Can NCMS outpatient services be reimbursed?

NCMS, there is ** on the participation book, you can play **consultation, the general outpatient clinic is not reimbursed, but some provinces have a pilot outpatient co-ordination, you can play the ** on the participation book.

The main reason for not reimbursing outpatient clinics is that there are too many NCMS defrauding the state of funds, and medical treatment outside must be filed within three to five days.

Attached: Personnel who seek medical treatment in other places, hospitalization due to illness must be reported to the county joint management office through **, fax or letter for the record, after discharge, with a discharge certificate, a copy of medical records (stamped with the official seal of the hospital), hospitalization invoices, a detailed list of expenses and a work certificate, to the county joint management office for review, transfer to the health center where the household registration is located to go through the reimbursement and subsidy procedures, if there are special circumstances can not return, close relatives can bring the relevant information to handle on their behalf.

It depends on whether NCMS in your hometown has carried out outpatient compensation for chronic diseases and special diseases. Generally it has been carried out all over the country. However, the outpatient compensation for chronic diseases is not the same in different places, and it is generally lower than that of hospitalization.

For an outpatient like yours, it is better to spend more than 100,000 yuan on hospitalization compensation, and the compensation is usually higher.

Farmers who participate in NCMS can be reimbursed in outpatient clinics, but it is worth noting that when seeking medical treatment, they must choose to seek medical treatment in designated hospitals, and they can be reimbursed for outpatient and inpatient treatment in designated hospitals. It should also be noted that outpatient clinics in township private hospitals** are generally not within the scope of reimbursement, and the township private hospitals are generally designated hospitals for NCMS in their own counties.

However, in addition to the reimbursement of chronic diseases, outpatient treatment is the use of outpatient co-ordination**, if the local outpatient policy is not implemented first, only the village, township clinic or health center outpatient can be reimbursed.

You can report a little bit in this case, and the highest price we have here is 2,000 yuan, within a year. You can report once a year.

Hospitalization is pro-rated.

If you don't get reimbursed when you check it.

After that, no one reimbursed me.

Hello! Dear, the New Rural Cooperative Medical System Clinic can be reimbursed. NCMS outpatient clinics can be reimbursed according to a certain percentage, but NCMS insured personnel are required to see outpatient clinics in designated hospitals, and the reimbursement scope includes drug fees, examination fees, laboratory fees, etc.

The reimbursement ratio of NCMS outpatient clinics is as follows: 1. 60% reimbursement for outpatient clinics in village clinics and storage center clinics; 2. The proportion of reimbursement for medical treatment in the town health center is 40%; 3. The proportion of outpatient sales reported by secondary hospitals is 30%; 4. The annual limit of town-level cooperative medical outpatient clinics is 5,000 yuan.

NCMS (New Rural Cooperative Medical Care) is a system that provides basic medical security for farmers, aiming to solve the problem of difficult and expensive medical treatment in rural areas. So, can NCMS outpatient clinics be reimbursed? The answer is yes.

According to the relevant national policies, the medical expenses covered by NCMS include hospitalization expenses and outpatient expenses, so NCMS outpatient services can be reimbursed. Specifically, when using medical services, farmers need to provide valid medical certificates and medical invoices, and submit them to the village committee or township health center for review and reimbursement of medical expenses. The reimbursement scope of NCMS outpatient clinics includes the following aspects:

1.Medical expenses: including ** fee, consultation fee, examination fee, laboratory fee, surgery fee, ** closed fee, ** fee, etc.

2.Drug costs: including Western medicine, Chinese medicine and Chinese medicine decoction pieces, etc.

3.Material cost: including surgical materials, examination materials, etc.

4.Examination** Fee: such as radiation, ultrasound, CT, etc.

It should be noted that the proportion and amount of reimbursement for NCMS outpatient clinics vary according to the policies of different regions, and farmers need to understand the relevant local policies in order to make the reimbursement correctly. In short, NCMS outpatient clinics can be reimbursed, which is an important medical security system for farmers, which can help them get better medical services.

May I ask, can the NCMS outpatient clinic be reimbursed?

