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Only the mother has NCMS.
If you have a child, you can be reimbursed, and if there is a person in the family who has this cooperative medical treatment, or in terms of social security, you can be reimbursed.
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If the mother has NCMS, it means that the mother is equivalent to paying social security, and the social security will include maternity insurance, so the birth of a child can be reimbursed.
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As long as the mother has NCMS, the birth of a child can be reimbursed. The reimbursement ratio of NCMS is also relatively high, which I think is quite appropriate.
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Only if the mother has NCMS, then it doesn't matter if you have a child, you can also be reimbursed, because now insurance still has a certain degree of assistance for giving birth to a child, and NCMS can be used.
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Of course, it's just the mother who gives birth to the child, and it's just the mother who gives birth to the child, so as long as he is him, just the mother gives birth to the child, and only he has the NCMS, and there is no need for others to take possession of the NCMS, because it is she who gives birth to the child, so it is not easy for others to have the NCMS, and it must be he himself who has the NCMS.
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If the mother has NCMS, she can be reimbursed for giving birth, and after being discharged from the hospital, she can go to the NCMS window of the hospital for reimbursement with the hospitalization bill, birth certificate, discharge certificate, social security card, and mother's ID card.
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Only the mother has NCMS, so when giving birth, only the mother's part will be reimbursed.
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Only the mother has NCMS, and the birth of a child can also be reimbursed, as long as we participate in the NCMS, there is a certain reimbursement ratio for giving birth.
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The mother can be reimbursed for giving birth to a child in NCMS, and the birth of a child is also covered by reimbursement, and medical insurance can be reimbursed for outpatient or hospitalization, including childbirth.
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Only if the mother has NCMS, she can also be reimbursed for giving birth, after all, this will still have a great advantage.
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If there are only pregnant mothers, there is NCMS. Having a baby is reimbursable. However, the reimbursement is very small.
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Hello, NCMS only has medical insurance, no maternity insurance, and cannot be reimbursed.
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My mother has NCMS, can I be reimbursed for giving birth? This should be able to reimburse part of it, or it may not be able to reimburse all of it.
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Absolutely, because the unborn child is insured with the mother and can use the mother's insurance.
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Yes, as long as the child meets the requirements of the birth policy, a part of the reimbursement can be made.
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If your mother has NCMS, of course she can be reimbursed for giving birth, because this NCMS includes reimbursement for giving birth.
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At present, if there is a new agricultural cooperative system, white should not be reimbursed, or it must also be paid to the new rural cooperative system to be reimbursed.
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Reimbursement is possible. However, the specific reimbursement amount should consult the local policy, and you can ask the hospital specifically.
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Can only the mother have a NCMS child be reimbursed? I think it should be able to report, and my mother can report others, and maybe she can report some of them.
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Can only the mother have a NCMS child be reimbursed? Mothers who have a child born with NCMS can apply for maternity insurance.
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Can only the mother have a NCMS child be reimbursed? Of course, you can be reimbursed in this case.
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This can be reimbursed as long as the mother is hospitalized.
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Giving birth to a child can be reimbursed. However, reimbursement can only be made if a child is born within the validity period of NCMS, and only if the child is born within one year of enrollment. If you give birth to a child in the insured place, the reimbursement rate will be higher.
If you give birth to a child in a different place, you cannot directly use NCMS for reimbursement. You need to submit the relevant information to the office in the place where you are covered before you can follow the steps to apply for reimbursement.
NCMS reimbursement process:
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. If you are hospitalized in a different place, you also need to go through the transfer procedures within 3 days, and you can only file after completing the procedures, and then go to the local NCMS department for reimbursement;
3. Due to the differences in the proportion of reimbursement for children born in NCMS, the actual proportion is subject to local regulations, but generally speaking, NCMS does not reimburse a lot of money for children.
Materials required for NCMS reimbursement:
1. Outpatient reimbursement materials: outpatient invoices, cooperative medical certificates (or medical records);
2. Materials to be brought for hospitalization reimbursement: hospitalization invoices, cooperative medical certificates (or medical records), detailed list of expenses, discharge summary, and other relevant certificates;
3. Outpatient special disease reimbursement materials: outpatient invoices, special disease cooperative medical certificates;
4. Carry information for special diseases: special disease outpatient proposals, cooperative medical certificates, medical records, relevant laboratory reports, and two documents.
Legal basisArticle 28 of the Social Insurance Law of the People's Republic of China.
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.
