The difference between rural cooperative medical system and social security and medical insurance

The difference between social security and new rural cooperative medical system

1, different insured objects

The new rural cooperative medical system must be a rural hukou to handle it, and social security is not necessarily.

2. Different payment methods

Social security contributions are much higher than the new rural cooperative medical system.

3. The scope of reimbursement is different

The reimbursement rate of the new rural cooperative medical system is higher in rural township hospitals, and lower in hospitals above the municipal level, but both of them decrease with the improvement of hospital level.

4. Only one of them can be reimbursed.

There is social security reimbursement, and the new rural cooperative medical system cannot be reimbursed; Social security cannot be reimbursed by the new rural cooperative medical system. So the two are in conflict.

5. Outpatient treatment is different.

Outpatient social security is almost not reimbursed, and the proportion of reimbursement for outpatient new rural cooperative medical system is relatively large.

On the New Rural Cooperative Medical System

The new rural cooperative medical system, referred to as the "new rural cooperative medical system", refers to the farmers' medical mutual aid system organized, guided and supported by the government, in which farmers voluntarily participate and individuals, collectives and the government jointly raise funds. Take individual contributions, collective support and government funding to raise funds.

Cooperative medical care is a medical security system created by farmers themselves in China, which has played an important role in ensuring farmers' access to basic health services and alleviating poverty caused by illness and returning to poverty due to illness. It provides a model for common problems in the world, especially in developing countries, which is not only welcomed by farmers at home, but also well received internationally. 1974 At the 27th World Health Assembly in May, third world countries generally expressed warm concern and great interest. In its annual report 1980 ~ 198 1, the United Nations Children's Fund pointed out that the "barefoot doctor" system in China provided primary health care in backward rural areas and provided a sample for underdeveloped countries to improve their medical and health standards. The World Bank and the World Health Organization call China's rural cooperative medical care "the only mode for developing countries to solve health expenses".

Scope of reimbursement for outpatient service of new rural cooperative medical system

(1) village clinics and village center clinics are reimbursed 60%, and the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration for doctors in health centers is 50 yuan.

(2) Reimbursement for medical treatment in town health centers is 40%. The limit of examination fee and operation fee for each visit is 50 yuan, and the limit of prescription drug fee is 100 yuan.

(3) The reimbursement for medical treatment in secondary hospitals is 30%, and the limit of each examination fee and operation fee is 50 yuan, and the limit of prescription drug fee is 200 yuan.

(4) 20% reimbursement for medical treatment in tertiary hospitals, with the limit of each examination fee and operation fee in 50 yuan and the limit of prescription drug fee in 200 yuan.

(5) The prescription attached to the invoice of traditional Chinese medicine is limited to 1 yuan.

(6) The annual compensation limit for rural cooperative medical clinics is 5,000 yuan.

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.