How to report the second reimbursement of NCMS for serious illness? Where to go for reimbursement?

NCMS. Second reimbursement for serious illness medical treatment.

Some areas are OK, because some areas** have this designated preferential policy after reimbursement, the remaining self-paid part is still more than 10,000, or more than 15,000,000,000,000It can be reimbursed twice, but not all places support it, and the specific policy has to contact the local **. <>

For example, if an individual is hospitalized, the expenses incurred by the individual after hospitalization are covered by the first NCMS medical insurance.

After reimbursement, if the part you bear exceeds 10,000 yuan, you can choose to reimburse it twice. But the second reimbursement is not all, because this is not public for everyone, some people may know this policy, some people don't know, and those who know know can go to the local ** office hall to find the corresponding service personnelThey will tell you where to go for this thing, of course, the formalities are relatively strict, and it is not so easy to get this money. <>

If you don't understand something, you can go to the local municipal service building or city hall to handle it, because you found more than 90% of many cities in the country, you can find this place in the city hall of the government service building on the map, what is this place for? It is one of the city's administrative and various formalities that are handled. You don't know to go to **, you find this place you find them on any floor of a business person,What kind of things do you say you need to do and where you should go, they will know, they don't know, and their supervisors will know.

Not all cities support secondary reimbursement, and the standard of this secondary reimbursement is also different, generally speaking, the procedure is to order the remaining materials after the first reimbursement, and then the medical records of the hospital.

Certificates, diagnosis certificates, diagnosis and treatment process and even the money you get at the end and the money that you don't reimburse, the materials that can prove itThere is also this certificate from the hospital physician and the like, anyway, it's very troublesome, and the money is not so easy to get.

The location of the second reimbursement is generally in the NCMS hall of the local health bureau.

The starting line of NCMS serious illness insurance is 15,000 yuan, which means that the part of reasonable expenses exceeding 15,000 yuan after the reimbursement of NCMS hospitalization will be reimbursed on a proportional basis. 50% reimbursement to 50,000, 60% reimbursement to 5 to 100,000, and 70% reimbursement to more than 100,000.

Reimbursement procedures for NCMS critical illness insurance:

A copy of the patient's ID card, a copy of the agricultural bank card, a copy of the cooperative medical card, a medical record, a diagnosis certificate, a total list of expenses, and a referral certificate that is needed outside the county. If the patient is unable to provide his or her bank card, he or she can prove the relationship between the same household registration staff or the village committee.

NCMS for serious illnesses can be reimbursed twice. You need to bring your own hospitalization procedures and payment information to the local government affairs center. You need to bring your social security card and ID card when you apply for it.

You can go to the NCMS window to handle it, and you can consult the local department, and the second reimbursement will not affect the reimbursement procedure.

You can directly take your NCMS insurance contract to the insurance institution for reimbursement. Go to the local insurance department for reimbursement, you can also go to the local NCMS agency for reimbursement, and you can also reimburse directly on the *** of the mobile phone.

You should understand the reimbursement process, pay attention to the method of reimbursement, and finally reimburse according to the relevant expenses. You can go to the cooperative agency of the new rural cooperative for reimbursement.

Legal analysis: Go to the civil affairs department to apply for a second reimbursement for serious illness assistance.

1. NCMS reimbursement process:

1. Information required for reimbursement:

Outpatient reimbursement materials: outpatient invoices, cooperative medical certificates (or medical records).

Hospitalization reimbursement materials: hospitalization invoices, cooperative medical certificates (or medical records), detailed list of expenses, discharge summary, and other relevant certificates.

2. Outpatient special disease reimbursement materials: outpatient invoices, special disease cooperative medical certificates.

Handling special disease carrying materials: special disease outpatient ** proposal, cooperative medical certificate record, medical record, relevant laboratory report, ** two.

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. Guidelines for the reimbursement of new rural cooperative medical care.

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.

Legal basis: Article 27 of the Social Insurance Law stipulates that individuals who participate in the basic medical insurance for employees who have reached the statutory retirement age and have paid for the number of years specified by the state shall no longer pay the basic medical insurance premiums after retirement and enjoy the basic medical insurance treatment in accordance with the provisions of the state; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.

Article 28 of the Social Insurance Law stipulates that the medical sail land therapy expenses that meet the requirements of the basic medical insurance drug list, diagnosis and treatment items, medical service facilities and emergency and rescue shall be paid from the basic medical insurance in accordance with national regulations.

