Friends who want to know the scope of cooperative medical reimbursement can refer to the following content: 1. Patients insured by the New Rural Cooperative Medical System must submit a medical card and a valid ID card (there is no ID card in the household registration book), and identity confirmation After that, you can directly swipe your card for reimbursement at the designated medical institutions for general outpatient services at the township level in the region, and be reimbursed directly by swiping your card when you are hospitalized at designated medical institutions in the region and outside the region. 2. If an insured patient is hospitalized in a public medical institution outside the city, the insured person or his family member must present the original medical expense invoice (copies are invalid), a summary and detailed list of hospitalization medical expenses, a discharge summary and outpatient medical records, and the patient's ID card , medical card, household register, and ID card of the person in charge should be reimbursed on the first floor of the Administrative Service Center in Districts 14 and 15. 3. Special disease outpatient reimbursement can be applied to the New Rural Cooperative Medical Care Management Center with medical records and relevant examination and laboratory reports issued by designated medical institutions above the second level and medical institution certificates, as well as the "Huangyan District New Rural Cooperative Medical Care Special Disease Outpatient Treatment Approval Form". After approval by the district's new rural cooperative medical system, outpatient medical expenses (excluding supportive therapy, adjuvant therapy or medical expenses for the treatment of other diseases) can be included in the reimbursement scope of the new rural cooperative medical care fund and will be reimbursed annually according to hospitalization reimbursement standards. 4. Patients who are hospitalized due to accidental injuries must submit a certificate confirming the cause of the accidental injury and a hospitalization medical record signed and sealed by the village (residence) where their household registration is located after discharge. Those who cannot provide valid certificates and records will not be accepted. The reimbursement period shall be completed within 30 working days from the date of acceptance at the New Rural Cooperative Medical System window. 14 and 15 on the first floor of the District Administrative Service Center will be reimbursed after investigation and review by the inspectors of the New Rural Medical Care Management Center. If the third party is responsible, no reimbursement will be given; if the hospitalized patient bears part of the responsibility, he should submit his own medical expenses to the New Rural Cooperative Medical System window (number). 14. Go to the first floor of the District Administrative Service Center with the agreement or relevant certificates. 15. The required information is: New Rural Cooperative Medical System certificate, admission certificate, discharge certificate, diagnosis certificate, medical records, total hospitalization expense list, ID card, etc.
Legal objectivity:
Article 28 of the "Social Insurance Law" complies with the basic medical insurance drug catalog, diagnosis and treatment items, medical service facility standards and emergency and rescue medical expenses, in accordance with the national It is stipulated to be paid from the basic medical insurance fund. Article 29 If the medical expenses of the insured persons should be paid by the basic medical insurance fund, the social insurance agency shall directly settle the payment with the medical institution and pharmaceutical business unit. The social insurance administrative department and the health administrative department should establish a remote medical expense settlement system to facilitate insured persons to enjoy basic medical insurance benefits.