1, on-site reimbursement of medical expenses, designated medical institutions reduce fees according to regulations, and hospitals issue reimbursement invoices;
2. Waiting for the discharge notice;
3, medical records (build official seal of the hospital);
4. The hospital issued a summary list of expenses, hospital grade certificate, diagnosis certificate, medical insurance card and other materials required by the reimbursement department.
5. Wait for the hospital to announce the reduction and exemption on a monthly basis, accept the supervision of the masses, and submit an expense account after passing.
6. After the insured person is discharged from the hospital, the hospitalization invoice, discharge record, expense list, referral certificate, a copy of my ID card or the household registration certificate signed or sealed by the patient shall be handed over to the township joint management office, which will be sent to the municipal agricultural insurance business management center in a centralized and unified way after examination.
Second, the reimbursement conditions:
1. Reimbursable expenses for outpatient and inpatient treatment of people participating in the new rural cooperative medical system in the county due to various diseases.
2, to participate in the county's new rural cooperative medical care personnel, during the work, business trip, business trip, visiting relatives, in the county outside the local medical insurance designated medical institutions for outpatient and inpatient treatment according to the provisions can be reimbursed.
3. The medical expenses for special diseases and the expenses for outpatient and inpatient treatment in local designated medical institutions outside the county shall be paid by myself first, and after the medical treatment, the relevant information shall be reported to the township where the household registration is located.
Extended data:
The new rural cooperative medical fund payment set up Qifubiaozhun and maximum payment limit. The hospitalization expenses below the annual deductible line of the hospital shall be paid by the individual. If the Qifubiaozhun is reached in the same overall period, the hospitalization expenses incurred by two or more hospitalizations can be reimbursed cumulatively. The hospitalization expenses exceeding Qifubiaozhun shall be calculated in sections and reimbursed cumulatively, and there is a maximum amount of accumulative reimbursement per person per year.
The following circumstances are not included in the reimbursement scope of the new rural cooperative medical system:
(a) the outpatient medical expenses of designated hospitals in non-co-ordination areas (except for outpatient treatment expenses for special diseases), and the expenses incurred by failing to seek medical treatment according to regulations and purchasing medicines by themselves;
(two) the cost of family planning measures and medical expenses in violation of the family planning policy;
(three) dental implants, orthodontics, optometry glasses, hearing AIDS, artificial organs, beauty therapy, cosmetic surgery, rehabilitation (such as qigong, massage, physical therapy, magnetic therapy, etc.). ), as well as various accompanying expenses, medical transportation expenses, home visits and other miscellaneous expenses during hospitalization;
(4) If there is a third party's liability, the medical expenses incurred due to personal injury, such as traffic accidents, medical accidents and work-related injuries, shall be borne by the third responsible person according to law.
Baidu Encyclopedia-reimbursement scope of new rural cooperative medical care
Baidu encyclopedia-new rural cooperative medical care
Personal Work Summary of Maintenance Electrician in 2023 1
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