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NCMS cannot be insured in other places. NCMS requires farmers with agricultural hukou to participate in the NCMS, and they must participate in the area where their household registration is located.
1. Conditions for participating in the insurance: All rural residents can participate in the NCMS in the place where their household registration is located with their household registration booklet. Rural to non-rural permanent residents with household registration in villages (residences);
Rural residents who have not participated in the medical insurance for urban residents can also participate in the new rural cooperative medical care, and rural residents who have participated in the medical insurance for urban residents or medical insurance for urban residents can participate in the new rural cooperative medical system with their household registration book in the village (residence) where their household registration is located.
2. Note: Those who have participated in the medical insurance for urban employees or urban residents cannot participate in the NCMS. Persons who are covered by the basic medical insurance for urban workers are not allowed to participate in the NCMS.
3. Participation process: Persons who meet the conditions for NCMS insurance should hold their household registration book (original and copy) and a recent one-inch bareheaded photo within 3 months of being included in the scope of insurance;
Go to the street, town labor security station and district or city medical insurance agency where the household registration is located to go through the insurance payment procedures.
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Legal analysis: Rural residents in the Fangshan area under its jurisdiction can participate in the new rural cooperative medical care as a unit, and rural residents whose household registration is not in the city cannot participate in the new rural cooperative medical care, but they can be reimbursed in other places. NCMS is hospitalized for surgery in other places, and the expenses are reimbursed by the local medical insurance bureau.
Legal basis: In accordance with Article 24 of the Social Insurance Law of the People's Republic of China, the State shall 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 determined by the first regulations.
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. Article 28 In line with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facilities standards and medical expenses, emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance **. 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.
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It is not allowed to be hidden and insured in other places. If the new agricultural cooperation is required to participate in the cooperation for farmers with agricultural household registration, they must participate in the place of household registration. Eligibility:
All rural residents can participate in the NCMS in the place where their household registration is located with their household registration booklet. Rural to non-rural permanent residents whose household registration is in a village (residence); Rural residents who have not participated in the medical insurance for urban residents can also participate in the new type of rural cooperative medical care, and rural residents who have participated in the medical insurance for urban residents or the stool for urban residents can participate in the NCMS with their household registration book in the village (residence) where their household registration is located.
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No. Legal analysis: No, only rural residents within the jurisdiction can participate in the new rural cooperative medical care as a unit, and rural residents whose household registration is not in the city cannot participate in the new rural cooperative medical care, but they can be reimbursed in other places.
NCMS was hospitalized for potato liquid surgery and returned to the local medical insurance bureau for reimbursement of expenses. Legal basis: In accordance with Article 24 of the Law of the People's Republic of China on Social Settlement and New Year Insurance, the State has established and improved a new type of rural cooperative medical system.
New Rural Cooperative Medical Care".
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1. How to pay the new rural insurance in other places.
The new type of rural social endowment insurance cannot be paid in other places, and can only be paid in the place where the household registration is located.
The new type of rural social endowment insurance (referred to as the new rural insurance) is to ensure the basic life of rural residents in old age for the purpose, the establishment of individual payment, collective subsidies, subsidies combined with the financing model, pension treatment by the social overall planning and personal accounts, and family pension, land security, social assistance and other social security policies and measures matching, by the organization of the implementation of a social pension insurance system, is an important part of the national social insurance system.
2. Required documents.
1.Original and two photocopies of ID card.
2.The original and two copies of the household registration booklet.
1-inch bareheaded photo (6 for people over 60 years old).
3. Handling methods.
Go to the village street where you are located to fill in 4 copies of the "Registration Form" and 2 copies of the "Household Registration Form", paste a photo, and sign it by yourself and confirm it with your fingerprint. Persons aged 16-59 independently choose the payment grade (100-1000) to pay, and the village street handling staff will issue a receipt and fill in the "Payment Schedule". Persons over the age of 60 do not need to pay the fee, fill in 2 copies of the "Treatment Application Form" and submit 2 copies of the passbook.
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NCMS cannot be paid in other places, and the state implements the principle of territoriality, which requires the insurance procedures in the place where the household registration is located, and solving the problem of reimbursement in other places is an urgent problem to be solved.
