Can cooperative medical care and social security be paid at the same time?

Cooperative medical care and social security cannot be paid at the same time.

Social security and rural cooperative medical care cannot be paid and used at the same time, because the state stipulates that everyone cannot participate in two kinds of medical insurance repeatedly. Social security is generally targeted at urban residents, including five basic insurances: pension, medical care, unemployment, work injury, maternity and housing accumulation fund; The rural cooperative medical system is aimed at rural hukou, and only agricultural registered permanent residence can join it. Funds generally include government subsidies, village collective support and individual contributions.

The differences between social security and rural cooperative medical care are as follows:

1, rural cooperative medical care is only a medical insurance system, and social security includes pension insurance, unemployment insurance, work injury insurance and maternity insurance in addition to medical insurance;

2. Only agricultural registered permanent residence can participate in rural cooperative medical care, and social security has no restrictions on household registration conditions;

3. Rural cooperative medical care must be attended by the whole family, and the medical insurance in social security cannot be purchased separately, but must be purchased together with the other four insurances;

4. Rural cooperative medical care pays a fee once a year, only for one year. If they stop paying fees, they will not enjoy the relevant policies of the new rural cooperative medical system. Social security can be enjoyed for life after completing the payment period;

5. The proportion of rural cooperative medical care payment is low, and the proportion of reimbursement is also low, while the proportion of social security payment is high and the proportion of reimbursement is also high.

The reimbursement process of rural cooperative medical insurance is as follows:

1. Patients who participate in the hospitalization of joint medical staff or the outpatient service for specific diseases can see a doctor in a designated hospital, and can be reimbursed online in real time. Other reasons can be reimbursed by the infirmary. Medical expenses shall be paid by individuals, and the hospital shall obtain the disease diagnosis certificate, the invoice for hospitalization fees, the detailed list of expenses summary, carry the hospital materials, materials for participating in cooperative medical care, ID card or household registration book, bank passbook (card) and fill in the reimbursement form for cooperative medical care, which will be reviewed by the village committee with comments, and will not be processed within the time limit;

2, by the street medical management office preliminary examination data;

3. Then the Medical Department will send the audit data to the Municipal Social Security Bureau for approval.

legal ground

People's Republic of China (PRC) social insurance law

Twenty-third employees should participate in the basic medical insurance for employees, and the employer and employees should jointly pay the basic medical insurance premiums in accordance with state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.