88岁禹城梧州新农村 分娩 报销合作医疗报销比例

买保险就上大家保!&&& 新农村合作医疗保险如何报销?
新农村合作医疗保险如何报销?在参保面和人数上,新型农村医疗保险已经在各地区大面积普及推广。但是,由于新农村医疗保险在推行过程中,重收费,轻保障报销宣传,很多农民朋友并不了解农村医疗保险的理赔知识,造成很多参保农民无法报销费用,或是报销过程中在各个部门之间来回折腾。新农保的具体报销范围和报销比例等,各地差异很大,这里只介绍一些自己经历过和了解到的情况,以报销流程和涉及的部门为主,供大家参考。实际情况,请到参保病人户籍地乡镇医院去咨询,这才是最权威的。一、门诊、刀伤跌打、工伤、交通事故、凶杀、打架斗殴、医疗事故、自杀、自残等产生的医疗费用不在农村医疗保险的报销范围,只有住院治疗才能进行费用报销。此外,住院也不是所有费用都能报销的,只有部分检查项目、手术项目和药物的费用能报销。只有正规医院住院才能报销,一般的门诊部的费用不报销。二、在参保地乡镇医院住院治疗,费用报销比例最高,参保地县级医院报销比例次之,地级医院报销比例更低。有的地方要求必须在参保的地级市内医院治疗才能报销,如果要到参保地的地级市以外的医院治疗,需要参保地乡镇、县级、地级的三级相关医院出具转诊证明,再到其他地方去治疗,才能报销费用。三、住院治疗时,要跟医生声明自己已经办了农村医疗保险,需要进行农村医保报销,这样医生会给你办理相关手续,否则,他们就按普通病人**,最后报销的时候你再去重新开各种单证就很麻烦的。出院的时候,必须索要病历本、医药费清单、住院**、出院记录等报销所需的凭证,并妥善保管。四、要找对报销的部门。负责费用报销的单位在参保人户籍地的乡镇,很多地方是乡镇医院或乡镇卫生院负责费用报销;有一些地方是乡镇卫生院出具单证,然后参保人凭单证到乡镇财政所去进行费用报销;还有的地方是乡镇医院出具单证,参保人再持单证到乡镇财政所盖章,然后再到乡镇的信用社或是银行去领取报销费用;还有的地方农保报销在县级报销中心。如果在参保地乡镇医院治疗,无需专门办理报销,在办理出院的时候,医院就会办妥医保报销。如果是在参保地乡镇以外的医院治疗,则出院后携带病历本、医药费清单、住院**、出院记录、***、***等单证到参保地乡镇医院办理报销。外出工作或是经商旅行等,在外地住院治疗的报销,除**病历本、医药费清单、住院**、出院记录、***、***等单证外,还需要*****明(可由工作单位开具,或是工作单位所在地的村委会或居委会开具),经商的需要**务商证明(可有经商地的工商所开具)。如果不能**这些证明,回参保地很可能无法报销。前一篇:后一篇:
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