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Legal analysis: NCMS can be reimbursed for giving birth to children, and the reimbursement ratio is related to factors such as the location of medical treatment and the mode of production, for example, the proportion of NCMS reimbursement for giving birth to children in a certain place is:
1) Reimbursement ratio of NCMS for smooth production:
For medical treatment in township-level designated hospitals, a fixed subsidy of 300 yuan can generally be provided; When seeking medical treatment in designated hospitals at the county level and above, a general fixed subsidy of 450 yuan is provided.
2) Reimbursement ratio of NCMS for caesarean section:
If you have a caesarean section, the general reimbursement threshold is 2,000 yuan.
The part of the cost between 2,000 yuan and 7,000 yuan will be reimbursed at a rate of 45%; The part of the expenses exceeding 7,000 yuan will be reimbursed at a rate of 65%.
Legal basis: "Notice of the General Office, the Ministry of Health and Other Departments on the Establishment of a New Rural Cooperative Medical System" V. Management of Medical Services. It is necessary to strengthen the construction of rural health service networks, strengthen the management of rural medical and health institutions, actively promote the reform of the rural medical and health system, and continuously improve the capacity and level of medical and health services, so that farmers can receive better medical services.
All localities should, according to the situation, select the best rural cooperative medical service institutions among the rural health institutions, strengthen supervision and control, and implement dynamic management. It is necessary to improve and implement various diagnosis and treatment standards and management systems, ensure the quality of services, improve service efficiency, and control medical expenses.
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The rules of each region are different for how much money can be reimbursed for a child born in NCMS. The reimbursement ratio of NCMS for giving birth is the reimbursement ratio of NCMS for caesarean section: the reimbursement threshold is 2,000 yuan; If the medical expenses of 2,000 yuan are less than or equal to 7,000, 45% of the medical expenses will be reimbursed, and 7,000 will be reimbursed at 65%.
Reimbursement ratio of NCMS: For those who are hospitalized in township-level designated medical institutions, a fixed subsidy of 300 yuan will be implemented within the price limit; Those who are hospitalized in designated medical institutions at or above the county level will receive a fixed subsidy of 450 yuan for NCMS.
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. 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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1. What is the proportion of children reimbursed by NCMS?1. Reimbursement ratio of NCMS for caesarean section:
1) The reimbursement threshold is 2,000 yuan;
2) 2,000 yuan "7,000 medical expenses, reimbursed at 45%;
3) Medical expenses" 7000 part will be reimbursed at 65%.
2. Reimbursement ratio of NCMS:
1) If you are hospitalized in a township-level designated medical institution, a fixed subsidy of 300 yuan will be implemented within the price limit of Shancha;
2) For those who are hospitalized in designated medical institutions at or above the county level, the NCMS fixed subsidy is 450 yuan.
2. Reimbursement conditions for NCMS1. If you have a child within the validity period of NCMS, you can only be reimbursed if you have a child within one year of insurance.
2. Must have a birth permit.
For the reimbursement of NCMS for giving birth, the standards are different in different places, and you can call the local social security bureau service** or call the relevant ** for consultation.
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Reimbursement for giving birth to a child: 1. The reimbursement ratio of NCMS for caesarean section will be reimbursed in % of the reimbursement rate; 2. The reimbursement of NCMS is divided into 300 yuan and 450 yuan according to the level of medical institutions. The reimbursement process for giving birth to a child is as follows:
1. When hospitalized, you must first file at the NCMS window of the hospital, and then go to the window for reimbursement when you are discharged. 2. Non-local hospitalization needs to go through the transfer procedures within 3 days, and then go to the local NCMS department for reimbursement after completing the procedures; 3. There are differences in the proportion of reimbursement for children born in NCMS, and the actual proportion is subject to local regulations.
Social Insurance Law of the People's Republic of China
Article 24.
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 stipulated by ***. Article 25.
The State shall establish and improve the basic medical insurance system for urban residents;
The basic medical insurance for urban residents implements a combination of individual payment and subsidy;
Those who enjoy the minimum living guarantee, the disabled who have lost the ability to work, the elderly over the age of 60 and minors from low-income families, etc., will be subsidized 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 national regulations.
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NCMS can reimburse the cost of having a child.
1. Reimbursement ratio of NCMS for caesarean section: the reimbursement threshold is 2,000 yuan; The part of the medical expenses greater than 2,000 yuan but less than or equal to 7,000 yuan shall be reimbursed according to 45% of the buried Lasan; If the medical expenses exceed 7,000 yuan, 65% will be reimbursed.
2. Reimbursement ratio of NCMS: If you are hospitalized in a township-level designated medical institution, a fixed subsidy of 300 yuan will be implemented within the price limit; Those who are hospitalized in designated medical institutions at or above the county level will receive a fixed subsidy of 450 yuan for NCMS.
First of all, judging from the current reimbursement situation of NCMS, giving birth to a child is reimbursed, but there are natural births and cesarean sections, there are reimbursement ratios of different medical institutions, and there are unplanned births and planned births, so this problem is not very good. >>>More
1.Outpatient reimbursement: Be sure to visit a designated hospital. However, the insurance ratio of hospitals at all levels is different, and there is an upper limit for reimbursement every year, and the reimbursement ratio will be different due to the slight differences in medical insurance policies in various places; >>>More
1.Outpatient reimbursement: Be sure to visit a designated hospital. However, the insurance ratio of hospitals at all levels is different, and there is an upper limit for reimbursement every year, and the reimbursement ratio will be different due to the slight differences in medical insurance policies in various places; >>>More
1.Outpatient reimbursement: Be sure to visit a designated hospital. However, the insurance ratio of hospitals at all levels is different, and there is an upper limit for reimbursement every year, and the reimbursement ratio will be different due to the slight differences in medical insurance policies in various places; >>>More
2017 NCMS reimbursement coverage.
Farmers who participate in NCMS can be reimbursed for outpatient and hospitalization in designated medical institutions, and the scope of reimbursement mainly includes reimbursement of drugs, examination expenses, and bed fees. Taking drug reimbursement as an example, Class A drugs can basically be reimbursed, some Class B drugs can be reimbursed, and Class C drugs cannot be reimbursed; Taking hospitalization reimbursement as an example, the inpatient bed fee or outpatient (emergency) observation bed fee can also be reimbursed. >>>More