NCMS can be seen at a glance The total hospitalization expenses (the total expenses incurred in hospitalization) are paid as a whole (that is, the amount of your NCMS account) and the individual payment (the total hospitalization expenses - the amount of NCMS reimbursement = the amount paid by individuals) The NCMS account statement statement (can show: the amount that can be reported in the hospitalization expenses, the amount reported by the NCMS, the total amount reported this year, etc., generally speaking, it is a triplet list that you are asked to sign and stamp your thumb when you are discharged) If all expenses are reimbursed in the hospital where you live, The hospital will no longer give you copies of the discharge certificate, invoice or the like......

After the reimbursement, the reimbursement amount and reimbursement time of the reimbursement unit will be filled in on the NCMS insurance certificate, and if necessary, the insurance unit will issue a reimbursement accounting form, indicating the reimbursement ratio, and excluding the details of medical expenses

There is no voucher to reimburse you for the money. You're paying less. There will usually be a slip for the amount of money you reimburse, which you will have to sign. Proof that these are reimbursed to you.

The following materials are required for NCMS reimbursement: 1. Original and photocopy of ID card or household registration booklet; 2. NCMS medical insurance card; 3. Original and photocopy of outpatient medical records and discharge summary; 4. Original receipts of medical expenses; 5. Detailed list of expenses; 6. If you entrust others to handle the reimbursement, you need to provide the ID card and copy of the trustee. 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.

Social Insurance Law of the People's Republic of China

Article 28.

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.

Have a reimbursement record.

You can go to the local NCMS agency for inquiries. The medical expenses incurred by the participating personnel in the designated medical institutions that implement immediate settlement and reimbursement shall go through the reimbursement procedures and receive reimbursement compensation from the time of discharge. For the medical expenses incurred by the participants in other provinces or municipalities or in designated medical institutions that have not implemented the instant settlement and reimbursement system, the NCMS Cooperative Management Office shall complete the reimbursement and compensation procedures within 30 working days from the date of submission of all materials.

Legal basis: Social Insurance Law of the People's Republic of China

Article 26 The standards for the treatment of basic medical insurance for workers, new rural cooperative medical care, and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 27 Those who participate in the basic medical insurance for employees and those who have paid contributions for the number of years specified by the state when they reach the statutory retirement age shall no longer pay the premiums for basic medical care and treatment after retirement, and shall enjoy the basic medical insurance benefits in accordance with the provisions of the state; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.

Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency and rescue medical expenses, in accordance with the provisions of the state from the basic medical insurance ** payment.

The documents to be provided for hospitalization reimbursement include: household registration book or ID card, NCMS participation payment bill, hospitalization invoice, diagnosis certificate, expense list, and hospitalization medical record;

The documents to be provided for general outpatient reimbursement include: household registration book or ID card, NCMS participation payment bill;

The documents to be provided for reimbursement of ordinary outpatient chronic diseases include: household registration booklet, chronic disease medical certificate, NCMS participation payment bill, ordinary Lingxing outpatient compound prescription, and outpatient payment invoice; Brigade barricade.

Documents to be provided for the overall reimbursement of serious illnesses: household registration book, NCMS payment bills, hospitalization invoices, diagnosis certificates, expense lists, hospitalization medical records, and first reimbursement vouchers for joint treatment.

If the identity certification materials of the participating patients applying for reimbursement are true and the submitted materials are complete, they shall be accepted on the spot, and if the submitted materials are incomplete, they shall be notified in writing at one time of all the materials that need to be completed.

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 25 The State shall establish and improve the basic medical insurance system for urban residents. The basic medical insurance for urban residents implements a combination of individual payment and subsidy. Those who enjoy the minimum living guarantee, the disabled who have lost the ability to work, the elderly over the age of 60 and minors from low-income families, etc., will be subsidized 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 state regulations.

Legal analysis: NCMS hospitalization reimbursement requires the provision of relevant medical expense vouchers, but the specific voucher requirements are not clearly specified. According to the relevant laws and regulations, NCMS should reimburse the medical expenses of the Spring Tours that meet the reimbursement conditions, but there are no specific provisions on the specific reimbursement standards.

Legal basis:1Article 16 of the Measures for the Implementation of the New Rural Cooperative Medical System: Hospitalization reimbursement shall be accompanied by proof of medical expenses in accordance with the regulations.

2.Article 17 of the Measures for the Implementation of the New Rural Cooperative Medical System: NCMS shall provide corresponding reimbursement for eligible medical expenses.

Summary: Although NCMS needs to provide medical expense vouchers for hospitalization reimbursement, the specific voucher requirements and reimbursement standards need to be formulated and implemented according to the actual situation of each locality.

Legal Analysis: Reimbursement Records.

You can go to the local NCMS agency for inquiries. The medical expenses incurred by the participating personnel in the designated medical institutions that are immediately settled and reported by the actual promotion shall go through the reimbursement procedures and receive reimbursement compensation from the time of discharge. For the medical expenses incurred by the participants in other provinces or municipalities or in designated medical institutions that have not implemented the immediate settlement and reimbursement system, the NCMS agency shall complete the reimbursement and compensation procedures within 30 working days from the date of submission of all materials.

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 imitated in accordance with the provisions of the State.

Article 27 Individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, the cumulative contributions reach the number of years prescribed by the State, and they will no longer pay the basic medical insurance premiums after retirement, and enjoy the basic medical insurance benefits in accordance with the provisions of the State; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.

Article 28 Medical expenses that meet the standards of basic medical insurance drug lists, diagnosis and treatment items, medical service facilities, as well as emergency and rescue services, shall be paid from the basic medical insurance in accordance with national regulations.

Need to be retained. 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; The responsible person of the villagers' committee shall apply on his 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: below the county level, including county level, the same as designated medical institutions.

3. Application result: 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; If there is any doubt about the identity materials of the participating patients, they shall be handed over to the cooperative medical management agency for verification; If the submitted materials are incomplete, all the materials that need to be completed shall be notified in writing at one time.

The coverage of critical illness insurance should be linked to the medical insurance for urban residents and the New Rural Cooperative Medical System. Urban residents' medical insurance and NCMS shall provide basic medical insurance for delayed periods in accordance with policy provisions. On this basis, the critical illness insurance mainly protects the eligible medical expenses that need to be borne by the urban residents after the medical insurance and the NCMS compensation in the case of high medical expenses incurred by the insured (combined) person suffering from a serious illness.

For high medical expenses, the annual cumulative compliant medical expenses borne by the individual may exceed the annual per capita disposable income of urban residents and the annual per capita net income of rural residents announced by the local statistics department in the previous year, and the specific amount shall be determined by the local government.

Compliant medical expenses refer to the actual and reasonable medical expenses (which may be stipulated not to be paid), which are determined by the local government. All localities can also start with the diseases and diseases that are heavily burdened by Shouying individuals to carry out serious illness insurance.