Job Recruitment Website - Social security inquiry - Is the second reimbursement automatically billed upon discharge?
Is the second reimbursement automatically billed upon discharge?
It is automatic settlement upon discharge. The "secondary reimbursement" is that residents of urban residents' medical insurance or new rural cooperative, if there is a high cost of medical treatment in the previous year, in addition to the normal reimbursement, can also be reimbursed once for the major disease insurance, and there is no ceiling line.
Generally, the second reimbursement is made by the citizen's organization.
The materials required for the secondary reimbursement of NNH are as follows:
1, NNH reimbursement statement;
2, the original resident ID card patient's household registration, the original certificate of enrollment (card);
3, the invoice of the cost of the medical institution, or a copy of the official seal of the unit of the collection of the original stamp;
4, the cost of the list, the discharge settlement or a copy of the official seal of the unit of the collection of the original stamp. A copy of the official seal of the receiving unit;
5, patients with special chronic diseases to provide a chronic disease card, or the second level or higher medical institutions issued by the diagnosis of special chronic diseases, as well as outpatient medical records;
6, the patient himself, or with the patient has a relationship with the relationship of the person's bank steak lead remittance account number.
New rural medical reimbursement process:
1, the patient himself/family members with the patient's ID card (or hukou), two one-inch color photos, the new rural medical card to the participating local agencies referral filing procedures, you can also call for;
2, with the patient's ID card, the new rural medical slip voucher and the referral filing procedures for referral hospitals, for new rural The only way to find a cross-provincial designated medical institution is to seek medical treatment;
3, the patient is hospitalized to receive treatment;
4, after being discharged from the hospital, with the patient's own ID card (or hukou), the new rural cooperative medical card, letter this combustion of a copy of the medical record, hospitalization statement (some of which are in the form of invoices), list of hospitalization costs, and referral filing formalities to the participant in the local agency to be reimbursed. The new rural cooperative medical system is a farmer's medical mutual aid **** relief system based on the coordination of major illnesses and compensation for minor illnesses. This definition shows that the new rural cooperative medical system is to aid farmers in the medical expenses of the disease and outpatient, bruises and injuries are not covered by the insurance, this provision makes the actual benefit of farmers is not as large as expected.
Legal basis:
The Chinese People's **** and the State Social Insurance Law
Article 29 The part of the medical expenses of the insured person which should be paid by the basic medical insurance fund shall be settled directly by the social insurance agency with the medical institutions and the drug business units. The administrative departments of social insurance and the administrative departments of health shall establish a settlement system for medical expenses incurred for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance by insured persons.
Article 28 The medical expenses in line with the basic medical insurance drug catalog, diagnostic and treatment items, medical service facility standards, as well as emergency and rescue, shall be paid from the basic medical insurance fund in accordance with national regulations.
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