Where to go for the second reimbursement after discharge

The second reimbursement, also known as serious illness reimbursement, can be reimbursed again if the conditions for the second reimbursement are met, so as to reduce the burden of family medical expenses.

1. The hospital's serious illness settlement window.

If the hospital is connected nationwide, then when the insured is discharged, he or she can bring relevant information to the hospital's serious illness settlement window and directly use the medical insurance card to reimburse the serious illness expenses.

2. The settlement department of the medical insurance agency.

After the insured person is discharged from the hospital, he or she should go to the local medical insurance agency to apply for reimbursement of serious illness medical expenses with his or her medical insurance card or NCMS medical certificate, ID card of the insured, original voucher of medical expenses, list of expenses, medical certificate, medical record, discharge summary and other certificates.

[Legal basis].

Article 27 of the Regulations on Medical Insurance The personnel of the employer who pays the basic medical insurance premiums in accordance with these Regulations shall enjoy the basic medical insurance benefits.

Article 28 of the Medical Insurance Regulations is used to pay for medical expenses outside the scope of overall payment; If the personal account is insufficient to pay, the person shall be responsible for it.

Article 29 of the Regulations on Medical Insurance The medical expenses for hospitalization for serious illness** shall be paid in the following ways:

1) In principle, the minimum payment standard shall be controlled at 9%-11% of the average annual social wage of employees in cities, counties and autonomous counties in the previous year.

2) In principle, the maximum payment limit shall be controlled at 3-5 times the average annual social wage of employees in cities, counties and autonomous counties in the previous year.

3) Medical expenses above the minimum payment standard and below the maximum payment limit shall be mainly paid by the overall plan, and a certain proportion shall be borne by the individual. Appropriate consideration is given to the proportion of medical expenses borne by retirees.

The scope of serious illness, the specific standard of the minimum payment standard and the maximum payment limit, and the proportion of medical expenses above the minimum payment standard and below the maximum payment limit shall be determined by the provincial people.

The above is only the current information combined with my understanding of the law, please refer to it carefully!

If you still have questions about this issue, it is recommended that you organize the relevant information and communicate with a professional in detail.

The location of the second reimbursement is generally in the NCMS hall of the local health bureau.

The starting line of NCMS serious illness insurance is 15,000 yuan, which means that the part of reasonable expenses exceeding 15,000 yuan after the reimbursement of NCMS hospitalization will be reimbursed on a proportional basis. 50% reimbursement to 50,000, 60% reimbursement to 5 to 100,000, and 70% reimbursement to more than 100,000.

Reimbursement procedures for NCMS critical illness insurance:

A copy of the patient's ID card, a copy of the agricultural bank card, a copy of the cooperative medical card, a medical record, a diagnosis certificate, a total list of expenses, and a referral certificate that is needed outside the county. If the patient is unable to provide his or her bank card, he or she can prove the relationship between the same household registration staff or the village committee.

Go to the civil affairs department to apply for a second reimbursement for serious illness assistance.

1. NCMS reimbursement process:

1. Information required for reimbursement:

Outpatient reimbursement materials: outpatient invoices, cooperative medical certificates (or medical records).

Hospitalization reimbursement materials: hospitalization invoices, cooperative medical certificates (or medical records), detailed list of expenses, discharge summary, and other relevant certificates.

2. Outpatient special disease reimbursement materials: outpatient invoices, special disease cooperative medical certificates.

Handling special disease carrying materials: special disease outpatient ** proposal, cooperative medical certificate record, medical record, relevant laboratory report, ** two.

2. Reimbursement process:

After the insured household prepares the required materials for reimbursement, it will be handed over to the village (community) cooperative medical liaison, who will review and report to the town cooperative medical liaison, and the town liaison will send it to the district agricultural office settlement and reimbursement center for reimbursement. Guidelines for the reimbursement of new rural cooperative medical care.

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.

Dear, hello, I am glad to be able to answer your question for the second reimbursement of serious illness can be applied for in these two places:1Serious illness settlement window of the hospital:

Many hospitals have set up a serious illness settlement window, and when you are hospitalized, you can use your medical insurance card or NCMS medical certificate to register for hospitalization, and when you are discharged, you can use the medical insurance card to directly reimburse the serious illness expenses by bringing relevant information to the serious illness settlement window. 2.The settlement department of the medical insurance agency:

For patients who seek medical treatment in other places, they can go to the local medical insurance agency to apply for a second reimbursement after being discharged with the original voucher of medical expenses, the list of expenses, the certificate of medical treatment, the discharge summary and other certificates.

Summary. Reimbursement for hospitalization goes to the local social security bureau.

The second reimbursement means that residents of urban residents' medical insurance or NCMS can apply for serious illness insurance again in addition to the normal reimbursement if they have high expenses for medical treatment last year, and there is no upper limit.

After discharge, the second reimbursement will go to **.

Hospitalization reimbursement for the second time goes to the local social security bureau. The second reimbursement is that residents of urban residents' medical insurance or NCMS, if they have a high initial cost for delayed illness last year, in addition to the normal reimbursement, they can also apply for serious illness insurance again, and there is no upper limit.

The following conditions are required for the second reimbursement.

1. The second reimbursement must be made by the insured residents anyway, after the first reimbursement is made, because it must be the insured residents before the second reimbursement can be made. If you're not even insured, then it's all empty talk. According to China's current medical insurance coverage, the vast majority of people are insured.

Clause. Second, the cost is still very high after a reimbursementNormally, after seeking medical treatment, after a certain percentage of the first reimbursement, the remaining expenses are basically not too much. However, if after the first reimbursement, the remaining medical expenses to be paid by the individual exceed the per capita annual income level of the local urban or rural residents, then you can go to Hongzao to apply for a second reimbursement.

