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New rural construction.
The payment requirements for cooperative medical insurance, so is it a family unit? In fact, there are certain standards and reasons for this. This situation mainly occurred in many rural areas before, in the process of paying the new rural construction cooperative medical insurance, they had to rely on their own city, the villagers' committee to complete the corresponding payment.
In that case, the villagers' committee made it clear that the NCMS should be paid by the family.
Therefore, in the past, there was indeed such a demand, especially by relying on the villagers' committee in their own city to pay this NCMS group. But one thing I can tell you with certainty is that it is not that we can only be reimbursed because we have to pay the fees of all members of a family, in fact, our own reimbursement has nothing to do with whether our family members participate in NCMS.
In other words, even if some of your family members do not participate in NCMS, they can enjoy reimbursement normally, which is not harmed in the slightest.
Since the reimbursement of medical insurance is based on yourself, you only need to pay social security normally to find your own insurance records to experience the normal reimbursement of medical insurance, which is not affected, and naturally he will not be reimbursed or not reimbursed by the family, but why do so many villager committees point out a problem like this? The core effect and reason for this is that it is possible to hope that everyone can participate in the insurance, so as to achieve such an effect.
In other words, everyone can go directly to the financial institution designated by the medical insurance department to complete the payment, so there will be no problem of having to have the whole family share social security, but in fact, through these years, everyone in the NCMS has been paying continuously, so everyone may have developed a habit. It is the normal payment of the NCMS every year, so the universal penetration rate of medical insurance at this stage is definitely above 95% today, which is a rather difficult coverage level.
Of course, for everyone to participate in a NCMS is 10 points is very necessary, I think the fundamental reason is very simple, you have NCMS can experience the medical insurance reimbursement salary in the process of seeing a doctor, it should be able to reimburse 50%, so efficient can reduce and alleviate the cost of medical care and work pressure paid by everyone, so it only takes two or three hundred yuan to participate in the NCMS, so we are in the process of seeing a doctor, even if you see a doctor, It's likely that the cost will not be just these two or three hundred dollars, so it will still be of great benefit to us.
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NCMS is a voluntary payment and cannot be forcibly required, as long as it is paid, you can enjoy reimbursement treatment. NCMS payment needs to be made on a household basis, but it is not required that the entire household registration book must be paid in full, but the people who are willing to pay in the same household registration book should handle it together.
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NCMS is based on households, but it does not need to be paid by the whole household, because NCMS is voluntary and cannot be compulsorily paid, and can be used and reimbursed after payment.
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Yes, Xiantonghe must be paid by household when paying, but it will not require the entire household registration book to be paid in full, and it will not be forced to pay, as long as you grow up, you can enjoy the treatment of reimbursement.
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There is no need to pay, it is for the hospital.
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Yes, NCMS is not compulsory, and people who do not pay for medical insurance are not allowed to go on the road.
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Playing the piano indiscriminately, many people are now working outside and buying social security, which includes medical insurance.
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There is no such requirement, as long as you pay it yourself, you can be reimbursed, and it doesn't matter if your family members don't participate in the payment, as long as you pay it yourself. There are some people who don't know much about this thing, and think that the whole family can only be reimbursed if they participate in the insurance together, but it is not like this, and it can only be said that you think too much, as long as you pay the money alone, you can pay the whole family.
Because of the payment of the new rural cooperative medical care.
This thing is our own choice, not to say that we are forced to buy and sell. If you feel the need, you can go and pay one, and if you feel that it is a waste of money, you can also choose not to pay, this is personal freedom. As long as you pay this money, then you will be able to enjoy the treatment you deserve, and you will be able to make a certain percentage of reimbursement when you see it, but you must know that it is definitely not 100%.
The amount of reimbursement will be determined according to your illness, for example, I was reimbursed for orthopedics, and I was only able to reimburse 30%.
There are many people who feel that paying for this medical treatment is a very wasteful thing, so it is not recommended to do so. But I really don't think it's a waste of money, but I think everyone should be involved. Don't think it's a lot of money, it's really not a lot of money.
If you think about buying an insurance, how much do you need? At least two or three thousand yuan a year, who is more than two or three hundred yuan for rural cooperative medical care?
