Rural cooperative medical reimbursement is a relative rule, but many people do not know very well, then the following small make up to you to say this problem.
The outpatient expenses of the participants are reimbursed according to the following rules: 25% reimbursement in both the village health center and the town street health center of the designated cooperative medical care, and the total amount of outpatient reimbursement is 150 yuan per person per year. Outpatient medical expenses at designated medical institutions above the second level (inclusive) will not be reimbursed.
Participants should bring their cooperative medical card, original medical bills, outpatient medical records, and prescription reimbursement coupons (outpatient clinics implement a dual-prescription system) when reimbursing medical expenses.
Participants are required to settle the previous year's claims within one month of the following year, and failure to do so is considered an automatic waiver of reimbursement. The reimbursement costs will be borne by the fixed-point medical institutions if they fail to process the settlement in time.
Rural Cooperative Medical Scope Detail
For the rural cooperative medical scope detail, many friends are not very understanding, then the following let's talk about this issue!
The new rural cooperative medical reimbursement scope is: participants in the integrated period due to illness in the designated hospital hospitalization fees, examination fees, laboratory fees, surgical fees, treatment fees, nursing fees, etc. in line with the urban workers medical insurance reimbursement scope of the portion of the (i.e., the effective medical expenses).
The New Rural Cooperative Medical Fund has set up starting standards and payment limits. Individuals pay for hospitalization costs below the hospital's annual starting payment standard. If the starting standard is reached within the same coordinating period, hospitalization costs incurred for two or more hospitalizations can be reimbursed cumulatively. Hospitalization expenses exceeding the threshold are calculated in segments and reimbursed cumulatively, and there is a limit on the cumulative reimbursement per person per year.
2020 New Farmers' Cooperative can be reimbursed across the province
The cross-province medical treatment is something that many people will encounter, after all, the medical resources of each city are not so evenly distributed, then 2020 New Farmers' Cooperative can be reimbursed across the province?
Relying on the province's health insurance network and equipment platform, the establishment of a new rural cooperative medical information operation platform in each district city, the establishment of the health administrative department in the district city of the settlement center of the costs of foreign medical expenses, the county as a unit of coordination for the settlement of hospitalization costs of the participating farmers to realize the instant reimbursement of the farmers' mass medical treatment. 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, list of expenses
3, hospitalization
4, diagnosis of disease
5, discharge summary
6, ID card, hukou book
7, cooperative medical book (or card)
8, transfer procedures or certificates
8, 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)
The above is about the rural cooperative medical reimbursement, I hope it can help you!