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Hello! After reading your description, reimbursement of medical expenses for targeted poverty alleviation, in accordance with relevant regulations, targeted poverty alleviation, poor households, subsistence households, have handled the rural NCMS, and can be reimbursed for medical expenses if they are sick and hospitalized, and they cannot be reimbursed for medical expenses if they do not apply for the NCMS, there are no regulations in this regard, but you can write an application, explain the specific situation, and ask for subsidies from the Poverty Alleviation Office or the Civil Affairs Bureau, no problem at all, good luck!
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For serious illness reimbursement, the proportion of local standards is not uniform, generally 80-90%, it is recommended to consult directly with the local medical insurance department, or you can call the local social security consulting service **12333 consultation.
For example, in Hunan, the insured persons of Hunan Province's serious illness insurance can be reimbursed in a single time in a natural year (from January to December of the current year), or they can be reimbursed together.
Generally, 50% will be reimbursed for the part within 30,000 yuan (inclusive), 60% for the part above 30,000 yuan to 80,000 yuan (inclusive), 70% for the part above 80,000 yuan to 150,000 yuan (inclusive), and 80% for the part above 150,000 yuan, and the annual cumulative compensation amount shall not exceed 200,000 yuan. If the referral is not graded according to the relevant policy, the payment ratio should be reduced.
According to the poverty alleviation standards announced by the state, the villagers first fill in the application form, and the villagers' group will first hold a meeting of the head of household for comparison, and then the village "two committees" will convene a meeting of the village, group cadres and villager representatives to compare and choose, and publicize the list; According to the public opinions, the meeting of cadres and villager representatives at the village and community levels was again convened for comparison and selection, and it was publicized again;
If there is no objection, according to the number of poor rural households in the village, the poor rural households with low income but the ability to work are identified as poor rural households. In short, no matter how it is identified, it is necessary to give full play to grassroots democracy and mobilize the masses to participate; Transparent procedures, handing over the right of identification to the grassroots people, and allowing the people in the same village to identify who is poor according to their own "standards", so as to ensure that the identification of poor households is transparent, open, and relatively fair.
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Targeted poverty alleviation is not to raise the poor, but the state according to the actual situation of poor households, to help them find a way to get rich that suits their own requirements, and the local do not do well, some will send something to some poor households to be considered poverty alleviation, maybe because of this, some people think that poverty alleviation is to give money to things, the ancients all knew that it is better to teach people to fish than to teach people to fish, and national leaders must understand this truth better.
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If you belong to the poor households with a registered card, when you encounter a major illness and need it, in addition to the expenses after medical insurance reimbursement, the rest can be reimbursed.
However, if your situation is not a major illness and involves a disabled person**, it is recommended that you go to the local Disabled Persons' Federation for consultation, if the Disabled Persons' Federation has relevant activities, it may give some care, but full reimbursement seems unlikely.
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This depends on the reimbursement ratio of each place, generally the NCMS reimbursement is 50%, and the targeted poverty alleviation households will be reimbursed more than 20% on this basis, and it is recommended to consult the local hospital.
5. Reduction and exemption of hospitalization for special poverty support, subsistence allowance, special poverty preferential care, and targeted poverty alleviation; In the outpatient diagnosis and treatment of targeted poverty alleviation objects, outpatient diagnosis and treatment fees, ** fees, medical record fees, etc.
According to Article 5 of the Administrative Provisions on the Declaration and Payment of Social Insurance Premiums, the social insurance premiums payable by employees shall be declared by the employer on behalf of the employee. The items to be declared on behalf of the employee include: the employee's name, social security number, employment type, contact address, withholding and payment details, etc.
The details of the payment and the changes declared by the employer on behalf of the employee shall be signed and approved by the employee himself, and shall be retained by the employer for future reference.
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Can you be reimbursed for eye surgery for spiritual poverty alleviation.
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Reimbursable.
Information required for reimbursement:
1. Outpatient reimbursement materials: outpatient invoices, cooperative medical certificates (or medical records).
2. Hospitalization reimbursement materials: hospitalization invoices, cooperative medical certificates (or medical records), detailed list of expenses, discharge summary, and other relevant certificates.
3. Outpatient special disease reimbursement materials: outpatient invoices, special disease cooperative medical certificates.
4. Carry information for special diseases: special disease outpatient proposals, cooperative medical certificates, medical records, relevant laboratory reports, and two documents.
Reimbursement process: 1. The insured household shall prepare the required information for reimbursement and submit it to the village (community) cooperative medical liaison officer, who will review it and report it to the town cooperative medical liaison officer, and the town liaison will send it to the district agricultural office settlement and reimbursement center for reimbursement after being reviewed by the village (community) cooperative medical liaison officer. Guidelines for the Reimbursement of New Rural Cooperative Medical Care.
