The reimbursement procedure of the new rural cooperative medical system is as follows: the applicant will submit the outpatient invoices, cooperative medical certificates, medical records, hospitalization invoices, detailed list of expenses, discharge summary cooperation and other materials to the medical association, and then submit them to the town cooperative medical system after being audited by the village (community) cooperative medical system, and then the town cooperative medical system will send them to the district agricultural easy office center for reimbursement.

Legal objectivity:

The following circumstances are not included in the reimbursement scope of the new rural cooperative medical system: (1) outpatient medical expenses (except for outpatient treatment expenses for special diseases), and expenses incurred by not seeking medical treatment according to regulations or purchasing medicines by oneself; (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. (five) medical expenses caused by illegal acts such as suicide, self-mutilation, taking poison, taking drugs, fighting and other intentional acts of their families; (six) medical expenses incurred during going abroad or staying in Hong Kong, Macao and Taiwan; (seven) drugs and articles that are not reimbursed according to the medical insurance system for urban workers; (eight) other expenses determined by the District Medical Management Committee. About expanding the reimbursement process of the new rural cooperative medical system 1. The insured patients of the new rural cooperative medical system must present their medical card and valid ID card (the household registration book has no ID card). After you confirm your identity, you can swipe your card directly in the designated medical institutions of township-level general outpatient clinics in the region, and be hospitalized in the designated medical institutions in and outside the region. You can directly swipe your card for reimbursement when you leave the hospital. 2. If the insured patient is hospitalized in a public medical institution outside the city, the insured person or his family members shall submit the original medical expense invoice (the copy is invalid), the summary and detailed list of hospitalization medical expenses, the discharge summary and outpatient medical records, the patient's ID card, the medical card, the household registration book and the agent's ID card to the first floor of the administrative service center in District 14 and 15 for reimbursement. Third, special disease outpatient reimbursement can hold medical records and related inspection and laboratory reports issued by designated medical institutions at or above the second level and medical institutions' certificates, as well as the huangyan district New Rural Cooperative Medical System Special Disease Outpatient Treatment Approval Form to apply to the New Rural Cooperative Medical System Management Center. After the approval of the new rural cooperative medical system in the district, the outpatient medical expenses (excluding the medical expenses of supportive therapy, adjuvant therapy or treatment of other diseases) can be included in the reimbursement scope of the new rural cooperative medical system fund, and reimbursed annually according to the hospitalization reimbursement standard. Four, patients hospitalized due to accidental injury, after discharge, should be submitted by the account where the village (neighborhood) signed and sealed by the accident cause confirmation certificate and hospitalization medical records. 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 of the new rural cooperative medical system window 14 and the first floor of the administrative service center of No District 15, and shall be reimbursed after investigation and review by the inspectors of the new rural cooperative medical system management center. If the third party is responsible, it will not be reimbursed; Inpatients who bear part of their own responsibilities shall submit their own medical expenses to the new rural cooperative medical system window (No.). 14 and whether to go to the first floor of the district administrative service center with the agreement or relevant certificates 15.