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New Rural Cooperative Medical System reimbursement scope in Hubei Province

New Rural Cooperative Medical Care Reimbursement Process:

Documents required for reimbursement:

1. Documents to bring for outpatient reimbursement: outpatient invoice, cooperative medical certificate calendar (or medical record ).

2. Documents to be carried for hospitalization reimbursement: hospitalization invoice, cooperative medical certificate calendar (or medical record), detailed list of expenses, discharge summary, and other relevant certificates.

3. Documents required for outpatient special disease reimbursement: outpatient invoice, special disease cooperative medical certificate calendar.

4. Bring documents for special diseases: outpatient treatment recommendations for special diseases, cooperative medical certificate, medical records, relevant laboratory reports, and two photos.

Reimbursement process:

1. The insured household will prepare all the information required for reimbursement and submit it to the village (community) cooperative medical liaison officer for review. The township cooperative medical liaison officer will submit the reimbursement to the district Nongyi Office Complaint Center for reimbursement. New Rural Cooperative Medical Care Reimbursement Guide.

2. Direct reimbursement by the hospital: When going through hospitalization procedures due to illness, a new rural cooperative medical certificate must be issued to the hospital to directly participate in reimbursement.

Extended information:

The following situations are not included in the reimbursement scope of the new rural cooperative medical care:

(1) Outpatient medical expenses in non-regional designated hospitals (special diseases (Excluding outpatient treatment expenses), expenses incurred by not seeking medical treatment in accordance with regulations, and purchasing drugs by yourself;

(2) Expenses required for family planning measures, medical expenses that violate family planning policies;

(3) Dentures, orthodontics, optometry, hearing aids, artificial organs, beauty treatments, plastic surgery and orthopedic surgeries, rehabilitation medicine (such as qigong, massage, massage, physiotherapy, magnet therapy, etc.) and various types of accompanying guests expenses, medical transportation expenses, consultation fees, other miscellaneous expenses during hospitalization, etc.;

(4) In the case of third-party liability, the medical expenses incurred in the event of personal injury shall be borne by the third-party responsible party in accordance with the law. Such as traffic accidents, medical accidents, work injuries, etc.;

(5) Medical expenses incurred due to injuries caused by suicide, self-mutilation, poisoning, drug abuse, fighting and other illegal behaviors, as well as intentional behaviors of family members;

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(6) Medical expenses incurred while going abroad or in Hong Kong, Macao and Taiwan;

(7) Drugs and items that are not reimbursable under the urban employee medical insurance system;

(8) Other expenses that are not reimbursable as determined by the District Medical Management Committee.

Baidu Encyclopedia-New Rural Cooperative Medical Care Reimbursement Scope