1, open Alipay, enter the Alipay function interface, click to select the Citizen Center option;
2, enter the Citizen Center interface, click to select the office hall;
3, in the office hall, click to select the health insurance, and then click on the option of filing for medical treatment in a different place;
4, click on the filing, enter the information of medical treatment, submit it and wait for the review and approval can be reimbursed for the cost of the new rural medical insurance in Henan. Enter the information, submit, wait for the audit can be reimbursed through the Henan New Rural Cooperative medical insurance medical expenses in a different place.
Medicare reimbursement process:
1, the cost of filing units, individuals to submit the relevant reimbursement materials;
2, the acceptance of the materials submitted by the staff to review;
3, the materials are complete by the initial review staff to carry out the cost of auditing, entry, settlement and printing of the "Provincial units of the reimbursement of medical expenses," incomplete timely informed of the need to make up for the full range of materials;
4. The reviewer will review the expenses and print the "Provincial Unit Employee Outpatient and Emergency Settlement Voucher" and then transfer it to the finance for payment.
Medicare reimbursement scope:
1, medical expenses during resuscitation;
2, medical expenses during hospitalization;
3, surgical materials and auxiliary appliances;
4, bed charges: according to the standard of the local medical insurance. If due to acute - traumatic brain injury, complex visceral injury coma need to stay in ICU (intensive care unit) except, but out of danger should be immediately transferred to the general ward;
5, rehabilitation and physical therapy fees: according to the local health insurance standards. In principle, not more than 3 kinds of rehabilitation physiotherapy outside the scope of medical insurance will not be compensated;
6, drug replacement and rehabilitation function guidance training: according to the local medical insurance standards combined with the needs of the condition approved;
7, ambulance fees: according to the local health department and the price department of the approved standards;
8, other costs: in accordance with the provisions of the uncompensated costs will not be compensated;
9. Renewal of medical expenses: the insured can pay in advance for the future determinable and necessary renewal of medical expenses for the injured in order to close the case in advance.
In summary, health insurance refers to the basic medical insurance, a social insurance system established to compensate workers for the economic losses caused by the risk of disease.
Law_Basis:
Article 28 of the Social Insurance Law of the People's Republic of China
Medical expenses that are in line with the basic medical insurance drug catalog, diagnostic and treatment items, standards of medical service facilities, as well as those for emergency and rescue, shall be paid out of the basic medical insurance fund in accordance with state regulations.
Article 29
The portion of the medical expenses of insured persons that should be paid by the basic medical insurance fund shall be settled directly between the social insurance administration organization and the medical institutions and drug business units.
The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.
Article 30
The following medical expenses shall not be included in the scope of payment by the basic medical insurance fund:
(1) those that should be paid from the Workers' Compensation Insurance Fund;
(2) those that should be borne by a third person;
(3) those that should be borne by the public ****health;
(4) those that seek medical treatment abroad.
Medical expenses shall be borne by a third person in accordance with the law, and if the third person fails to pay or if the third person cannot be identified, the basic medical insurance fund shall pay in advance. The basic medical insurance fund shall have the right to recover the costs from the third party after the first payment.