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Can the new rural cooperative medical system and employee social security be merged?

No, take Harbin as an example.

"Harbin new rural cooperative medical management measures" has corresponding provisions:

Tenth insured persons shall not participate in the basic medical insurance for urban residents and employees at the same time, and shall not participate in the new rural cooperative medical system repeatedly. Participants should register on a household basis, apply for a new rural cooperative medical certificate (card), obtain a medical certificate (card) and enjoy the new rural cooperative medical treatment.

Residents living in rural areas can participate in the new rural cooperative medical system in their domicile or habitual residence according to the provisions of these measures. Where the state and province have other provisions on the qualifications of personnel participating in the new rural cooperative medical system, such provisions shall prevail.

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Relevant laws and regulations of Harbin new rural cooperative medical care management measures;

Article 33? In accordance with the principles of total budget, process management, cost overruns sharing and balance retention, and in combination with the relevant provisions of fund budget management, the total payment control will be comprehensively promoted. We will promote the reform of composite payment methods such as paying by disease and paying by head. ?

Poor dependents, orphans, family members with minimum living guarantee, poor entitled groups, patients with severe mental disorders, couples from families with special difficulties in family planning and their disabled children who have been approved, family planning special assistance targets, rural medical security precise poverty alleviation targets and disabled people who have lost their ability to work, the individual contributions will be fully subsidized by the District People's Government.

Article 34? After the emergency rescue in non-designated medical institutions in different places, if the medical expenses incurred after hospitalization and hospitalization approval and filing meet the requirements, the individual shall pay 10% in advance, and the balance shall be implemented according to the provisions of Articles 19 and 20 of these Measures and the related hospitalization treatment of these Measures.

Baidu Encyclopedia-"Harbin New Rural Cooperative Medical Care Management Measures"