Summary. Hello dear, happy to answer your <>

Answer: After discharge, the second reimbursement goes to the local social security bureau for reimbursement, and the second reimbursement for serious illness is generally reimbursed at the local social security bureau. After being discharged from the hospital, patients with serious illnesses need to bring their diagnosis certificates, ID cards, original participation certificates and other materials to the NCMS Settlement Department for review.

Legal basis: Article 28 of the Social Insurance Law of the People's Republic of China conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses for emergency and rescue, and 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. Article 32 If an individual is employed across the overall planning area, his basic medical insurance relationship shall be transferred with him/herself, and the payment period shall be calculated cumulatively.

After discharge, the second reimbursement will go to **.

Hello dear, happy to answer your <>

Answer: After being discharged from the hospital, the second reimbursement will be reimbursed by the local social security bureau, and the second reimbursement for serious illness is generally reimbursed at the local social security bureau. After being discharged from the hospital, patients with serious illnesses need to bring their diagnosis certificates, ID cards, original participation certificates and other materials to the NCMS Settlement Department for review.

Legal basis: Article 28 of the Social Insurance Law of the People's Republic of China conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses for emergency and rescue, and 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. Article 32 If an individual is employed across the overall planning area, his basic medical insurance relationship shall be transferred with him/herself, and the payment period shall be calculated cumulatively.

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Summary. Dear, I'm glad to answer your <>

After being discharged from the hospital, the second reimbursement goes to the local social security bureau. 1. The reimbursement process is as follows: 1. The applicant should bring his ID card and medical insurance card to the designated medical institution for reimbursement procedures.

If the insured person entrusts others to handle it, he or she shall also provide the original and copy of the second-generation resident ID card of the first person. 2. Submit relevant materials. 3. Conduct an audit.

4. After the review is passed, the insured can get the expenses reimbursed by the medical insurance for the second time.

After discharge, the second reimbursement will go to **.

Dear, I'm glad to answer your <>

After being discharged from the hospital, the second reimbursement goes to the local social security bureau. 1. The reimbursement process is as follows: 1. The applicant should bring his ID card and medical insurance card to the designated medical institution for reimbursement procedures.

If the insured person entrusts others to handle it, he or she shall also provide the original and copy of the second-generation resident ID card of the first person. 2. Submit relevant materials. 3. Conduct an audit.

4. After passing the examination or difficulty, the insured can receive the second reimbursement of medical insurance.

Legal basis: Article 28 of the Social Insurance Law of the People's Republic of China conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and medical expenses for emergency and rescue, and shall be paid from the basic medical insurance in accordance with national regulations. Materials required for reimbursement: ID card, medical insurance compensation statement, medical institution expense invoice, discharge summary, diagnosis certificate, outpatient medical record, bank transfer account number, etc.

If the cost of medical treatment exceeds the personal affordability, in addition to the normal reimbursement, you can also apply for a serious illness insurance reimbursement, and there is no upper limit.

Summary. <>

Hello, dear <>

I'm glad to answer for you, after discharge, the second reimbursement goes to the medical insurance bureau for reimbursement Oh dear, first of all, the insured needs to fill in the application form in accordance with the relevant process, and prepare the relevant documents and information in the hospital, and then follow the instructions of the staff to handle it, and finally after completing the relevant procedures, wait for the social security bureau to review it, and then the amount will be credited to the designated account of the insured. Generally speaking, the secondary reimbursement of medical insurance also needs to be determined according to the specific hospital level, the higher the level, the lower the reimbursement ratio will be, such as the reimbursement ratio of community medical insurance is generally 35%-45% <>

After discharge, the second reimbursement will go to **.

Hello, kiss <>

I'm glad to answer for you, after being discharged from the hospital, the second reimbursement goes to the medical insurance bureau for reimbursement Oh dear, first of all, you need to fill in the application form in accordance with the relevant process, and prepare the relevant documents and information in the hospital, and then follow the instructions of the staff to handle it, and finally after completing the relevant procedures, wait for the social security bureau to review and return, and after passing, the amount will be paid into the designated account of the insured. Generally speaking, the secondary reimbursement of medical insurance also needs to be determined according to the specific hospital level, the higher the level, the lower the reimbursement ratio will be, such as the reimbursement ratio of community medical insurance is generally 35%-45% <>

Hello, I'm glad to answer for you, medical insurance reimbursement can be reimbursed as long as it is within the scope of the Social Security Insurance Law, according to Article 30 of the Social Insurance Law, the following medical expenses are not included in the scope of payment of basic medical insurance: (1) should be paid from the work-related injury insurance; (2) It shall be borne by a third party; (3) Where the burden should be borne by public health; (4) Seeking medical treatment outside the country. Medical expenses shall be borne by the third party according to the vacancy method, 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.

I would like to ask how to reimburse it twice.

A native of Qinhuangdao, he was hospitalized in Tianjin.

Can I be reimbursed a second time?

This needs to be filed in a different place.

It has already been filed.

Reimbursement was made only once at the hospital with a cooperative medical settlement.

No. After the reimbursement is made for medical treatment in a different place, you can't accompany the side for a second reimbursement, because if you reimburse a reimbursement, you can only report it once, and the reimbursement is not limited to the location. Therefore, when you see a doctor in a different place, you should be reimbursed when you are in a different place, and you can't stay in the local area and then reimburse after you come back.

How to make a second reimbursement in a different place.

Relatives who cannot be reimbursed for the second time cannot be reimbursed for the second time in other places.