Then we also know that for some rural families with a large population, it is indeed very stressful to pay a few thousand yuan at a time. But I think it's because the family conditions in the countryside are not particularly good that it is more necessary to buy them. You don't have the financial means to buy insurance, so what should you do if something happens?
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No, NCMS is the same as medical insurance, whoever pays can be reimbursed, and the whole family does not need to pay it together to be reimbursed.
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There is no such requirement for the NCM, as long as the person who sees the doctor pays the NCMS to reimburse the medical expenses.
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No, it's personal. As long as you pay for the New Rural Cooperative Medical Care yourself, you can pay for one year and be guaranteed for one year.
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Personally, I believe that rural medical care and pension should be handed over to the whole family, so that the medical treatment is rewarded, the elderly have received, the whole family is handed over, and the country is popular, because this is the era of wages. I hope that in the era of the division of work, the old and infirm groups who only received more than 100 yuan a month would add a little bit to the elderly and infirm, and strive to eat enough and dress warmly, but the years still make a large number of people quiet forever.
In addition, someone once said that the new rural cooperative medical insurance must be paid normally by the family, otherwise it will not be reimbursed? Many people may encounter such a situation, that is, they pay the cost of this new rural cooperative medical insurance through the village committee, then its collection target is the whole family to collect, if there is a person who does not participate in the insurance, then the reason he gives is that otherwise it will not be reimbursed, there is indeed such a situation in the past few years, the main factor is because of the need to cover all groups of people of this medical insurance such a standard.
In fact, in recent years, there has been no such mention anymore。That is to say, we do not need to pay medical insurance fees through your village committee to participate in NCMS, and can complete the corresponding payment directly through the bank, which is about two or three hundred yuan per person per year, so it is not necessary for the whole family to collect it uniformly, so relatively speaking, this problem has changed, but basically many individuals who participated in the new rural cooperative medical insurance have formed a payment habit. So it's basically a standard of universal coverage.
As for what is said, if the whole family does not participate in the insurance, then there will be no reimbursement, which is non-existent, our payment is indeed based on the individual, as long as you are normally insured, then for you personally, you personally enjoy, personal payment, your payment, but also for your family can not enjoy normally。Therefore, there is no such thing as a situation where someone in the family cannot be reimbursed if they do not pay for the NCMS, and this does not exist at all, so everyone can rest assured.
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NCMS stipulates that participation must be carried out on a family-by-family basis, and that primary and secondary school students must participate in the NCMS at home with their parents. This is because NCMS is of a mutual-aid nature, which means that it relies on everyone's money to help those who are seriously ill. The reason why we should take the family as a unit is that I think that taking the family as a unit is convenient for the overall management of medical funds and avoids the inconvenience caused by the same name and surname; Prevent rural families from "falling back into poverty due to illness".
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It is necessary because, according to the NCMS, the cooperative medical care in rural areas is collected by the village committee as a family unit, and the village committee is handed over to the NCMS office.
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It is not necessary, because rural cooperative medical care is actually a kind of medical care for urban and rural residents, and you can pay it on your mobile phone.
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Rural medical insurance does not have to be paid by the whole family to be reimbursed. It is an individual who pays an individual and is unwilling to pay. There is no medical insurance reimbursement.
Rural medical insurance is a part of China's social security, China's agricultural population accounts for 63 91 percent of the country's total population, rural medical insurance, can enable the vast number of farmers to enjoy the benefits of rural medical insurance, is also an important content of social security, is one of the important links in China's economic construction. Participating farmers can choose different hospitals for treatment, generally adopt the principle of proximity, and the reimbursement ratio of different hospitals is also different, and the reimbursement ratio for inpatients is generally larger, which can be divided into chronic diseases, special diseases, and accidental injuries to adopt different reimbursement ratios, which can avoid poverty due to illness and poverty due to illness to a certain extent. 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 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 **.
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The new type of rural cooperative medical care, referred to as "NCMS", refers to the system of mutual medical assistance and mutual aid for farmers that is organized, guided and supported by the first and the other, with the voluntary participation of farmers, and the financing of individuals, collectives and multiple parties. Funds are raised by means of individual payment, collective support and funding.
