How to reimburse the inter-provincial rural cooperative medical system

1. reimbursement process: 1. I or my family members contact the handling agency of the insured place by telephone to apply for cross-provincial medical referral; 2. Choose a designated medical institution for cross-provincial medical treatment, otherwise it will not be reimbursed; 3, patients with ID card (or residence booklet), cooperative medical certificate, admission certificate, referral form (or referral message) for admission procedures; 4. When the patient is discharged from the hospital, he/she will settle at the service window of the new rural cooperative medical system. Pay attention to bring complete materials and pay for personal expenses. 2. Reimbursement procedures: general outpatient reimbursement needs to provide: household registration book or identity card, new rural cooperative medical bill; Hospitalization reimbursement needs to provide: household registration book or ID card, new rural cooperative medical payment bill, hospitalization invoice, diagnosis certificate, expense list and hospitalization medical record; The reimbursement of serious illness needs to provide: household registration book, new rural cooperative medical payment bill, hospitalization invoice, diagnosis certificate, expense list, hospitalization medical record, and first reimbursement voucher for combined treatment. 3. Reimbursement ratio: 1. Outpatient reimbursement: (1) The reimbursement rate for general outpatient service is 50%, and 80 yuan is reimbursed for each person every year; (2) The maximum reimbursement for outpatient observation is 30 yuan, 1 1,000 yuan per year; (3) The reimbursement rate for outpatient serious illness is 50%. 2. Hospitalization reimbursement: (1) 200 yuan, the town-level (first-class) hospitalization reimbursement deductible line, the reimbursement ratio is 85%. (2) 500 yuan, the deductible line for hospitalization reimbursement of county-level (secondary) designated medical institutions, the reimbursement ratio is 70%. (3) The deductible line for hospitalization reimbursement of municipal (tertiary) designated medical institutions is 700 yuan, and the reimbursement ratio is 55%. (4) The deductible line for hospitalization reimbursement in provincial (tertiary) designated medical institutions is 1000 yuan, and the reimbursement ratio is 50%. 3. Reimbursement for critical illness: 20 major diseases such as childhood leukemia, congenital diseases of children, end-stage renal disease, breast cancer, cervical cancer, severe mental illness, opportunistic infection of AIDS, multidrug-resistant tuberculosis, hemophilia, chronic myeloid leukemia, cleft lip and palate, lung cancer, esophageal cancer, gastric cancer, type I diabetes, hyperthyroidism, acute myocardial infarction, cerebral infarction, colon cancer and rectal cancer. After the medical expenses are reimbursed by the new rural cooperative medical system, the remaining compliance expenses below 8,000 yuan are reimbursed 17%, and those above 8,000 yuan are reimbursed by 73%. The maximum annual compensation limit for an individual is 200,000 yuan.

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The above answer is only for the current information combined with my understanding of the law, please refer carefully!

If you still have questions about this issue, I suggest you sort out relevant information and communicate with professionals in detail.