Urgent! Can I cancel the electronic referral of the new rural cooperative medical system? After the electronic referral of the new rural cooperative medical system, it was known that the reimbursement ratio had decreased by 20%. Can I cancel or return it? The reimbursement ratio is as follows: municipal hospitals, deductible line in 600 yuan, 40%, county hospitals, deductible line in 400 yuan, 50%, township hospitals, overpayment line in 200, 60%. Take the hospital of traditional Chinese medicine as an example, the deductible is reduced by 100, and the reimbursement ratio is increased by 5%, which may vary from place to place, but it should be roughly the same.
In this city, there is no need to go through the referral procedures, and there is no need to go to the village or the street. Generally, hospitals recognized by medical insurance have new rural cooperative medical system offices and medical offices for urban residents. Just go through the corresponding formalities. Ask the hospital for details. They deal with many such things and will guide you.
What does it mean to coordinate the outpatient service of the new rural cooperative medical system? The so-called outpatient co-ordination is similar to the outpatient account, but the implementation methods vary widely in different regions, that is, individuals participate in the insurance payment part, and then take out part of the hospitalization rescue fund for patients' outpatient consumption, such as outpatient treatment in village clinics, township hospitals and other medical institutions. Some set the maximum consumption limit, some areas set the maximum consumption limit, which will be reimbursed in proportion, and some will be shared directly until they are spent. The new rural cooperative medical system can only be consumed in village clinics and hospitals!
The other is outpatient co-ordination, that is, whoever has sick money will spend it on him. In some areas, the outpatient co-ordination fund cannot be consumed in the current year and cannot be consumed in the following year. Not many regions implement this situation, and most regions can roll over their savings to the next year!
20 17 has the new rural cooperative medical system been cancelled? Yes
The State Council issued the Opinions on Integrating the Basic Medical Insurance System for Urban and Rural Residents this year, proposing to integrate the medical insurance for urban residents and the new rural cooperative medical system, appropriately increase the proportion of individual contributions, and allow migrant workers and flexible employees to participate in the basic medical insurance for employees.
According to the introduction of Ministry of Human Resources and Social Security 654381October 8th, up to now, 20 provinces, including Beijing, Tianjin, Hebei, Inner Mongolia, Shanghai, Zhejiang, Jiangxi, Shandong, Henan, Hubei, Hunan, Guangdong, Chongqing, Yunnan, Shaanxi, Qinghai, Ningxia, Xinjiang and Corps, have made overall plans or established a unified medical insurance system for urban and rural residents.
Among them, Tianjin, Shanghai, Zhejiang, Shandong, Guangdong, Chongqing, Ningxia, Qinghai and Bingtuan have fully realized system integration. Hebei, Hubei, Inner Mongolia, Guangxi, Yunnan and other provinces will definitely start implementation from 20 17, and Beijing will definitely achieve "two in one" from 20 18 to 1.
In May this year, Hebei Province took the lead in issuing and implementing the "Implementation Opinions on Integrating the Basic Medical Insurance System for Urban and Rural Residents", proposing the comprehensive integration of the basic medical insurance for urban residents and the new rural cooperative medical system in 20 16 years. From September 1, urban and rural residents will be organized to pay insurance premiums according to the unified policy, and the new policy will be implemented from September 20 17 1.
Hebei Province held a report meeting on the integration of the basic medical insurance system for urban and rural residents in the province, saying that in 20 16 years, the individual contributions of the insured urban and rural residents will not be less than 150 yuan, and the financial subsidies at all levels will be 420 yuan per person.
According to the principle of "not narrowing the scope", Hebei Province will integrate the drug list of basic medical insurance for urban residents and the drug list of the new rural cooperative medical system. There are about 1 1,000 kinds of drugs for the new rural cooperative medical system, and about 2,400 kinds of drugs for basic medical insurance for urban residents. After the integration, the list of basic medical insurance drugs for urban and rural residents can reach about 2900.
What does range mean? This is a variable. For example, the range of the real number X is (1, 3), which means that X can be a real number between 1 and 3.
What do you mean, range? Standard answer:
The boundary between the top and bottom.
