First, how to reimburse foreign medicines for special diseases?
1, preliminary declaration.
The insured units or individuals who apply for the first time shall, before the last month of each quarter 15, hold the form of the medical insurance department of the first-instance hospital and fill in the application form for special disease outpatient service, prepare the relevant medical records (or copies) of the declared diseases and a recent 1 inch bareheaded photo, and choose designated hospitals and special disease outpatient pharmacies for medical treatment.
The special declaration of resettlement personnel in different places shall be handled by the medical insurance administrator of the unit or myself in the medical insurance department of the special trial appraisal hospital at the corresponding level in this city.
2. Preliminary examination of the hospital. After the first-instance hospital collects all the relevant information of the applicant, it will organize medical experts in our hospital to make diagnosis and preliminary identification.
3. Expert review. At the end of each quarter, the municipal medical insurance department organizes the expert committee of the basic medical insurance for urban workers in this Municipality to conduct centralized review, and the expert committee will review them one by one according to the special confirmation standards.
4, the issuance of "special outpatient medical records of special diseases". After passing the review by the Municipal Expert Committee, special applicants will bring the medical insurance manual to the Municipal Medical Insurance Office to receive special medical records for special disease clinics within 5 working days in the first month of the next quarter. Those who pass the review will begin to enjoy the basic medical insurance special disease outpatient treatment that month. If the evaluation by the Municipal Expert Committee is unqualified, it shall indicate the reasons for the unqualified and inform it in writing, and return the medical records to the applicant.
5, special disease renewal procedures. The period of validity of special disease A and B clinics is two years, and that of class C is one year. If the illness is not healed and needs treatment, it is necessary to go through the renewal procedures.
Second, the newborn temporary medical insurance card
Newborns must first register for medical insurance. Newborn guardians need to hold a copy of the newborn household registration book and a one-inch photo of the newborn, fill in the registration form of basic medical insurance for urban residents in the community neighborhood Committee where the household registration is located, and after being signed and sealed by the handling personnel, send the registration form to the residents' section of the municipal medical insurance center to make social security cards and pay medical insurance fees. 1, new rural cooperative medical system. To apply for medical insurance for newborns, you need to register your baby first. Parents should go to the hospital where the child was born, issue the relevant proof materials of the child's birth, and then bring this proof material, my household registration book and the new rural cooperative medical certificate to the local rural cooperative medical certificate agency to apply for the new rural cooperative medical certificate for the child. 2. Urban medical insurance. After the newborn enters the household, he can go to the social security center where the household registration is located to receive the Registration Form of Basic Medical Insurance for Urban Residents and fill in the relevant information. And bring the following materials: 1 household registration book and a copy. Copying must copy the first page of the household registration book and the baby page; 2 ID card and copy/ID number. Generally, I need my ID card for medical insurance. If you don't have an ID card, you need to provide your ID number. 3 photos of guardian and insured, 4 2-inch photos. After registration 10 working days, get Kajia's medical record book, and bring the medical insurance card book to see a doctor in the future. This is the news of the materials needed for neonatal medical insurance and the policy of neonatal medical insurance.
3. How to reissue the lost rural social security card?
1. What should I do if I lose my rural medical insurance card?
After confirming the loss, we reported the loss to the Municipal Social Security Bureau with our ID card and the certificate of loss reporting issued by the village committee. /kloc-you can get a new card in 0/5 working days. In case of hospitalization during this period, don't panic, because we have our own medical insurance card number, we can pay the fee first, and bring medical records and various payment vouchers to the medical insurance bureau for reimbursement after discharge.
Two, rural medical insurance card replacement materials
If you lose your magnetic card, you can go to the residents' medical insurance office of the District Labor and Social Security Bureau or the employment management office with the relevant identity certificate and resident medical insurance card calendar. For the medical expenses incurred during the loss of the magnetic card, the insured can submit the reimbursement materials to the village committee where the insured is located, and submit the reimbursement through the township liaison officer. After participating in the payment of the new urban and rural cooperative medical personnel, the municipal cooperative medical office will issue a card for each new participant (mainly responsible for issuing, and the continuous participation card will continue to be valid, and no new card will be issued), which will be used as a voucher for outpatient discount and hospitalization, and each person will have a card. If the participants lose their cooperative medical card, they can submit it to the municipal cooperative medical office with the certificate of loss reporting of the local cooperative medical card and the ID card of the participants.
Three, rural medical insurance card replacement process
According to the provisions of the document, you should apply to the rural cooperative station of the township health center in the jurisdiction for reporting the loss. The insured person should submit a written application to the rural cooperative station of the township health center in the jurisdiction, check the relevant information, fill out the Application Form for Rural Cooperative Medical Card Information, and report it to the county agricultural cooperative for review, which will be uniformly produced by the county agricultural cooperative and reissued within one week. Patients who are in urgent need of using rural cooperative medical card for hospitalization can bring their ID cards and participating bills to the rural cooperative station of township hospitals to fill in the application form for rural cooperative medical card information, and directly go to the county rural cooperative medical card replacement window to make up the card.
4. Where can I reissue the rural medical insurance card?
1, bring my valid certificate (ID card, household registration book, etc.). ) go to the neighboring counties to apply;
2. The insured person may also apply to the service point for handling on his behalf. The service point will be settled within 3 working days, and the insured person will collect the medical insurance card at the service point within the specified time.
The relevant legal basis of this article.
"People's Republic of China (PRC) Social Insurance Law" Article 29 The part of the medical expenses of the insured that should be paid by the basic medical insurance fund 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.