The insured person shall go through the relevant registration formalities at the medical insurance agency in the insured place according to the regulations, and reimburse the medical expenses incurred at the medical insurance agency in the medical place.
The reimbursement rate of the new rural cooperative medical system in different places is generally about 30%-40% across provinces. When seeking medical treatment in other provinces, you need to apply for transfer and referral certificate in advance, and you can be reimbursed in time after discharge. If the reimbursement is unsuccessful, you can only go back to the insured place for reimbursement.
Rural medical insurance can be reimbursed across provinces. But before you go to the hospital, you must go to the hospital to open a transfer certificate. The required materials are as follows:
1, carrying the patient's ID card, two one-inch color photos and medical certificate to the county joint management office for referral and filing procedures;
2. Bring the patient's ID card, diagnosis certificate and referral filing procedures to the referral hospital for medical treatment, and go through hospitalization procedures for Xinhe;
3, after discharge, with the patient's ID card or household registration book, diagnosis, copy of medical records, hospital invoices in the form of statements, hospitalization expenses list, referral filing procedures to the joint management office for reimbursement.
The new rural cooperative medical system shall be filed with the new rural cooperative medical system within three days after hospitalization, and can be reimbursed within 10 working days after discharge. Reimbursement with ID card, diagnosis certificate, household registration book, registration form, payment details stamped by the hospital, hospitalization documents, copies of cases, etc. And the reimbursement rate is lower than that of local medical treatment.
When the insured is discharged from the hospital, he must also ask the hospital for a disease certificate, a list of expenses and an invoice for the total expenses. Within 30 days after discharge, you should go back to the township where the patient is located with your household registration book, cooperative medical certificate and the above information for compensation procedures. And the township joint management office will send the qualified application to the municipal agricultural insurance business management center after the audit, and the medical expenses reimbursement will be transferred to the designated account of the insured. Participating patients should take the initiative to show their cooperative medical certificate/card (resident health card), ID card (or household registration book and guardian ID card), hospitalization certificate and referral form (or SMS notification from the National Health and Family Planning Commission's new rural cooperative medical settlement management center) to the medical staff of designated medical institutions across provinces when handling admission registration.
Rural social security, including rural endowment insurance and rural medical insurance, is an endowment insurance policy that is guided by government organizations, adopts the system mode of combining social pooling with individual accounts, and adopts the financing mode of combining individual contributions, collective subsidies and government subsidies to protect farmers' basic livelihood in their later years.
To sum up, rural cooperative medical care can be reimbursed in different places, but the specific reimbursement content varies from province to province. If the insured person goes to a different place for medical treatment, the medical expenses will be directly reimbursed by the basic medical insurance fund at the time of discharge settlement. And may be reimbursed for the second time after returning home.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 28
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.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.