2. Direct reimbursement by the hospital: When hospitalization due to illness goes through the hospitalization procedures, a new type of rural cooperative medical certificate will be issued to the hospital to directly participate in the reimbursement.
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Hello, happy to answer your questions.
1. Targeted poverty alleviation households can be reimbursed for hospitalization if they are hospitalized, and if they have handled the rural NCMS, they can be reimbursed for the medical expenses for hospitalization, but if they do not apply for the NCMS, they cannot be reimbursed for the hospitalization medical expenses.
2. When the rural poor are hospitalized, the first diagnosis and treatment will be implemented and then the payment will be implemented (temporarily less payment), and the patient must provide the hospital with the "Targeted Poverty Alleviation and Assistance Handbook", resident medical insurance card, ID card or household registration book when going through the hospitalization procedures.
3. During the patient's hospitalization, the hospital will provide the patient with a list of daily expenses every day for the patient's inquiry; If you need to use self-financed medicines (materials), you will be notified in advance and your family members will be notified in advance.
4. The hospital will inform the patient of the approximate expenses during the hospitalization and the approximate amount to be borne by the individual within 1-2 days before the patient is discharged.
5. When the patient is discharged from the hospital, pay the medical expenses borne by the patient to the hospital during the hospitalization. The policy of first diagnosis and treatment and later payment is applicable to the poor population who have established a file and a card.
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In order to effectively solve the problem of poverty caused by illness and return to poverty due to illness, in accordance with the relevant policy requirements of Jining City, the city thoroughly implements the preferential reimbursement policy for poverty alleviation personnel, and includes all poverty alleviation objects in the scope of medical insurance, can enjoy a number of preferential medical insurance policies, and effectively increases the reimbursement ratio of poverty alleviation objects.
The first is to lower the minimum payment standard for chronic diseases and increase the reimbursement ratio of outpatient medical expenses. Poverty alleviation targets identified as chronic diseases seek outpatient treatment in designated medical institutions, and the minimum payment standard for medical insurance** is reduced from the original 500 yuan to 200 yuan, and the reimbursement ratio is increased by 10%, that is, the reimbursement ratio for Class A diseases is increased from 70% to 80%, and the reimbursement rate for Class B diseases is increased from 60% to 70%. The second is to lower the minimum payment standard for hospitalization and increase the reimbursement ratio of hospitalization medical expenses.
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Why can't the outpatient examination fees be reported, the poor households have no money in the first place, this is purely messing around.
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Hello, I am a poor household, I am doing outpatient surgery here in Xichang City, Sichuan** What should I do if the hospital does not reimburse me.
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There is no specific policy for targeted poverty alleviation in the country, generally speaking, the first to help purchase NCMS, and then reimburse in accordance with the provisions of NCMS, there is generally no special policy in terms of reimbursement, but the proportion of reimbursement for serious illnesses can be increased by 10.
Finally, you can apply for a part of the civil assistance. In fact, it is useless for the poverty alleviation office to seal it, at present, the information is shared on the network, and the policies that should be enjoyed can be queried through the network.
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Since you are the target of targeted poverty alleviation, you must be a poverty-stricken subsistence household, or a five-guarantee or disabled household, and the county poverty alleviation office must have a list, otherwise you will not be able to report it.
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Hello! Read your description.
How to calculate the reimbursement of the NCMS targeted poverty alleviation policy.
According to the relevant regulations, NCMS and targeted poverty alleviation are two different things.
Targeted poverty alleviation households can be reimbursed more than 75% if they have handled the NCMS, and the targeted poverty alleviation households have not handled the NCMS and cannot be reimbursed, and the households without targeted poverty alleviation have not applied for the NCMS can be reimbursed, no problem at all, good luck!
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Poverty alleviation 85% reimbursement is not given good medicine, what is the use, the money is not less handed over to the hospital, the disease is not good, can you get good if you don't give good medicine? There is poverty alleviation to the point of being a mistake, if there is no poverty alleviation, you can still use some good medicine and take care of the disease, and the money is not wasted in the hospital, there is always only poverty alleviation, don't think about good disease, do you say poverty alleviation is useful? When I arrived at the hospital, I didn't pay less.
On the contrary, the money is wasted, is this policy reasonable? Seek a reasonable explanation ......
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Summary. Hello, if the examination fee incurred during the hospitalization period can generally be reimbursed, the outpatient expenses generally cannot be reimbursed.
Hello, what do you need to be reimbursed, and what kind of poor household are you?
My father had a lung NGQ test, and one was more than 6,000. Send three-way testing. We are targeted poverty alleviation households, can cooperative medical care be reimbursed?
NGS tracheoscopy.
On this test.
Please reply.
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