Is there reimbursement for medical treatment in rural cooperative medical care after hospitalization

There are no occupational disease costs for rural cooperative medical care;

How was your mother's occupational disease identified? Which employer is it, why don't you go to the employer for reimbursement?

Pneumoconiosis can find a unit even if you retire:

1) Those who have been exposed to dust for less than 20 years (including 20 years) will be followed up for 10 years, and the follow-up cycle will be once every 5 years. Those who have been exposed to dust for more than 20 years will be followed up for 20 years, and the follow-up cycle will be once every 4 years; If the working experience of dust contact is less than 5 years (including 5 years), and the dust concentration meets the national health standards, follow-up can not be followed.

2) Patients with pneumoconiosis should undergo a medical examination every 1 2 years after leaving the post (including retirement) or retirement.

If it is caused by one's occupation, as long as you have medical insurance, you can see a doctor, but there is no such thing as occupational disease!

Occupational Diseases Diseases directly caused by workers' exposure to occupational hazards in their occupational activities.

Occupational disease treatment Employees suffering from occupational diseases shall receive **, rest and recuperation, work adjustment, sick leave, living allowance and bereavement pension according to the relevant provisions of the state.

Occupational disease can only be compensated and reimbursed for medical expenses if you participate in work-related injury insurance. Otherwise, the business or individual bears it.

If you have an occupational disease, you should go to the employer.

Or take workers' compensation insurance.

NCMS doesn't care.

There are no restrictions on the types of diseases in the new rural cooperative medical care, but there are restrictions on the use of drugs.

This means that you can be hospitalized for any illness.

Hello, can request reimbursement.

Some people say that we make money with our lives when we work, and then use money to buy lives after retirement, which is a real life portrayal of occupational disease patients. According to the Law on the Prevention and Control of Occupational Diseases, occupational diseases refer to diseases caused by exposure to dust, radioactive substances and other toxic and harmful factors in the course of occupational activities by enterprises, public institutions and individual economic organizations and other operating units. According to the current National Classification of Occupational Diseases, occupational diseases are divided into occupational pneumoconiosis and other respiratory diseases, occupational diseases, occupational eye diseases, occupational otolaryngology and oral diseases, occupational chemical poisoning, as well as occupational diseases, occupational radiation diseases, occupational infectious diseases, and occupational tumors caused by physical factors.

In addition, with the addition of other occupational diseases, there are 132 kinds of diseases in 10 categories. The types of occupational diseases are mainly divided into nine categories. The first is occupational poisoning, such as lead and its compounds.

The second category is pneumoconiosis. The third category is occupational diseases caused by physical factors, such as heat stroke. The fourth and fifth categories are occupational eye diseases and ear, nose and throat diseases.

The sixth and seventh categories are occupational tumors and infectious diseases. The eighth and ninth categories are occupational diseases and other occupational diseases.

According to the Law of the People's Republic of China on the Prevention and Treatment of Occupational Diseases, which came into effect on December 31, 2011, occupational diseases refer to diseases caused by exposure to dust, radioactive substances and other toxic and harmful factors in the occupational activities of workers of enterprises, public institutions and individual economic organizations. According to the Classification and Catalogue of Occupational Diseases revised on December 30, 2013, it includes 10 categories and 132 occupational diseases, namely:

1.Pneumoconiosis. There are silicosis, coal workers' pneumoconiosis, etc.

2., occupational radiation sickness. There are external radiation acute radiation sickness, subacute radiation sickness, chronic radiation sickness, internal radiation sickness, etc.

3., occupational poisoning. There are lead and its compounds poisoning, mercury and its compounds poisoning, etc.

4., physical factors, occupational diseases. There are heat stroke, decompression sickness, etc.

5.and occupational diseases caused by biological factors. There are anthrax, forest encephalitis, etc.

6., occupational diseases. There are contact dermatitis, photosensitive dermatitis, etc.

7., occupational eye diseases. There are chemical eye burns, electro-optic ophthalmia, etc.

8., occupational ear, nose and throat diseases. There is noise deafness, chromium rhinosis.

9., occupational tumors. There are lung cancer and mesothelial cancer caused by asbestos, and bladder cancer caused by benzidine.

10. Other occupational diseases. There are occupational asthma, metal smoke fever, etc.

The diagnosis of occupational diseases shall be undertaken by medical and health institutions approved by the people's health administrative departments at or above the provincial level.

1. Pneumoconiosis and respiratory diseases that can be diagnosed according to the "Diagnostic Criteria for Pneumoconiosis" and "Pathological Diagnostic Criteria for Pneumoconiosis", such as coal workers' pneumoconiosis, graphite pneumoconiosis, asbestosis, etc., as well as respiratory diseases such as hypersensitivity pneumonitis, asthma, and hypersensitivity pneumonitis. 

2. Occupational diseases: Occupational diseases that can be diagnosed according to the "General Principles for the Diagnosis of Occupational Diseases", such as acne, ulcers, melanosis, contact dermatitis, vitiligo, chemical burns, etc.

3. Occupational eye diseases, chemical eye burns, electro-optic ophthalmia, radiation cataracts, trinitrotoluene cataracts, etc.

4. Occupational diseases, ear, nose, throat and oral diseases, deafness caused by noise, chromium nose disease, dental acid erosion, detonation and so on.

5. Chemical poisoning with a direct causal relationship between occupational chemical poisoning and exposure to occupational harmful factors, such as lead poisoning, mercury poisoning, manganese poisoning, beryllium disease, carbon dioxide poisoning, etc.

6. Occupational diseases caused by physical factors, frostbite, heat stroke, decompression sickness, aviation diseases, diseases caused by low-oxygen environment on the plateau, eye damage caused by lasers, etc. 

