How to reimburse for remote hospitalization in rural cooperative medical care

1. Before hospitalization or within 3 days after hospitalization, call the hometown NCMS consultation** to register and record the hospitalization.

2. After being discharged from the hospital, a residence certificate must be issued by the sub-district office or neighborhood committee at the place of residence.

3. After discharge, take a copy of the medical record, a summary list, a hospitalization bill, and a discharge certificate, and then take the patient's ID card, cooperative medical certificate and residence or work certificate back to the place where you participate in the hospital for reimbursement.

4. If you are going directly to the hospital outside the province for chemotherapy from the place where you participate, you must go through the referral and transfer procedures before leaving, and then you can go to the other place for hospitalization**.

5. The proportion of reimbursement outside the province is the lowest, the general starting line is about 2000, and the reimbursement ratio is 45% of the reasonable cost.

At present, rural cooperative medical care in many places is connected with hospitals; If you need to seek medical treatment in other places, you need to inform yourself of the local cooperative medical treatment when you are hospitalized, and seek medical treatment in **; In addition, when you go through the hospitalization procedure, you will be informed that you will use the rural cooperative medical care, and the expenses will be automatically deducted when you settle the expenses.

Legal basis: Article 30 of the Social Insurance Law of the People's Republic of China 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 Sun Tan**; (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 base shall be paid in advance. After the basic medical insurance** is paid in advance, it has the right to recover from a third party.

Article 31 of the Social Insurance Law of the People's Republic of China Social insurance agencies may, according to the needs of management services, sign service agreements with medical institutions and drug business units to standardize medical services.

Medical institutions shall provide reasonable and necessary medical services to insured persons.

Article 32 of the Social Insurance Law of the People's Republic of China 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 cumulatively calculated.

1. Before the parties seek medical treatment in other places, they should obtain the permission of the social security institution in the original place of insurance, and go through the procedures for medical treatment in other places before they can go through the procedures for medical treatment in other places. **After that, you can bring the hospitalization statement and the list of expenses to the social security institution in the original place of insurance to apply for reimbursement. 2. If you live in a different place for a long time, you should go through the procedures for living in another place in advance, and when you incur medical expenses, you can bring the hospitalization statement and the list of expenses to the social security institution in the original place of insurance to apply for reimbursement.

Legal analysis: 1. Before the parties seek medical treatment in other places, they should obtain the permission of the social security institution in the original place of insurance, and go through the procedures for medical treatment in other places before they can go through the procedures for medical treatment in other places. **After that, you can bring the hospitalization statement and the list of expenses to the social security institution in the original place of insurance to apply for reimbursement.

2. If you live in a different place for a long time, you should go through the procedures for living in another place in advance, and when you incur medical expenses, you can bring the hospitalization statement and the list of expenses to the social security institution in the original place of insurance to apply for reimbursement. 1. Provide the following information: (1) the patient's "Agricultural Cooperative Certificate", household registration booklet, and original ID card; (2) The province's unified approval form for referral and transfer of new rural cooperative medical care (for migrant workers or residents in other places, the approval form for referral and transfer of new rural cooperative medical care is not provided, and the certificate of the unit where the worker is located or the department above the village level in the place of residence is required) (3) Diagnosis certificate; (4) Discharge certificate; (5) A summary list of inpatient medical expenses; (6) Invoices for hospitalization charges (if the invoices of private medical units produced by local tax supervision are provided, the documents determined by the competent health department to be designated medical institutions for new rural cooperative medical care must be provided, and the official seal of the issuing unit shall be stamped with the copy of the document); (7) A copy of the inpatient medical record with the official seal (including the first page of the medical record, long-term medical order, temporary medical order, and discharge summary).

If the information is incomplete, inform it of the content of the information that needs to be completed, and then submit it to the NCMS agency where the household registration is located, and the agency will truthfully enter, review, and settle the compensation after receiving the complete information, and implement the minimum compensation for medical treatment outside the province. If it is inconvenient for me to return to the place of household registration, I can send the complete information to the client to handle it on my behalf. 2. If you seek medical treatment in a designated hospital for migrant workers from other places, you will be compensated directly according to the district-level compensation standard when you are discharged; 3. For medical treatment in the provincial direct subsidy and instant settlement designated hospitals, only the medical expenses that should be borne by the individual are paid, and the rest is paid in advance by the designated hospitals.

Legal basis: Article 23 of the "Social Insurance Law" Employees shall participate in the basic medical insurance for employees, and the employer and the employee shall jointly pay the basic medical insurance premiums in accordance with the provisions of the state. Individually-owned businesses without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer, and other flexibly employed persons may participate in the basic medical insurance for employees, and the individual shall pay the basic medical insurance premiums in accordance with the provisions of the state.

Hello, glad to solve the problem for you. The method of reimbursement for non-local hospitalization of Rural Cooperative Songpeng Medical Care is as follows: 1. Before hospitalization or within 3 days after hospitalization, call NCMS Consultation** to register and record the hospitalization and medical treatment; 2. After being discharged from the hospital, a residence certificate must be issued by the sub-district office or neighborhood committee in the place of residence. 3. After being discharged from the hospital, take the relevant materials to the participating place for reimbursement.

The relevant documents required for reimbursement are as follows:1Copies of medical records; 2. Summarize the detailed list; 3. Hospitalization bills; 4. Discharge certificate; 5. Patient's ID card; 6. Cooperative medical certificate and residence or work permit type.

