Reimbursement Process of New Rural Cooperative Medical System in the First Affiliated Hospital of Zheng Da

Legal analysis: outpatient reimbursement process

1. Insured persons go to the cooperative medical point for medical treatment.

2. Pay by prescription and examination to the outpatient inpatient department, and pay by yourself first.

3. After seeing a doctor, take the medical certificate, ID card and household registration invoice to the new rural cooperative medical system window for review, reimbursement and reimbursement.

Hospitalization reimbursement process

1. Go to the cooperative medical center for medical treatment.

2. Go to the new rural cooperative medical system window for discharge registration.

3. During the treatment, treat at one's own expense.

4. After the treatment, take out the hospital certificate, hospitalization invoice, diagnosis certificate, ID card and household registration book, and go to the new rural cooperative medical system window for review, reimbursement and reimbursement.

Legal basis: Article 4 of People's Republic of China (PRC)'s Opinions on Establishing a New Rural Cooperative Medical System (Item 3 of Fund Management) The rural cooperative medical fund is mainly used to subsidize large medical expenses or hospitalization expenses of farmers participating in the new rural cooperative medical system. Where conditions permit, a combination of large medical expenses subsidies and small medical expenses subsidies can be implemented, which not only improves the ability to resist risks, but also takes into account the interests of farmers. Arrange a routine physical examination for farmers who have participated in the new rural cooperative medical system and have not used the rural cooperative medical fund during the year. All provinces, autonomous regions and municipalities directly under the central government should formulate a list of basic drugs for reimbursement of rural cooperative medical care. Counties (cities) should scientifically and reasonably determine the payment scope, payment standard and amount of the rural cooperative medical fund according to the total amount of funds raised and local conditions, and determine the specific inspection items and methods of routine physical examination to prevent the rural cooperative medical fund from overspending or excessive balance.