Where is the second reimbursement for serious illness of employees in Yuanyang County, Xinxiang City, Henan Province?

In the county designated medical institutions or the new rural cooperative medical service center for reimbursement procedures.

1, location of secondary reimbursement for serious illness:

(1) Patients seek medical treatment in the city, and directly settle hospitalization expenses in designated medical institutions within 3 days; The emergency room is on the tenth day.

(2) The above materials shall be handed over to the personnel in charge of township hospitals for settlement within 1 month (hospitalization in different places, in some places within 6 months, not beyond the year).

2. Materials required for secondary reimbursement of serious illness:

(1) Outpatient reimbursement information: outpatient invoice, cooperative medical certificate calendar (or medical record), hospitalization reimbursement information: hospitalization invoice, cooperative medical certificate calendar (or medical record), expense list, discharge summary and other related certificates, outpatient special disease reimbursement information: outpatient invoice, cooperative medical certificate calendar for special diseases.

(2) Information for handling special diseases: outpatient treatment proposal for special diseases, calendar of cooperative medical certificate, medical records, relevant laboratory reports and photos.

3. Secondary reimbursement process for serious illness:

(1) After the insured households prepare the required materials for reimbursement, they shall submit them to the village (community) cooperative medical liaison officer, who shall submit them to the town cooperative medical liaison officer for reimbursement after reviewing them.

(2) Direct reimbursement by the hospital: When going through hospitalization procedures due to illness, you will issue a certificate of the new rural cooperative medical system to the hospital and directly participate in reimbursement.

After the reimbursement of the new rural cooperative medical system, you need to take a copy of the hospitalization document, a copy of the discharge certificate and a copy of the reimbursement document of the new rural cooperative medical system (in some places, you need to provide a copy of the diagnosis certificate or medical record), apply to the civil affairs department with the official seal of the new rural cooperative medical system, and give subsidies after approval. If you don't apply, the civil affairs department can't give you money; If the application has been made and the procedures are qualified, the subsidy should be paid to the patient in the current year.

Extended data:

The second reimbursement is not so easy, not all serious illnesses can be reimbursed. It is understood that only nationally certified diseases can be reimbursed for the second time. For example, China has included 20 diseases such as childhood leukemia, congenital heart disease, end-stage renal disease, cleft lip and palate, breast cancer, cervical cancer, severe mental illness, drug-resistant tuberculosis, AIDS opportunistic infection, colon cancer, hemophilia, chronic myeloid leukemia, lung cancer, esophageal cancer and gastric cancer. Included in the serious illness medical insurance coverage.

In addition, it is worth noting that expenses are not necessarily reimbursed. The specific reimbursement amount is determined by the local government, but it is generally more than 5,000 yuan. However, the development level of different places is different, and the deductible line for reimbursement is also different. The specific reimbursement deductible line is subject to local government regulations.