How to reimburse cooperative medical care

There are several methods for reimbursement of cooperative medical care:

1. The local medical card will be paid directly by swiping it when going through the discharge formalities.

2. Seek medical treatment in different places and bring relevant documents for reimbursement after discharge;

3, special disease outpatient reimbursement, with the relevant inspection report and the new rural cooperative medical special disease outpatient treatment approval form "to the new rural cooperative medical management center to apply, after approval, the outpatient medical expenses can be included in the new rural cooperative medical reimbursement scope.

Cooperative medical care, the full name of the new rural cooperative medical insurance, is a kind of welfare medical system based on voluntary mutual assistance of the masses and relying on the collective economy to prevent and treat diseases. The reimbursement scope of the new rural cooperative medical system is: medical expenses, inspection expenses, laboratory expenses, operation expenses, treatment expenses and nursing expenses incurred by the insured in designated hospitals due to illness during the overall planning period, which are in line with the reimbursement scope of medical insurance for urban workers. The new rural cooperative medical fund payment set up Qifubiaozhun and maximum payment limit. The hospitalization expenses below the annual deductible line of the hospital shall be paid by the individual. If the Qifubiaozhun is reached in the same overall period, the hospitalization expenses incurred by two or more hospitalizations can be reimbursed cumulatively. The hospitalization expenses exceeding Qifubiaozhun shall be calculated in sections and reimbursed cumulatively, and there is a maximum amount of accumulative reimbursement per person per year. The reimbursement scope of the new rural cooperative medical system includes outpatient compensation, hospitalization compensation and serious illness compensation. After the insured is discharged from the hospital, the hospitalization invoice, discharge record, expense list, referral certificate, a copy of my ID card or the household registration certificate signed or sealed by the patient shall be handed over to the township joint management office, and sent to the municipal agricultural insurance business management center after examination.

legal ground

"Regulations on Basic Medical Insurance for Urban Workers in People's Republic of China (PRC)" (hereinafter referred to as the "Regulations") Article 44 When using personal accounts, patients can seek medical treatment and purchase medicines at any designated medical institution and drugstore. According to the provisions of the medical expenses paid by the overall fund, patients should go to designated medical institutions for medical treatment.