As far as participating in NCMS is concerned, many people are working or doing business outside the home, but they have to participate in the new rural cooperative medical care in their place of residence, and they cannot pay and be reimbursed at their place of residence, which is very inconvenient.
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NCMS. At. There are many procedures required, and the required procedures are generally the previous social security card, and then your NCMS medical insurance card.
Yes, there is also some information about your identity, ID card.
If you make a copy, you can do this basic data and information.
NCMS is in. There are many procedures required, and the required procedures are generally the previous social security card, and then there is your NCMS medical insurance card, as well as some of your identity information, and a copy of your ID card, and these basic data and materials can be used in NCMS. There are many procedures required, and the required procedures are generally the previous social security card, and then there is your NCMS medical insurance card, as well as some of your identity information, and a copy of your ID card, and these basic data and materials can be used in NCMS.
There are many procedures required, and the required procedures are generally the previous social security card, and then there is your NCMS medical insurance card, as well as some of your identity information, and a copy of your ID card, and these basic data and materials can be used in NCMS. There are many procedures required, and the required procedures are generally the previous social security card, and then there is your NCMS medical insurance card, as well as some of your identity information, and a copy of your ID card, and these basic data and materials can be used in NCMS. There are many procedures required, and the required procedures are generally the previous social security card, and then there is your NCMS medical insurance card, as well as some of your identity information, and a copy of your ID card, and these basic data and materials can be used.
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Out-of-town medical reimbursement procedures.
1. Bring the patient's ID card, two one-inch color **, and NCMS medical certificate to the county joint management office for referral and filing procedures.
2. Bring the patient's ID card, NCMS medical certificate and referral filing procedures to the referral hospital for medical treatment and go through the NCMS hospitalization procedures.
3. After discharge, the patient should be reimbursed with the patient's ID card (or household registration book), NCMS medical certificate, copy of medical record, hospitalization settlement statement (some in the form of invoice), list of hospitalization expenses, and referral filing procedures.
Remarks: 1. If the migrant workers who participate in the cooperation and seek medical treatment at the construction site, they can seek medical treatment first, and go to the county joint management office to go through the referral filing procedures during hospitalization or after discharge.
2. The medical unit must be a local NCMS designated medical institution, otherwise it will not be reimbursed.
Application Materials: Participating farmers who apply for reimbursement of inpatient medical expenses shall submit the following materials:
1. ID card or household registration booklet of participating inpatients;
2. Cooperative medical certificate for participating inpatients;
3. Discharge certificate;
4. Receipts for medical expenses;
5. Detailed list of hospitalization expenses;
6. Other materials required to be submitted by the county and urban cooperative medical management agencies.
NCMS Reimbursement Procedure:
1) Application acceptance.
1. Applicant: the participating patient or his/her spouse, parents and children. If the participating patient is unable to apply in person and does not have a spouse, parents or children, his brother or sister shall apply on his or her behalf; Where there are no brothers or sisters, the responsible person of the villagers' committee shall apply on their behalf.
If the application is made by the **person, a copy of the ID card of the **person and the supporting materials of the relationship with the participating patient shall be submitted.
2. Acceptance institutions: designated medical institutions below the county level (including county level, the same below).
3. Application result:
1) If the identity certificate materials of the participating patients applying for reimbursement are true and the submitted materials are complete, they shall be accepted on the spot;
2) If there is any doubt about the identity materials of the participating patients, they should be handed over to the cooperative medical management agency for verification;
3) If the submitted materials are incomplete, all the materials that need to be completed shall be notified in writing at one time.
2) Expense accounting county-level designated medical institutions: The preliminary examination and calculation personnel of the cooperative medical window of county-level designated medical institutions shall accept the application for reimbursement of medical expenses, review the materials submitted by the applicant, specifically calculate the medical expenses and compensation amount within the scope of compensation, and fill in the "New Rural Cooperative Medical Hospitalization Compensation Form" and sign the accounting opinion. Township designated medical institutions:
The preliminary examination and calculation personnel of the cooperative medical window of the township health center shall accept the application for reimbursement of medical expenses, review the materials submitted by the applicant, specifically calculate the medical expenses and compensation amount within the scope of compensation, and fill in the "New Rural Cooperative Medical Hospitalization Compensation Form", and after signing the preliminary examination and calculation opinions, the reviewers or township full-time auditors shall review the preliminary examination items and compensation amounts, and sign the review opinions.
