2. County-level designated hospitals for medical treatment, deductible line 200 yuan, reimbursement rate of 82%;
3 designated municipal hospitals, deductible in 500 yuan, the reimbursement rate is 65%.
The new rural cooperative medical system, referred to as the "new rural cooperative medical system", refers to the medical mutual aid system for farmers, which is organized, guided and supported by the government, with farmers participating voluntarily, and individuals, collectives and the government raising funds in various ways, with serious illness relief as the main task. Raise funds by means of individual donations, collective support and government subsidies. Rural cooperative medical care is a medical security system created by Chinese farmers themselves, which plays an important role in ensuring farmers to obtain basic health services, alleviating poverty caused by illness and returning to poverty due to illness.
The new rural cooperative medical system (NCMS) is a medical security system created by Chinese farmers themselves, which has played an important role in ensuring farmers' access to basic health services, alleviating poverty caused by illness and returning to poverty due to illness. The reimbursement scope of NCMS includes outpatient compensation, hospitalization compensation and serious illness compensation. The reimbursement scope of the new rural cooperative medical system is the part of the insured who is hospitalized in the designated hospital due to illness during the overall planning period (that is, effective medical expenses), such as medical expenses, inspection expenses, laboratory expenses, operation expenses, treatment expenses, nursing expenses, etc.
The inter-provincial reimbursement process of the new rural cooperative medical system is as follows:
1. I or my family members can apply for inter-provincial reimbursement at the insured place;
2. Choose to see a doctor in a designated hospital designated by each province, otherwise you won't get reimbursement;
3. Carry the patient's ID card, or household registration book, cooperative medical certificate, admission certificate and referral message, and go to the new rural cooperative medical service window for settlement when leaving the hospital.
The inter-provincial reimbursement materials for serious illness provided by NCMS are as follows:
1, account book;
2. Insurance bills;
3. Hospitalization invoice;
4. Diagnostic certificate;
5. Cost list;
6. Hospitalization medical records;
7. The first reimbursement voucher for combined therapy.
Legal basis:
People's Republic of China (PRC) Social Insurance Law Article 24 The state establishes and improves the new rural cooperative medical system. Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.
"Procedures for Direct Settlement of Medical Treatment in Different Provinces of Basic Medical Insurance" Article 31 When the insured directly settles the medical expenses of hospitalization, general outpatient service and outpatient service for chronic and special diseases in different provinces, they shall, in principle, implement the payment scope and relevant regulations (such as the payment scope of basic medical insurance drugs, medical service items and medical consumables) stipulated by the insured place, and implement relevant policies such as the minimum payment standard, payment ratio, maximum payment limit, and the scope of chronic and special diseases.