Can Jiaozuo new rural cooperative medical clinic be reimbursed?

Jiaozuo new rural cooperative medical clinic can be reimbursed.

The reimbursement scope of the new rural cooperative medical system is: medical expenses, examination 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 meet the reimbursement scope of medical insurance for urban employees (i.e. effective medical expenses).

The reimbursement scope of the new rural cooperative medical system is:

1, medical expenses incurred in hospitalization in designated hospitals that meet the reimbursement scope of medical insurance for urban workers;

2. The hospitalization expenses incurred by the insured for two or more hospitalizations can be reimbursed cumulatively, with the maximum reimbursement amount per person per year.

The reimbursement process of rural cooperative medical system is generally as follows:

1. When seeking medical treatment, rural residents need to show their rural cooperative medical certificate and relevant certificates of this visit, such as prescriptions and diagnosis certificates issued by outpatient doctors.

2. Relevant hospitals need to upload the medical information to the local electronic medical insurance platform or manually fill in the reimbursement voucher information.

3. The rural cooperative medical management department shall review the reimbursement vouchers submitted by rural residents, and after the approval, the medical expenses shall be reimbursed to the rural cooperative medical account of the residents.

4, rural residents can according to their own needs, in the rural cooperative medical account for reimbursement of medical expenses.

To sum up, different medical services and institutions also have different reimbursement time limits and regulations. If you need to know the specific reimbursement time and policy, it is recommended to contact the local rural cooperative medical management department or social security service agency for consultation.

Legal basis:

Article 26 of People's Republic of China (PRC) Social Insurance Law

The basic medical insurance for employees, the new rural cooperative medical system and the basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Article 28

Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.

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.