First, the new rural cooperative medical reimbursement process in different places

1, the patient/family members bring the patient's ID card (or household registration book), two one-inch color photos and the new rural cooperative medical card to the participating agencies for referral and filing procedures, or they can call for handling;

2. Carry the patient ID card, the new rural cooperative medical certificate and the referral filing procedures to the referral hospital for medical treatment, and go through the hospitalization procedures of the new rural cooperative medical system, and only seek medical treatment from designated medical institutions across provinces;

3. The patient is hospitalized for treatment;

4, after discharge, with the patient's ID card (or household registration book), the new rural cooperative medical certificate, a copy of medical records, hospitalization statements (some in the form of invoices), hospitalization expenses list, referral filing procedures to the participating agencies for reimbursement.

Second, the materials required for reimbursement of the new rural cooperative medical system in different places

1, the patient's Rural Cooperative Certificate, household registration book and original ID card;

2, the province's unified new rural cooperative medical system referral, referral examination and approval form (migrant workers or foreign residents do not provide new rural cooperative medical system referral, referral examination and approval form, need to provide proof of the unit where the workers work or residence at or above the village level);

3. Diagnosis certificate;

4. Discharge certificate;

5, hospitalization medical expenses summary list;

6. Invoices of hospitalization charges (if invoices of private medical units supervised by local tax authorities are provided, the documents that the health authorities determine them as designated medical institutions of the new rural cooperative medical system shall be provided, and the official seal of the unit that issued the documents shall be affixed);

7, build official seal copy of hospital medical records (including medical records home page, long-term doctor's advice, temporary doctor's advice, discharge summary).

Extended data:

Inter-provincial settlement

The total participation rate of urban and rural residents in China remains above 95%. Although it is close to the goal of "everyone enjoys medical insurance", the difficulty of reimbursement for medical treatment in different places still affects migrant workers, elderly people who live in different places with their children, and seriously ill patients who seek medical treatment in different places. At the two sessions this year, medical insurance should realize instant settlement and reimbursement for medical treatment in different places as soon as possible, which has become a hot topic for delegates and members.

China has three medical insurance systems: urban workers' medical insurance, urban residents' medical insurance and the new rural cooperative medical system. The total participation rate of urban and rural residents remains above 95%, but the overall level of the above medical insurance, especially the residents' medical insurance and the new rural cooperative medical system fund, is low.

In most provinces and places, the overall planning level stays at the city level, even at the district and county level, resulting in medical insurance patients going out of the county for medical treatment across regions and limited reimbursement of medical expenses. In recent years, the contradiction between migration and migration has become increasingly prominent with the population flow.

In some provinces (cities) where migrant workers are concentrated, migrant workers hold the new rural cooperative medical system in their hometown, and they can't afford to see a doctor at their places of work. In Beijing, Shanghai, Guangzhou and other big cities, more and more retired people from other provinces are taking care of their children in different places. Because of the restriction that medical insurance cannot be reimbursed and settled in different places, the burden of seeing a doctor is also increasing.

At the National People's Congress in 20 14, medical insurance should realize instant settlement and reimbursement for medical treatment in different places as soon as possible, which is also a hot topic for delegates and members.

The State Council Medical Reform Office has put forward a timetable for "medical insurance settlement in different places". In 20 15 years, it is necessary to fully promote direct settlement (instant reimbursement) for medical treatment in different places in the province, and at the same time choose to pilot in some provinces to explore the establishment of an inter-provincial real-time settlement mechanism for medical treatment in different places; Focus on the retired workers, migrant workers and other people to study the settlement methods for cross-provincial medical treatment.

Medical insurance settlement in different places: establish a settlement mechanism for medical treatment in different places, and explore local medical treatment and settlement methods for retirees resettled in different places. Formulate methods for the transfer and connection of basic medical insurance relations, and solve the problem of cross-system and cross-regional transfer and connection of basic medical insurance relations for migrant workers and other migrant workers. Do a good job of connecting urban workers' medical insurance, urban residents' medical insurance, new rural cooperative medical system and urban and rural medical assistance.

Baidu encyclopedia-medical insurance settlement in different places