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It's not much different if you don't reimburse the expenses, and if the current hospital says you don't have the money to pay the deposit, it will not be saved! What else are you talking about saving lives? It's a bullshit!
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The local NCMS policy shall prevail, and you can call ** to the NCMS Management Service Center to ask.
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It's hard to see a doctor, it's expensive to see a doctor, and you can't afford to be sick!
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It won't come out until after the Chinese New Year.
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Find your position and be clear about yourself! Life has coordinates, and you can't deviate from the course!
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In 2020, the air freight of the new agricultural crude loss homozygous medical reimbursement ratio rock example.
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Legal analysis: The reimbursement ratio of NCMS is as follows:
1) Outpatient: There is no starting line for outpatient services, and the reimbursement ratio for outpatient services is not higher than 25. Set the cap line at 150 yuan.
2) Hospitalization: The minimum payment line for hospitalization is not less than 100 yuan, and the reimbursement ratio is not less than 50; The starting line of county-level designated medical institutions shall not be less than 200 yuan, and the reimbursement ratio shall not be less than 40; The starting line of designated medical institutions at or above the county level shall not be less than 400 yuan, and the reimbursement ratio shall not be less than 30, and the minimum payment line shall be the part paid by the individual. The specific amount of the detailed individual payment part still depends on the situation of those who participate in the new rural cooperative medical care, and the inpatient medical expenses can be reimbursed according to the prescribed compensation ratio within the year.
The reimbursement ratio for hospitalization can be reimbursed, and the reimbursement ratio for township health centers is 70; The reimbursement ratio of county-level designated medical institutions shall not be less than 40.
Legal basis: Civil Code of the People's Republic of China
Article 24: The State League and Town 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 26 The standards for the treatment of basic medical insurance for workers, new rural cooperative medical care, and basic medical insurance for urban residents shall be implemented in accordance with state regulations.
Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facility standards and emergency and rescue medical expenses, in accordance with the provisions of the state from the basic medical insurance ** payment.
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.
Article 30 The following medical expenses are not included in the scope of payment of basic medical insurance**: (A) shall be paid from work-related injury insurance**; (2) It shall be borne by a third party; (3) It shall be borne by public health; (4) Seeking medical treatment outside the country. Medical expenses shall be borne by the third party in accordance with the law, and if the third party does not pay or the third party cannot be determined, the basic medical insurance shall pay in advance.
After the basic medical insurance** is paid in advance, it has the right to recover from a third party.
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The reimbursement rates of NCMS are as follows:
1. Outpatient reimbursement ratio:
1) The reimbursement rate for outpatient clinics in village clinics (community health service stations) is 25%;
2) The reimbursement ratio of outpatient clinics in township health centers is 40%;
3) The reimbursement ratio of outpatient clinics in county-level hospitals is 30%;
4) Out-of-county outpatient clinics (except for outpatient clinics for specific chronic diseases) and valuable vaccines will not be reimbursed;
2. Hospitalization reimbursement ratio:
1) The reimbursement ratio of 0-300 yuan for hospitalization in township health centers is 40%, and the reimbursement ratio for hospitalization of more than 300 yuan is 55%;
2) The reimbursement ratio of 0-300 yuan for inpatient lifting wheels in county-level hospitals is 30%, and the reimbursement ratio of more than 300 yuan is 40%;
3) The reimbursement ratio of 0-20,000 yuan for hospitalization in hospitals outside the county is 20%, and the reimbursement ratio for hospitalization above 20,000 yuan is 35%;
3. Pregnant women who participate in maternal and child health care reimbursement shall be reimbursed according to the proportion of hospitalization in medical institutions. If the reimbursement amount is less than 200 yuan, the compensation will be 200 yuan. Pregnant women who do not participate in maternal and child health care insurance will not be reimbursed for hospital delivery;
4. 11 specific chronic patients, such as stage II hypertension (stage II), heart disease combined with cardiac insufficiency, diabetes mellitus with ineffective dietary control, decompensated liver cirrhosis, outpatient radiotherapy and chemotherapy for malignant tumors, chronic bronchitis, mental illness maintenance stage, hemodialysis for chronic renal failure, peritoneal dialysis, anti-rejection of organ transplantation, aplastic anemia, leukemia, etc., will be reimbursed at the village-level direct reimbursement points.
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.
The results of the reimbursement ratio are shown below >>>More
The reimbursement ratio of NCMS is the same as that of the local area, and the reimbursement is carried out according to the same reimbursement standard across the country >>>More
The certificate includes: 1. In general, it is necessary to discharge the settlement statement of the township health center in the township where it is located; >>>More
In 2022, the new NCMS reimbursement regulations will be reimbursed at 25% in cooperative medical designated village clinics and town and street health centers. >>>More
NCMS inquiry personal account.
1. Bring your ID card to the co-management office of the local township health center or to the county co-management office for inquiry. >>>More