Hello dear, yes. NCMS outpatient clinics can be reimbursed according to a certain percentage, but NCMS insured personnel are required to see outpatient clinics in designated hospitals, and the reimbursement scope includes drug fees, examination fees, laboratory fees, etc. The reimbursement rates for NCMS outpatient clinics are as follows:

1. 60% reimbursement for outpatient clinics in village clinics and storage center clinics; 2. The proportion of reimbursement for medical treatment in the town health center is 40%; 3. The proportion of hail reimbursement for the outpatient clinic of the second-level medical Tanyan Hospital is 30%; 4. The annual limit of town-level cooperative medical outpatient clinics is 5,000 yuan.

May I ask, can the NCMS outpatient clinic be reimbursed?

Hello, Xinnongkong Zaohe Outpatient can be reimbursed. According to the regulations of the National Health Commission, the reimbursement rate for NCMS outpatient clinics is 60%. That is to say, when you rent and carry out outpatient clinics in NCMS designated medical institutions**, you can get 60% reimbursement of medical expenses.

It should be noted that the scope of reimbursement for NCMS outpatient clinics is limited, and only includes the drugs, examinations, ** and other expenses in the basic medical insurance catalog. If you have some special tests or **, you may need to pay for them out of pocket or use other medical insurance for reimbursement. In addition, there is also a certain upper limit on the amount of reimbursement for NCMS outpatient clinics, which will vary according to the regulations of different regions.

Legal Analysis: Yes.

1. Outpatient: Directly in the health center (institute) accounting, the patient or his family members sign the prescription, but pay more than the amount in the family account.

2. Hospitalization: Hospitalization in the township, directly at the township health center when discharged, 150 yuan for the starting line, self-payment within the line, more than 75% after the initial payment. The patient or family member signs the prescription and the hospital registers it on the medical card.

Patients can request the hospital to use reportable drugs as much as possible, and the non-reportable drug cost of each prescription for hospital drugs should be controlled within 15%.

For treatment in county-level hospitals, the transfer procedures should be completed, and the report should be made directly in the hospital when discharged, with 350 yuan as the starting payment line, and the minimum payment line should be paid by itself, and the minimum payment line should be verified by 60%.

For hospitalization approved by the County Agricultural Medical Bureau in hospitals above the county or outside the county, the following information should be brought to the township agricultural medical office for verification: "Cooperative Medical Certificate", original hospitalization invoice (copy is invalid), discharge summary, copy of prescription, copy (or copy) of various examination reports, one-day list of hospitalization expenses, referral and transfer certificate, "household registration booklet" and valid personal identity certificate. 700 yuan is the starting line, and the starting line is reported at 40%.

The upper limit of hospitalization compensation is 20000000 yuan.

3. Outpatient serious illness (chronic disease refers to: severe diabetes, tumor, chronic renal failure, uremic dialysis, anti-rejection drugs after kidney transplantation) needs long-term treatment, can be based on the county-level designated institution of the examination, laboratory report and diagnosis certificate, approved by the county agricultural medical bureau, to the designated medical institutions for treatment, can be included in the outpatient serious illness overall reimbursement, medical expenses are paid by the individual first, the annual cumulative 300 yuan to make up, 500 yuan below 10%, 501-1000 yuan to make up 20%, 30% for more than 1001, capped at 1,000 yuan per person per year, and the expenses incurred in the outpatient clinic of the county CDC for tuberculosis and ** disease shall be implemented with reference to this, (if you are hospitalized, you will be compensated according to the hospitalization standard).

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 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 the provisions of the State.

NCMS refers to China's rural cooperative medical system, which aims to provide medical care for farmers. According to the regulations of NCMS, insured persons can enjoy outpatient, hospitalization, maternity and other medical insurance, of which outpatient expenses can be reimbursed. The specific reimbursement rates and standards may vary from region to region, and you can consult your local NCMS administration or medical institution for more information.

Hello, thank you for your consultation, about your questions, for you to answer the following: Yes, NCMS outpatient clinic can be reimbursed. The NCMS refers to China's rural cooperative medical system, which aims to provide medical care for farmers.

According to the regulations of NCMS, insured persons can enjoy outpatient, hospitalization, maternity and other medical insurance, of which outpatient expenses can be reimbursed. The specific reimbursement rates and standards may vary from region to region, and you can consult your local New Year Stove Shortage Agricultural Cooperative Medical System Administration or medical institution for more information. 

Dear, thank you for your consultation, may you be warm in winter, may you not be cold in spring, may you have lights in the dark, umbrellas in the rain, may you be accompanied by a lover on the road, and what you want can be realized. Talk