First, the reimbursement process of the new rural cooperative medical system is as follows:
1. The outpatient doctor or resident doctor diagnoses and issues the hospitalization certificate;
2. Pay in the hospitalization fee window with the rural cooperative card and register online;
3. When leaving the hospital, find your own competent physician to issue a discharge certificate, a diagnosis certificate and a resident identity checklist;
4. With the settlement invoice, the original and photocopy of the rural cooperative certificate, the ID card and residence booklet, the diagnosis certificate, the identity check list of hospitalized patients, and the summary list of hospitalization expenses, you can reimburse the rural cooperative direct subsidy window and receive subsidies.
Two, cochlear implants included in the basic medical insurance fund to pay part of the cost of medical materials, the basic medical insurance fund payment should also meet the following conditions:
Severe or extremely severe sensorineural deafness in both ears.
(2) Prelingual deaf patients under 7 years old or 18 years old, who have passed through hearing and speech rehabilitation, have a certain listening language foundation. Those who meet the requirements belong to hospitalization expenses, and cochlear implants belong to built-in materials. Pay 50% first, and then reimburse them according to the proportion of hospitalization reimbursement.
Third, the required materials:
1, original ID card;
2. Original medical diagnosis certificate;
3, outpatient medical records, inspection, test results report and other original medical information;
4, general outpatient service, emergency charge receipt original,
5. The original of the detailed list of outpatient expenses or prescription (the prescription is attached to the receipt by date).
Cochlear implants have been included in medical insurance reimbursement. Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
legal ground
Article 28 of the Social Insurance Law of People's Republic of China (PRC) conforms to the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue medical expenses, and shall be paid by the basic medical insurance fund in accordance with state regulations.