Can rural medical insurance be reimbursed for the second time? How to report it?

Rural medical insurance (such as the new rural cooperative medical system) can indeed be reimbursed for the second time, but it needs to meet certain conditions.

The following are the general procedures and conditions for secondary reimbursement:

The insured must have participated in the new rural cooperative medical system or urban and rural residents' medical insurance in the same year and completed the first reimbursement.

After the first reimbursement, if the expenses paid by individuals exceed the per capita income level of rural residents in the previous year, they can apply for a second reimbursement for the excess expenses.

The specific conditions and proportion of secondary reimbursement may vary from region to region, so it is necessary to refer to relevant local policy documents.

After meeting the above conditions, the insured can apply for a second reimbursement to the local new rural cooperative medical system reimbursement point or medical insurance agency with ID card, case diagnosis, drug list, bank card and reimbursed compensation form. 1356

Some areas may have realized one-stop declaration of medical insurance system. In this case, if the conditions for the second reimbursement are met, the system will automatically settle the account and transfer it to the designated account. If you are not sure whether it meets the requirements, it is recommended to consult the local medical department in advance to obtain accurate information.

Medical insurance can be reimbursed twice in the hospital or in the local social security bureau.

First, the new rural cooperative medical system for the second time reimbursement materials:

When applying for the second reimbursement, you need to bring the following materials to handle the relevant procedures:

1, NCMS compensation statement;

2. The original household registration book of the resident ID card patient and the original participation card (card);

3. The original invoice of medical institution expenses or a copy of the official seal of the safekeeping unit;

4. A copy of the expense list, discharge statement or official seal of the original unit;

5. Holding chronic disease certificates provided by patients with special chronic diseases, or special chronic disease diagnosis certificates and outpatient medical records issued by medical institutions above the second level;

6. The bank remittance account number of the patient himself or the related person who has a relationship certificate with the patient.

Second, the new rural cooperative medical system serious illness reimbursement process:

1, immediate settlement after discharge.

The insured person of the new rural cooperative medical system is treated in the local dimethyl hospital or designated hospital for serious illness. The hospital can directly pay the compensation fund for serious illness insurance at the hospital charging window, and will be reimbursed automatically according to the proportion of serious illness insurance of the new rural cooperative medical system when leaving the hospital, without additional reimbursement procedures.

2. Settlement after discharge.

If you apply for reimbursement and settlement after discharge, the procedure is relatively troublesome.

After the seriously ill patients are discharged from the hospital, they need to bring the diagnosis certificate, ID card, original certificate and other materials to the settlement department of the new rural cooperative medical system for review. Eligible people can get compensation for the new rural cooperative medical system, and those who do not meet the conditions are reimbursed according to the proportion of ordinary hospitalization reimbursement.

To sum up, it is the relevant answer of how Bian Xiao reported rural medical insurance for the second time. I hope I can help you.

legal ground

Article 28 of the Social Insurance Law

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.