Hello dear, glad to answer for you. Rural cooperative medical reimbursement method for non-local hospitalization; 1. Before or within 3 days after hospitalization, call NCMS Consultation** to register and record the hospitalization and medical treatment; 2. After being discharged from the hospital, a residence certificate must be issued by the sub-district office or neighborhood committee at the place of residence. 3. After being discharged from the hospital, take the relevant materials to the participating place for reimbursement. The specific information is as follows: (1) a copy of the medical record of the field; 2. Summarize the detailed list; 3. Hospitalization bills; 4. Discharge certificate; 5. Patient's ID card; (6) Cooperative medical certificate and residence or work certificate.

4. If you are going directly to the hospital outside the province for chemotherapy from the place where you participate, you must go through the referral and transfer procedures before leaving, and then you can go to the other place for hospitalization**. 5. The proportion of reimbursement outside the province is the lowest, the general starting line is about 2000, and the reimbursement ratio is 45% of the reasonable cost, and the lower the hospital level, the higher the reimbursement ratio. Kiss <>

The above is my answer to this question, if you think I am very satisfied, please pay attention to me and not get lost in the future, and then please do a little manual in the lower right corner, give me a like! Welcome to consult again <>

Hello dear, the reimbursement process for remote hospitalization of rural cooperative medical care is as follows: 1. Register and file the hospitalization before or within 3 days after hospitalization; 2. After being discharged from the hospital, a residence certificate must be issued by the sub-district office or neighborhood committee at the place of residence. 3. After being discharged from the hospital, take the relevant materials to the participating place for reimbursement. The specific information is as follows: (1) a copy of the medical record; 2. Summarize the detailed list; 3. Hospitalization bills; (4) Late discharge certificate; (5) The patient did not suspect Li SF syndrome; (6) The co-ordinator may make a medical certificate and a certificate of residence or work.

I hope mine is helpful to you. <>

Rural cooperative medical care is a public medical insurance program in Chinese mainland that aims to provide basic medical security and services to residents in rural areas. If an insured resident of the Rural Cooperative Medical Care needs to be reimbursed for medical expenses when he is hospitalized in a different place, he or she can do so according to the steps below. 1.

During the period of hospitalization in other places, it is necessary to go through the direct settlement procedures for medical expenses with the financial department of the inpatient hospital or the medical insurance window in time. That is, within the scope of the settlement of the cost of non-local hospitalization in rural cooperative medical care, directly contact the medical insurance department for direct settlement, which can greatly reduce the financial burden of patients. 2.

If you need reimbursement for rural cooperative medical care, you can go through the reimbursement procedures at the local health and family planning administrative department at or above the county level or rural cooperative medical agency with medical invoices, hospitalization records, settlement vouchers, hospitalization medical certificates and other relevant materials after returning to the place of household registration. It should be noted that true and valid hospitalization information, such as medical records and expense lists, is required for reimbursement to be reimbursed, and compliance with these conditions can make the reimbursement process faster. 3.

After being reviewed and confirmed by the local health and family planning administrative department or the rural cooperative medical agency, you can apply for reimbursement of medical expenses. Reimbursement can be refunded directly to an individual's bank account or cash. It should be noted that the specific management regulations and procedures of different regions and medical insurance departments may be slightly different, so it is recommended that insured residents should pay attention to the latest local policies and procedures and consult the relevant processing procedures in a timely manner when making reimbursement for rural cooperative medical care, so as to carry out the reimbursement business smoothly.

I hope the above can help you, I wish you a happy life!

Methods of reimbursement for NCMS hospitalization in other places:1The patient should bring his ID card and NCMS medical certificate to the local agency for referral and filing procedures; 2.

Bring the above materials to go through the hospitalization procedures of NCMS; 3.Patient hospitalized to receive**; 4.After discharge, the patient should be reimbursed by presenting his/her ID card, NCMS medical certificate, copy of medical records, list of hospitalization expenses and referral filing procedures to the local agency for reimbursement.

If it is a non-local hospitalization in the province or city, some hospitals can reduce the reimbursement ratio by 10%, and then there is no need to go through the transfer procedures.

Hello, how to use NCMS for hospitalization in other places in the province.

2) Choose to go to the designated hospital designated by the province to see a doctor, otherwise you will not be compensated. 3) The patient should bring the ID card, household registration booklet, cooperative medical certificate, admission certificate, referral form and referral SMS to go through the admission procedures; 4) When the patient is discharged, the settlement should be made at the NCMS window, and attention should be paid to bring complete information and pay personal expenses.

Question: If I go directly to a different place for hospitalization**, do I still need to apply for a referral to be reimbursed?

Yes, the reimbursement rate is high.

Ask how to make a referral.

You can go to the inpatient window to learn about the inpatient window, and it has a special sign on it that is NCMS.

To make a referral, you will need to go to your local hospital for a referral certificate.

Question: If I don't go through the referral procedures, will I be reimbursed in other places?

On our side, it is reimbursed, but that means the reimbursement rate is relatively low.

Well, the specific situation is that you need to go to the inpatient department of that hospital for consultation.

Question: Is it okay to go through the referral procedure before discharge?

You can ask the other party to ask for the time to enter the computer, before you need to handle it.

Question: I have been admitted to the hospital**, handle the referral, and will I be reimbursed when I am discharged?

Yes, as long as you don't have one, you can just plug it into the computer.