The reimbursement scope of the new rural cooperative medical care is:
During the overall planning period, the drug expenses, examination fees, laboratory fees, surgery fees, ** fees, nursing expenses and other parts that meet the reimbursement scope of urban employee medical insurance (i.e., effective medical expenses) incurred by the participants in the designated hospital due to illness are incurred.
The new type of rural cooperative medical care** payment establishes a minimum payment standard and a maximum payment limit. Hospitalization expenses below the hospital's annual payment standard shall be paid by the individual. If the minimum payment standard is reached during the same pooling period, the hospitalization expenses incurred by two or more hospitalizations can be reimbursed cumulatively.
Hospitalization expenses exceeding the minimum payment standard shall be calculated in stages and reimbursed cumulatively, with a maximum limit for cumulative reimbursement per person per year.
NCMS reimbursement process and conditions:
Medical expenses shall be reimbursed on the spot, and the designated medical institutions shall reduce or exempt them at the time of charging according to the regulations, and the hospital shall announce the reduction and exemption on a monthly basis and accept the supervision of the masses. Reimbursement of outpatient medical expenses is limited to designated medical institutions at the rural level, and outpatient medical expenses at or above the county level are not reimbursed. The referral system is not implemented in the county where hospitalization is carried out, and the referral system is implemented for hospitalization in designated medical institutions at or above the county level.
Cases in which medical expenses cannot be reimbursed:
1) Hospitalization and escort expenses, organ transplantation, self-financed drugs and self-purchased drugs other than the "Rural Cooperative Medical Basic Drug Catalogue", ambulance and other transportation expenses.
2) Medical expenses incurred in fights, drunken injuries, drug abuse, drug rehabilitation, suicide, venereal diseases**, traffic accidents, etc.
3) Medical expenses incurred in disability assistive devices, cosmetic surgery, orthopedics, dental prostheses, glasses, etc.
4) Medical expenses incurred in marriage examinations, family planning surgeries, and violations of family planning regulations.
5) Medical expenses incurred for non-illness conditions that require hospitalization without approval or in non-designated hospitals**.
6) MRI and other self-paid examination items beyond the provisions of the "New Rural Cooperative Medical Implementation Plan".
7) Not reimbursed according to the provisions of the "New Rural Cooperative Medical Management Measures".
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1. 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 certificates.
4. Carry information for special diseases: special disease outpatient proposals, cooperative medical certificates, medical records, relevant laboratory reports, and two documents.
2. Reimbursement process.
After 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.
New Rural Cooperative Medical Reimbursement Guide Hospitalization Reimbursement Procedure:
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.
Town New Rural Cooperative Medical Office Accounting: The reimbursement materials are obtained by the individual to the New Rural Cooperative Medical Office, and the town agricultural medical office submits the account to the county agricultural medical office, and the town agricultural medical office notifies the person to come to receive the reimbursement expenses.
Required materials: discharge certificate, official invoice, expense list, household registration booklet, ID card, rural cooperative medical certificate. For hospitalization in other places, it is also necessary to prepare:
Hospitalization summary, first hospitalization course record, discharge record. For hospitalization outside the district, it is also necessary to prepare: admission records and discharge records.
For hospitalization due to trauma, it is also necessary to prepare: certificate of trauma and admission record. (Trauma certificate - issued by the village community in detail, and stamped with the official seal of the village committee) Maternity hospitalization: local hospitalization for normal delivery, required: birth certificate, birth permit.
For normal delivery in a hospital outside the hospital, you need a birth certificate, birth permit, admission record, and discharge record.
Caesarean section (local, foreign), materials required: birth certificate, birth permit, admission record, discharge record.
Handling of special outpatient clinics: For patients with special diseases such as diabetes, hypertension (stage and above), malignant tumors (radiotherapy, chemotherapy), psychiatric disease, leukemia, liver cirrhosis, uremia (outpatient dialysis), systemic lupus erythematosus, chronic rheumatic heart disease and cerebrovascular accident who have never been hospitalized within one year, the annual cumulative outpatient expenses will be compensated in proportion at the end of the year (Note: after being diagnosed in the county designated medical institution, fill in the application form in the hospital, and then go through the relevant procedures at the county agricultural cooperative center).
Question: Can I be reimbursed for hitting a child in Shenyang Hospital?
You can pay for it yourself and then go back to your place of residence for reimbursement.
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