Go to your local social security bureau to handle it. Documents required: ID card.

and photocopy, NCMS medical certificate and photocopy, NCMS discharge compensation form, bank card, doctor's certificate, hospitalization summary, hospitalization receipt, medical details, patient's ID card, and first reimbursement voucher.

Social Insurance Law of the People's Republic of China.

Article 24: The State is to establish and improve a new type of rural cooperative medical care.

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 a 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 standards for the treatment of basic medical insurance for workers, new rural cooperative medical care, and basic medical care for urban residents shall be implemented in accordance with state regulations.

Article 27 Individuals participating in the basic medical insurance for workers shall reach the statutory retirement age.

If the cumulative payment reaches the number of years specified by the state, the basic medical insurance premiums will not be paid after retirement, and the basic medical treatment will be enjoyed in accordance with the provisions of the state; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.

1. Materials required for the second reimbursement of NCMS:

1. NCMS compensation statement;

2. The original household registration and participation card (card) of the resident ID card patient;

3. Invoice for medical institution expenses, or a copy of the official seal of the original collection and storage unit;

4. A copy of the list of expenses, discharge statement or the official seal of the original receiving unit;

5. Hold a chronic disease certificate provided by a patient with a special chronic disease, or a special chronic disease diagnosis certificate and outpatient medical record issued by a medical institution at or above the second level;

6. Bank remittance by the patient himself or a related person with proof of relationship with the patient.

2. Reimbursement process for serious illnesses of NCMS:

1. Immediate settlement upon discharge.

NCMS insured persons who seek medical treatment in local second-class hospitals or designated hospitals due to serious illness can directly pay the critical illness insurance compensation funds directly at the hospital charging window, and will be automatically reimbursed according to the proportion of NCMS serious illness insurance when discharged, without the need for additional reimbursement procedures.

2. Settlement after discharge.

If the reimbursement settlement is handled after discharge, the procedures are relatively troublesome. After being discharged from the hospital, patients with serious illnesses need to bring their diagnosis certificates, ID cards, original participation certificates and other materials to the NCMS Settlement Department for review.

Medical insurance is reimbursed twice, which can be made at the hospital or the local social security office. 1. Materials required for the second reimbursement of NCMS: When applying for the second reimbursement, you need to bring the following materials to go through the relevant procedures:

1. NCMS compensation statement; 2. The original household registration and participation card (card) of the resident ID card patient; 3. Invoice for medical institution expenses, or a copy of the official seal of the original collection and storage unit; 4. A copy of the list of expenses, discharge statement or the official seal of the original receiving unit; 5. Hold a chronic disease certificate provided by a patient with a special chronic disease, or a special chronic disease diagnosis certificate and outpatient medical record issued by a medical institution at or above the second level; 6. Bank remittance by the patient himself or a related person with proof of relationship with the patient.

You can go to the medical insurance bureau for reimbursement directly in Nano Brother Hospital or go to the medical insurance bureau for reimbursement after being discharged from the hospital If you are hospitalized for the second serious illness or in a designated hospital, you can go through the discharge settlement procedures directly at the medical spine bend insurance settlement window in the hospital lobby, and those who meet the requirements for the second reimbursement can directly deduct the medical insurance-related expenses without additional reimbursement procedures.

How to report the second reimbursement of NCMS serious illness? **Report.

NCMS medical insurance reimbursement process: the materials to be brought when discharged from the hospital are generally told to be copied when the hospital is about to be discharged, and the materials are sent to the medical record room to wait for the filing before you can make copies, which will take one to two weeks for the world stove book. The staff should enter all the expenses incurred by the patient in the hospital into the computer in detail, so as to get the amount of compensation for the patient, and for the safety of the patient, it must be audited, so it will take more time to get the compensation outside the county.

Under normal circumstances, banks do not have the right to refuse to take money, and of course, some county and city agricultural insurance centers have cashiers who pay money. "New Rural Cooperative Medical System", the full name of the new rural cooperative medical care, 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, individual, collective and multi-party financing, and the overall planning of serious diseases. NCMS is a medical security system created by Chinese farmers themselves, which has played an important role in ensuring that farmers have access to basic health services and alleviating the poverty caused by illness and the return to poverty due to illness.

The reimbursement scope of NCMS generally includes three parts: outpatient compensation, hospitalization compensation and Sohong serious illness compensation.