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Can rural medical care and social security be paid together?
Rural residents can participate in rural cooperative medical care (rural medical insurance) and social insurance at the same time. Rural cooperative medical care is a medical insurance system in which rural residents participate, aiming at providing some medical expenses compensation for rural residents. The social insurance of a company usually refers to the social insurance system in which employees participate, including endowment insurance, medical insurance and unemployment insurance.
Rural medical insurance and unit social insurance policies;
1. Rural medical insurance: China's rural medical insurance is an insurance system that provides medical expenses reimbursement for rural residents. Rural residents can participate in rural medical insurance by paying a certain insurance fee, and get a certain proportion of reimbursement when they need medical services. The specific rural medical insurance policies and operating rules can be different according to the implementation methods in different regions;
2. Enterprise social insurance: Enterprise social insurance refers to the social insurance system in which employees participate, including endowment insurance, medical insurance and unemployment insurance. Employers and employees will pay social insurance premiums respectively according to the proportion stipulated by law in order to obtain corresponding social insurance benefits. The social insurance policies and operating rules of specific units can be different according to the provisions of the state and regions.
Proportion of reimbursement for rural medical insurance and unit social insurance:
1. Rural medical insurance: The reimbursement rate of rural medical insurance in China varies according to local policies. Generally speaking, rural medical insurance can provide a certain proportion of medical expenses for the insured. The specific reimbursement ratio can be different according to the implementation in different regions, usually between 50% and 80%;
2. Enterprise social insurance: China's enterprise social insurance system includes endowment insurance, medical insurance and unemployment insurance. Different social insurance projects have different reimbursement rates. Generally speaking, medical insurance can provide a certain proportion of medical expenses for the insured, usually between 50% and 90%.
To sum up, the specific insurance laws and policies vary from country to country and region. It is suggested that you consult the local rural cooperative medical management institutions, social insurance institutions or relevant government departments for accurate and up-to-date insurance requirements and operating rules.
Legal basis:
Article 28 of People's Republic of China (PRC) Social Insurance Law
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.
Article 29
The medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by social insurance agencies, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.
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