7. Occupational radiation injuries that can be diagnosed according to the Diagnostic Criteria for Occupational Radiation Diseases (General Provisions), such as radiation tumors, acute radiation sickness from external radiation, chronic radiation sickness from external radiation, etc.

8. Occupational infectious diseases such as anthrax, forest encephalitis, brucellosis, Lyme disease, and AIDS among medical and health personnel and people's police.

9. Occupational tumors such as asbestos-induced lung cancer, mesothelioma, benzidine induced bladder cancer, benzene-induced leukemia, chloromethyl ether, diclomethyl ether-induced lung cancer, arsenic and its compounds, ** cancer, hepatic angiosarcoma caused by vinyl chloride, etc. 10. Other occupational diseases: metal smoke fever, bursitis, femoral vein thrombosis syndrome, femoral artery occlusion or lymphatic occlusion, etc.

In fact, the so-called occupational disease refers to the workers who work in enterprises, institutions and self-employed organizations, because of the dust and other toxic and harmful substances that they are exposed to during work. Because occupational diseases in many places are related to the workplace and working environment, we need to pay attention to the prevention and control of health-related hazards during the work, and the medical insurance in the social security we have purchased can be reimbursed for occupational diseases, because medical insurance can reimburse occupational diseases As long as you are because of illness, whether it is an occupational disease or other diseases, all the expenses incurred during hospitalization can be reimbursed through medical insurance. However, the premise is that it must be reasonable and necessary to carry out **, and the expenses can be reimbursed by medical insurance, because some medical insurance has some restrictions on the reimbursement conditions for some diseases, such as reimbursement, and will not reimburse the medical expenses incurred by self-payment or part of the examination expenses during hospitalization, which cannot be reimbursed through medical insurance.

Occupational diseases refer to diseases caused by exposure to dust and other toxic and harmful factors in the occupational activities of workers of enterprises, public institutions and individual economic organizations. This series of diseases has a wide range of types, and the onset of diseases has the characteristics of insidious and delayed, and the harm is often easy to be ignored and needs to be paid attention to. Occupational diseases are preventable diseases, so it is necessary to pay attention to the prevention and control of health-related hazards in the workplace or in places related to the work environment.

Medical insurance for occupational diseases is reimbursable. Medical insurance can mainly reimburse reasonable and necessary medical expenses incurred due to illness or accident, that is to say, the diseases that can be reimbursed by medical insurance are not limited to types, as long as the ** expenses incurred because of the disease can exceed its deductible, and are reasonable and necessary ** expenses, then they can be reimbursed with medical insurance. However, some medical insurance will have some restrictions, such as the possibility that self-paid medical expenses may not be reimbursed, or the hospitalization medical insurance will only reimburse the medical expenses incurred during hospitalization, so how to reimburse it still needs to check the insurance contract to find out.

Definition of occupational disease. In 1957, the Ministry of Health promulgated the Regulations on the Scope of Occupational Diseases and the Methods for Handling Occupational Disease Patients, which identified 14 statutory occupational diseases.

In 1987, a total of 99 occupational diseases in 9 categories were specified in the revised list of occupational diseases, including 51 occupational poisoning, 12 pneumoconiosis, 6 occupational physical factor diseases, 3 occupational infectious diseases, 7 occupational diseases, 3 occupational eye diseases, 2 occupational ear, nose and throat diseases, 8 occupational tumors, and 7 other occupational diseases.

Occupational diseases are very widespread, such as silicosis, lead poisoning, non-ferrous metal poisoning, and beryllium poisoning. Carbon tetrachloride poisoning, vinyl chloride poisoning.

Trichloroethylene poisoning and so on are occupational diseases.

For the reimbursement of occupational diseases, all local enterprises, factories and mines have standards for the examination and treatment of occupational diseases.

I think the so-called occupational disease is related to the occupation we are engaged in, and if you want to be reimbursed, you must be correct for me, you must have a physical examination before you take up your job, and submit the physical examination report.

Recently, the National Health Commission and 17 other departments jointly issued the "National Occupational Disease Prevention and Control Plan (2021-2025)", which includes employees in key industries with serious occupational diseases such as pneumoconiosis in the scope of work-related injury insurance in accordance with the law.

Pneumoconiosis bar. It should be reimbursed in full.

There is construction dust inside the construction site, which is harmful to the body, and you can find medical insurance.

The medical insurance reimbursement process for hospitalization expenses is as follows:

1. Prepare the original ID card and the original social security card;

2. Prepare relevant certificates for discharge, such as ID card, social guarantee, medical record, prescription, expense list, discharge diagnosis certificate, etc.;

3. Go to the hospital billing office to go through the settlement procedures and make reimbursement.

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.

Social Insurance Law of the People's Republic of China

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 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.

Occupational diseases are not included in medical insurance.

Critical illness medical insurance reimbursement coverage:

In the event of medical expenses that exceed the maximum payment limit of the basic medical pool**, the social insurance department will reimburse 85% of the medical expenses below 0-40,000 yuan, 90% for the less than 40,000-80,000 yuan, and 95% for the more than 80,000 yuan. The maximum payment limit is RMB 150,000 per medical year.

Critical illness medical insurance reimbursement coverage:

1. Insured persons, urban residents' medical insurance and NCMS insured.

Second, the funds will be allocated from the medical insurance for urban residents and the New Rural Cooperative Medical System, and will not increase the burden of individual contributions.

3. The standard of security is that the patient's annual high medical expenses exceed the annual per capita disposable income of urban residents and the annual per capita net income of rural residents in the previous year, and the specific amount is determined by the local government.

No, occupational diseases are not covered by medical insurance.