Anhui Wuwei county inpatient rural medical insurance

Research on reimbursement process of rural cooperative medical insurance in Wuwei county;

1. Applicant: participating patients themselves or their spouses, parents and children. If the patient can't apply in person and has no spouse, parents or children, his brother or sister will apply on his behalf; If there are no brothers or sisters, the person in charge of the villagers' committee shall apply on their behalf. Where an application is filed by an agent, a copy of the agent's ID card and proof of the relationship with the participating patients shall be submitted.

2. Accepting institutions: designated medical institutions below the county level (including the county level, the same below).

3. Application results:

(1) If the identification materials of the participating patients applying for reimbursement are true and the submitted materials are complete, they will be accepted on the spot;

(2) If there is any doubt about the identification materials of the participating patients, it shall be handed over to the cooperative medical management institution for identity verification;

(3) If the submitted materials are not uniform, all materials that need to be supplemented shall be informed in writing at one time.

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

The medical expenses, inspection expenses, laboratory expenses, operation expenses, treatment expenses and nursing expenses incurred by the insured in the designated hospital due to illness during the overall planning period are in line with the reimbursement scope of medical insurance for urban workers (that is, effective medical expenses).

The new rural cooperative medical fund payment set up Qifubiaozhun and maximum payment limit. The hospitalization expenses below the annual deductible line of the hospital shall be paid by the individual. If the Qifubiaozhun is reached in the same overall period, the hospitalization expenses incurred by two or more hospitalizations can be reimbursed cumulatively. The hospitalization expenses exceeding Qifubiaozhun shall be calculated in sections and reimbursed cumulatively, and there is a maximum amount of accumulative reimbursement per person per year.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.