Medicare reimbursement process:
One, the participant farmers holding the "New Farmers' Cooperative Certificate" in the outpatient treatment of the designated institutions, by the designated medical institutions in accordance with the "New Farmers' Cooperative Certificate" family outpatient account diagnostic account of the amount of money available to directly waive the cost of medicines, the exceeding part of the participant farmers out of their own pockets. The fixed-point medical institutions should be timely settlement with the Agricultural Medical Institute.
Second, the participating farmers in the city, county, township designated medical institutions hospitalization, by the designated medical institutions for direct subsidies. The fixed-point medical institutions will audit the medical expenses incurred by them and advance the amount of subsidy payable according to the standards stipulated in the implementation measures.
Participating farmers hospitalized in provincial fixed-point medical institutions and non-fixed-point medical institutions are compensated by the township agricultural medical institutions. Their hospitalization medical expenses for a lump sum of less than 2,000 yuan (including 2,000 yuan) will be reviewed and reimbursed by the township (township) Agricultural Medical Office, while those above 2,000 yuan or those who have doubts about their hospitalization information will be reviewed by the township (township) Agricultural Medical Office and submitted to the county Agricultural Medical Bureau for review and approval before reimbursement.
Expanded:
Medicare refers to social health insurance. Social medical insurance is a social insurance system established by the state and society in accordance with certain laws and regulations, in order to provide protection for the basic medical needs of workers covered by the insurance in case of illness. The basic medical insurance fund consists of a centralized fund and individual accounts. The basic medical insurance premiums paid by individual workers are all credited to individual accounts; the basic medical insurance premiums paid by employers are divided into two parts, one of which is credited to individual accounts and the other is used to establish a comprehensive fund.