Where the object of participation, the reimbursement process is as follows:
(a) Participating farmers holding the "New Agricultural Cooperative Card" in the outpatient treatment at the designated institutions, by the designated medical institutions according to the "New Agricultural Cooperative Card" family outpatient account diagnostic account of the amount of money available directly to waive the cost of medicines, exceeding the part of the participant farmers to pay out of pocket. The fixed-point medical institutions should settle the bill with the Farmers' Medical Institute in a timely manner.
(2) 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:
Medical insurance reimbursement conditions:
Participants go to the medical insurance organization to reimburse themselves for the medical expenses incurred in visiting a doctor, generally subject to the following conditions:
(1) The participant must go to the designated basic medical insurance (1) The insured person must go to a designated medical institution of the basic medical insurance to purchase medicines, or go to a designated retail pharmacy determined by the social insurance organization to purchase medicines with a medical prescription issued by a doctor of the designated hospital.
(2) Medical expenses incurred by insured persons in the course of seeking medical treatment must be in accordance with the scope and payment standards of the basic medical insurance drug catalog, diagnostic and therapeutic items, and standards of medical service facilities, in order to be paid by the basic medical insurance fund in accordance with the regulations.
(3) The portion of medical expenses incurred by a participant in accordance with the scope of payment of the basic medical insurance that are above the starting standard and below the maximum payment limit of the social medical insurance fund shall be paid by the social medical insurance fund in a uniform proportion.
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