3) The payment of expenses shall be made by the cashing personnel of the cooperative medical window of the designated medical institutions below the county level according to the review opinions, and the medical expenses that should be reimbursed shall be paid to the applicant, and the applicant or his/her ** person shall sign the "New Rural Cooperative Medical Hospitalization Compensation Form".
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For medical treatment in other places, NCMS needs to be approved by the insured place and bring relevant certificates to the medical insurance settlement window of the designated reimbursement hospital for reimbursement.
Materials to bring: inpatient medical records, expense lists, hospitalization invoices, discharge summaries, disease diagnosis certificates, ID cards, household registration books, cooperative medical books (or certificates, cards), transfer procedures or certificates (unit part-time work certificate or emergency certificate).
NCMS Medical Insurance Non-local Reimbursement Process:
1. The materials to be brought when you are discharged from the hospital are generally to inform the doctor to copy them when you are about to be discharged, and you can only make copies after the materials are sent to the medical record room, which will take one to two weeks.
2. The staff should enter all the expenses incurred by the patient in the hospitalization into the computer in order to get the compensation amount of the patient.
3. Under normal circumstances, the bank has no right to refuse to take money, of course, some counties and cities have cashiers who pay special money.
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To go through the formalities in other places, first apply for approval by the insured place, and bring the relevant certificates to the medical insurance settlement window of the designated reimbursement hospital for reimbursement. Supporting materials to be brought, including inpatient medical records, expense lists, medical settlement invoices, disease diagnosis certificates, etc.
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NCMS reimbursement process: 1. Fill in the declaration form for non-local work and residence of basic medical insurance and seal it; 2. Take the completed application form to the social security institution for review; 3. After the review is passed, you can directly rely on the medical insurance card to settle the card in the networked medical institutions and pharmacies.
When NCMS reimburses in other places, you need to bring the following materials: 1. The patient's original NCMS certificate, household registration booklet, and ID card; 2. The province's unified new rural cooperative medical referral and transfer approval.
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How to handle NCMS in other places and what procedures are required?
If NCMS has regulations, to go through the formalities in other places, it is first necessary to apply for approval by the place where the insurance is insured, and bring the relevant certificates to the medical insurance settlement window of the designated reimbursement hospital for reimbursement.
Supporting materials to be brought, including inpatient medical records, expense lists, medical settlement invoices, disease diagnosis certificates, etc.
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NCMS cannot be handled in other places, and individuals need to pay medical expenses in advance, and return to the place of household registration for reimbursement after being discharged from the hospital with the receipts.
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It is said that it is very troublesome to register and pay in a remote hospital, have a hospitalization record, and then have an invoice, and then send it back to the place of household registration, and then make a claim at the location of the insurance, and the whole process will take two or three months.
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If it is urban and rural residents' medical insurance, that is, NCMS, and you want to seek medical treatment in a different place, you should go through a referral procedure at a local hospital, or go through a filing procedure at a local medical insurance center. In this way, when you seek medical treatment in a different place, you can directly reimburse the medical expenses when you are discharged from the hospital.
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If it is a payment, you can directly ask the family to pay. For reimbursement, you need to present the medical records, diagnosis certificates, expense lists, invoices, stamped with the official seal, and mail them back to the local area for reimbursement.
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The following procedures are required for NCMS reimbursement in different places: after the cash advance payment by the insured, the unit manager shall apply for sporadic reimbursement to the Municipal Medical Insurance Center with the following information: 1) Proof of the insured's unit; 2) Copies of the front and back of the medical insurance card; 3) Proof of discharge or diagnosis; 4) A detailed list of medical expenses; 5) Medical expense invoice (with the reimburser's name on the back); 6) Copy of inpatient medical record.
The specific information is subject to the announcement of the local social security department.
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