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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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1. NCMS reimburses the cost of giving birth. Reimbursement ratio of NCMS for caesarean section: the reimbursement threshold is 2,000 yuan; 2000 yuan medical expenses 7000 part, 45% reimbursement; Medical expenses 7000 are partially 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. 2. Reimbursement process:
1) If you are hospitalized locally: go to the NCMS window of the hospital for the record, and after discharge, you can go to the NCMS window of the hospital for reimbursement with the hospitalization fee bill, discharge certificate key, birth certificate, social security card, and mother's ID card; (2) If you are hospitalized in a different place: before or within 3 days after hospitalization, you must go through the referral procedures for hospitalization in another place, and go through the referral procedures at the referral office of the NCMS department with the referral certificate of the hospital from which you are transferred or the hospitalization certificate of the hospital outside the county where you are hospitalized, the cooperative medical certificate, the mother's ID card, and the certificate of the prospective student.
The new type of rural cooperative medical care (hereinafter referred to as "NCMS") refers to the system of mutual medical assistance and mutual aid for farmers that is organized, guided and supported, voluntarily participated by farmers, raised by individuals, collectives and multiple parties, and mainly based on the overall planning of serious diseases. It raises funds in the form of individual payment, collective support and funding. 2. According to Article 10 of the Regulations on Maternity Insurance, if the employer where the employee works pays the maternity insurance premium for him or her in accordance with the law, the employee may enjoy the maternity insurance benefits in accordance with the provisions of the state.
Article 11 Maternity insurance benefits include maternity medical expenses and maternity allowances.
Article 28 of the Social Insurance Law of the People's Republic of China conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency and rescue medical expenses, in accordance with national regulations 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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NCMS is a relatively good insurance policy, which can be enjoyed in accordance with the law after purchase. So how to reimburse those who give birth to children after participating in the new rural insurance? This needs to be understood through this article to know the relevant policy provisions.
1. How to reimburse the children born in the NCMS
1. Go to the NCMS window of the hospital for the record, and after discharge, go to the NCMS window of the hospital for reimbursement with the hospitalization fee bill, discharge certificate, birth certificate, social security card, and mother's ID card;
2. If you are hospitalized in a different place, you must go through the referral procedures for hospitalization in another place before or within 3 days after hospitalization, and go through the referral procedures at the referral office of the NCMS department with the referral certificate of the hospital transferred out of the hospital or the hospitalization certificate of the hospital outside the county where you are hospitalized, the cooperative medical certificate, the mother's ID card, and the prospective birth certificate to the referral office of the NCMS department. The mother's ID card and birth certificate will be reimbursed by the county NCMS department.
2. Reimbursement ratio of designated hospitals
1. The compensation ratio of 500-5,000 yuan for medical expenses incurred in hospitalization due to illness in designated hospitals is 65%;
2. 75% of the medical expenses incurred in the hospitalization of the designated hospital due to illness of more than 5,000 yuan shall be compensated;
3. Pregnant women who meet the compensation conditions: 200 yuan fixed compensation for normal delivery; Cesarean section is compensated at a fixed rate of 600 yuan;
4. Rural households can receive a subsidy of 300 yuan in maternal and child health care hospitals.
Therefore, when it is necessary to reimburse NCMS, it is necessary to know the specific way, which can be reimbursed at the window or in the NCMS department, after all, there can be certain discounts after reimbursement. This aspect needs to be in accordance with the relevant policies and regulations, which is beneficial to the people who have participated in the NCMS
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NCMS reimbursement process:
Information required for reimbursement:
1.Outpatient reimbursement materials: outpatient invoices, cooperative medical certificates (or medical records).
2.Hospitalization reimbursement materials: hospitalization invoices, cooperative medical certificates (or medical records), detailed list of expenses, discharge summary, and other relevant certificates.
3.Outpatient special disease reimbursement materials: outpatient invoices, special disease cooperative medical certificate records.
4.Handling special disease carrying materials: special disease outpatient ** proposal, cooperative medical certificate record, medical record, relevant laboratory report, ** two.
Reimbursement process:1After the insured household prepares the required materials for reimbursement, it will be handed over to the village (community) cooperative medical liaison, who will review and report to the town cooperative medical liaison, and the town liaison will send it to the district agricultural office settlement and reimbursement center for reimbursement. Guidelines for the Reimbursement of New Rural Cooperative Medical Care.
2.Direct reimbursement by the hospital: When hospitalization due to illness goes through the hospitalization procedures, a new type of rural cooperative medical certificate will be issued to the hospital to directly participate in the reimbursement.
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