Is it a waste for farmers to pay for medical insurance for urban and rural residents and not be reim

Yes, because the reimbursement is settled according to the natural year, there is a certain limit on the time and amount of reimbursement each year, and it cannot be settled after the time.

This is very wasteful, and it makes people feel that this kind of waste is terrible, and they don't have good ideas.

OK. First of all, there is also a starting line for outpatient reimbursement every year, as long as the cumulative expenditure on outpatient services exceeds this threshold in the year, you can directly reimburse on a proportional basis.

There are generally two reimbursement methods for resident outpatient clinics, one is that there is a requirement for annual payment, such as resident medical insurance in Beijing, Shanghai and other places.

The reimbursement method of outpatient services is exactly the same as that of outpatient services for employees in Beijing above, except that the reimbursement ratio and maximum limit of resident outpatient services are low, so I will not calculate them as an example.

The other is that there is no minimum payment line requirement, and only one or two outpatient reimbursements are given a year, and they are gone, and then they can only be paid in cash.

Extended Materials. 1. How to handle neonatal medical insurance? There are two main cases:

1) Household registration.

If you apply at the place of household registration, you should bring your birth certificate directly.

Hukou booklet, parents' ID card.

Marriage certificate, baby** and other related materials, go to the place where the household registration is located.

The street or social security in the model is fierce and the heart can be handled.

2) Non-household registration (that is, the household registration is in place A, and Danpeng wants to apply for medical insurance for children in place B).

If the application is not made in the place of household registration, at least one of the parents needs to hold a local residence permit.

In order to handle it, it is also necessary to take the birth certificate, household registration book, parents' ID card, marriage certificate, baby** and other relevant materials, and go to the street or social security center where the household registration is located.

Some cities even have stricter requirements, such as Shanghai, which not only requires a local residence permit, but also at least 120 points, depending on local policies.

2. Medical insurance reimbursement.

Let's start with the formula:

Reimbursement amount = (**Total cost Minimum payment line Self-pay part) Reimbursement ratio Maximum reimbursement amount.

The minimum reimbursement amount is the minimum reimbursement amount, and all the expenses below the minimum payment line will be paid, and the part that exceeds the minimum payment line will be reimbursed; The maximum reimbursement amount is the upper limit of reimbursement, no matter how much you spend, the medical insurance will reimburse you so much at most; The self-paid part refers to the part that exceeds the drugs and items outside the social security catalogue and cannot be reimbursed by the social insurance; According to the actual situation, we will generally encounter three situations: outpatient, inpatient and serious illness.

Summary. Hello, this is reimbursable. The medical insurance for town residents mainly covers hospitalization and outpatient serious illness, and some places also take into account ordinary outpatient services, and under normal circumstances, outpatient reimbursement is relatively small, so it is mistaken for only reporting hospitalization and other not reporting.

Hello, this is reimbursable. The medical insurance mainly covers hospitalization and outpatient serious illness, and some places also take into account ordinary outpatient services.

It mainly includes outpatient expenses, inpatient medical expenses, covering outpatient expenses, medicine costs, hospitalization costs, surgery costs, nursing expenses, hospital miscellaneous expenses, various examination costs, etc., as well as hospitalization, nursing, hospital equipment, etc., such as auxiliary examinations, laboratory tests, X-ray fluoroscopy, MRI, CT, filming, electrocardiogram osmosis, acupuncture, physiotherapy and other examination expenses up to 200 yuan. If the cost of the operation exceeds 1,000 yuan, it will be reimbursed according to 1,000 yuan. If the elderly are hospitalized in the town health center for more than 60 weeks, the compensation is 10 yuan per day, and the limit is 200 yuan.

Summary. Medical insurance payment must be paid at the specified payment time, beyond the payment time can not pay for insurance, nor can you enjoy the reimbursement of medical expenses policy.

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Medical insurance payment must be paid at the specified payment time, beyond the payment time can not pay for insurance, nor can you enjoy the reimbursement of medical expenses policy.

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Summary. Hello, dear, I'm glad to answer for you, I participated in the medical insurance for urban and rural residents, and I didn't have to be hospitalized to buy medicine, which can be reimbursed. Reimbursement for Medicare drugs can be reimbursed not only during hospitalization, but also in the outpatient clinic of Social Security Medical Insurance.

Outpatient prescriptions to the hospital after discharge can also be reimbursed according to regulations.

Dear, hello, I'm glad to answer for you, I participated in the medical insurance for urban and rural residents, and there was no hospitalization in Jianfan Town, and only the medicine I bought can be reimbursed. Reimbursement for medical insurance drugs can be reimbursed not only during hospitalization, but also in the outpatient clinic of social security medical insurance. Outpatient prescriptions to the hospital after discharge can also be reimbursed according to regulations.

Legal basis: Article 2 of the Social Insurance Law of the People's Republic of China The State establishes a social insurance system of basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, maternity insurance, etc., to protect citizens' right to receive material assistance from the state and society in accordance with the law in the case of old age, illness, work-related injury, regret and remorse, childbirth, etc. Article 3 The implication of the social insurance system adheres to the principle of wide coverage, basic protection, multi-level, and sustainable development, and the level of social insurance should be commensurate with the level of economic and social development.

Summary. The medical insurance for urban residents is paid for one year and one year, and no insurance is guaranteed if you do not pay. To this end, the public must go to the community at the specified time to go through the insurance payment procedures, and the students or young children in the school (kindergarten) are attended, and the payment period will not be reissued.

Therefore, if the medical premiums of the current year are not paid, the medical insurance treatment will not be enjoyed in that year. If you pay it, you will enjoy the treatment, and if you don't pay, you will not enjoy it. Medical insurance is generally not available for more than 3 months, and there is no need to make up for one year, and you can start to enjoy medical insurance benefits after 3 months.

What should urban and rural residents do if they miss a year of hospitalization without paying medical insurance and fail to be reimbursed, and the hospitalization fee is very high?

The medical insurance for urban residents is paid for one year, and those who do not pay for it will not be insured. To this end, the public must go to the community at the specified time to go through the insurance payment procedures, and the students or young children in the school (kindergarten) will be handled, and the payment period will not be reissued. Therefore, if the medical premiums of the current year are not paid, the medical insurance treatment will not be enjoyed in that year.

If you pay it, you will enjoy the treatment, and if you don't pay, you will not enjoy it. Medical insurance is generally not available for more than 3 months, and there is no need to make up for one year, and you can start to enjoy medical insurance benefits after 3 months.

If you do not pay your health insurance premiums in time, you can apply for temporary medical assistance from your local health insurance provider. Temporary medical assistance refers to the provision of social assistance by the local** to poor residents who cannot afford to pay for medical insurance due to low income. We will provide you with the necessary financial assistance to cover the cost of your hospitalization**.

Legal basis: The Social Security Law of the People's Republic of China stipulates that poor residents who have not paid social insurance premiums and need to pay medical expenses in Liquid Mountain can apply for temporary medical assistance from the local government.

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 of the Social Insurance Law of the insured persons shall be paid by the basic medical insurance** part of the medical expenses shall be settled directly 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.

Article 30 of the Social Insurance Law is wide for the following medical expenses: (1) shall be paid from the work-related injury insurance; (2) It shall be borne by a third party; (3) It shall 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.