For example:
Scope of activities
sphere of influence
First of all, the simple explanation of this word is as follows:
Scope refers to boundaries, restrictions and certain time and space restrictions; Imitate.
Second, the source explanation:
From the Book of Changes: "The scope of heaven and earth should not be excessive."
Third, the detailed explanation is as follows:
1, imitate.
"On Yi Cohesion": "The scope of heaven and earth should not be excessive." Han Note: "The scope is reasonable." Kong Shu: "Model refers to the scope of the model, and the surroundings refer to the surroundings ... to talk about the law of heaven and earth to implement it." "The Biography of Zhou Shu Yu Xin" said: "Therefore, it can be listed in heaven and earth, and it can be a human relationship." Song Cai Brocade "Tiewei Mountain Congtan" Volume 1: "Its text says: the scope of heaven and earth, praise the gods, and ensure harmony for a long time." Tang Shunzhi's Master Book of Siwan Festival in the Ming Dynasty: "When I met one or two Confucians recently, I also learned elephant numbers. However, if you can't spread them, you often talk about the emptiness of the scope of Confucianism, but you want to overthrow the practicality of calculating the integral of the people in the domain. "
2. boundaries.
link
3. restrictions; Generalization.
In the Song Dynasty, Wang Anshi's Sacrifice to the Saints: "Being confined to Fu Tao is not enough to reward generosity." Fang Xiaoru's "Learning Rites" in the Ming Dynasty: "Confucius is the same as Yin and Yang, which is enough for Tao Zhu to be a hundred kings and cover three generations." Qing Gong Zizhen's respect for life: "You have the strictness of your father, the power of heaven, the knowability, and the scope depends on my life." Guo Moruo's Pu Jianji Zhuangzi Lu Xun: "Time can't measure distance, and space can't measure distance. There is no beginning and no end, and the eight poles remain unchanged. "
What does the new rural cooperative medical fund mean? Time: February 24, 200812: 47: 52 Source: Ministry of Health Chapter I General Provisions Article 1 In order to standardize the financial management of the new rural cooperative medical system (hereinafter referred to as the "new rural cooperative medical system"), this system is formulated in accordance with relevant state regulations. Article 2 This system is applicable to the new rural cooperative medical fund established in all co-ordination areas in accordance with the relevant provisions of the state. Article 3 The new rural cooperative medical fund referred to in this system (hereinafter referred to as the fund) refers to the special funds raised to compensate the medical expenses of participating farmers through individual contributions, collective subsidies and * * * subsidies.
When the referral form of the new rural cooperative medical system in Taiyuan is ready to be transferred to a hospital outside the district, it should have the referral certificate or referral application form issued by the hospital in the district, and bring the cooperative medical certificate and ID card (household registration book) to the district new rural cooperative medical system management institution for approval. After the examination and approval, you should go directly to the hospital outside the district for treatment. This is called normal referral.
First go to the hospital outside the district for hospitalization, and within 3 days (the requirements may vary from place to place), hold the diagnosis certificate (hospitalization certificate), household registration book (ID card) and cooperative medical certificate of the hospital where you live to go to the new rural cooperative medical management institution in the district for referral certificate. This situation is called abnormal referral, and the reimbursement rate is reduced 10%.
Normal referral means that the township level can only be transferred to the county level, and the county level can only be transferred to the provincial and municipal levels. If you don't go to county-level medical institutions for treatment, you can go directly to provincial and municipal medical institutions for hospitalization. This is an unusual referral. I think what the auditor wants to tell you is that if a hospital with referral qualification outside the district handles the referral certificate, the reimbursement rate may not necessarily decrease, but the hospital in the district is unwilling to do it for you because it has not treated the patient, so it can only find an acquaintance to find a way!
What is the reimbursement scope of Hebei new rural cooperative medical system? Can accidental falls be reimbursed? First, specifically ask the local civil affairs department and social insurance department.
Second, take good care of documents and certificates.
Third, what can be reimbursed in the reimbursement catalogue will not be reimbursed if it is no longer available.
Fourth, at the same time, I suggest you buy a commercial insurance as a supplement, and there is no restriction on perfecting commercial insurance.
Fifth, I wish you a smooth job, a developed career, a healthy life and a happy family.
Keep these "collection" points methods away!