Can the new rural insurance be reimbursed in a different place? How to reimburse the new rural health insurance? Now the province has realized the network, can be reimbursed. If you need to go through the relevant procedures, you will be reimbursed in accordance with the regulations only after the approval of the local rural cooperative medical management center. In the district city health administrative department to set up a settlement center for foreign medical expenses, the county as a unit to coordinate the settlement of hospitalization expenses of participating farmers, to realize the instant reimbursement of the farmers for medical treatment.
How do I get reimbursed for the New Farmers' Cooperative?
Relying on the province's health insurance network and equipment platform, the establishment of the new rural cooperative medical information operation platform in each district city, the establishment of the health administrative department of the district city of the settlement center of the costs of foreign medical expenses, the county as a unit of the coordination of the settlement of hospitalization costs of the participating farmers to achieve the instant reimbursement of the farmers. In the province to establish the province's new rural cooperative medical care data backup center and the data exchange center for different places.
But it's worth noting that hospitalization is the only way to get reimbursed, and outpatient reimbursement is not available. The procedures required for reimbursement are:
1, hospitalization medical records
2, cost list
3, hospitalization invoices
4, diagnosis of diseases
5, discharge summary
6, ID card, hukou book
7, cooperative medical book (or card)
8, transfer procedures
9, and the number of patients who have been hospitalized in the hospital.
8, transfer procedures or certificates (unit part-time work certificate or emergency certificate)
Not included in the reimbursement scope of the New Farmers' Cooperative Medical Scheme:
(a) outpatient medical expenses of outpatient hospitals not located in the region (except for outpatient treatment costs of special diseases), costs incurred by failing to follow the provisions of the medical treatment and purchasing their own medicines;
(b) the costs of family planning measures, in violation of the policy of family planning medical expenses;
(iii) expenses for dentures, orthodontics, optometry, hearing aids, artificial organs, cosmetic treatments, cosmetic and orthopedic surgeries, rehabilitative medical treatments (e.g., qigong, massage, tui-na, physical therapy, magnetic therapy, etc.), as well as various types of companion fees, transportation fees for medical consultations, consultation fees, and other miscellaneous expenses during hospitalization;
(iv) medical expenses arising from personal injuries in the presence of a third party's liability that is legally covered by the third party's liability;
(d) medical expenses arising from personal injuries that is legally covered by the third party's liability;
(e) medical expenses arising from personal injuries that are not covered by the third party's liability. Injuries arising from medical expenses borne by the third party responsible in accordance with the law, such as traffic accidents, medical malpractice, work-related injuries, etc.;
(v) Medical expenses arising from suicides, self-inflicted injuries, drug use, drug addiction, fights and other unlawful acts, as well as injuries resulting from the intentional acts of their family members;
(vi) Medical expenses incurred when going abroad or during their stay in Hong Kong, Macao, or Taiwan;
(vii) Drugs and items not reimbursable under the urban workers' medical insurance system;
(viii) Other expenses not reimbursable as determined by the District Medical Management Committee.
Reference:
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