1, carrying patient ID card, new rural cooperative medical certificate, etc. Go through the referral filing procedures with the participating institutions;
2. Go to the referral hospital for medical treatment with the referral filing procedures, and go through the hospitalization procedures of the new rural cooperative medical system;
3. The patient is hospitalized;
4, after discharge, with the patient ID card, new rural cooperative medical card, hospitalization expenses list and other materials to the participating institutions for reimbursement.
Matters needing attention in reimbursement of new rural cooperative medical insurance in different places in Henan province;
1. Verification of reimbursement eligibility: it is necessary to confirm whether an individual is eligible for reimbursement for medical treatment in different places, including medical insurance participation and medical treatment records in different places;
2. Understanding of reimbursement policy: be familiar with the reimbursement policy for medical treatment in different places stipulated by the local medical insurance bureau, including reimbursement ratio, reimbursement scope, and capping line;
3. Selection of regular medical institutions: ensure that the selected medical institutions are in the list of designated hospitals for medical insurance in different places, otherwise they will not be reimbursed;
4. Keep medical vouchers: all medical expense vouchers, including invoices, prescriptions, medical records, inspection reports, etc. , should be properly kept during medical treatment;
5. Preparation of reimbursement materials: Prepare complete reimbursement materials according to the requirements of the local medical insurance bureau, including ID cards, medical insurance cards, expense lists, etc.
6. Time limit for reimbursement Note: Pay attention to the time limit requirements for reimbursement applications to avoid losing reimbursement eligibility due to overtime;
7. Consultation on reimbursement process: Before handling reimbursement, you can consult the local medical insurance bureau or social security center about the specific reimbursement process and matters needing attention to ensure the smooth progress of the process.
To sum up, the reimbursement process of Henan new rural cooperative medical system in different places includes handling referral filing procedures, going to the referral hospital for medical treatment and hospitalization procedures, receiving treatment, and going to the agency for reimbursement after discharge.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.