The difference between public medical care and social security

According to the Measures for the Administration of Free Medical Care, free medical care is a social security system implemented to protect national staff and provide free medical care and preventive services through medical departments according to regulations.

Free medical care refers to a social security system implemented by the state to protect national staff and provide free medical care and preventive services to those who enjoy it through medical and health departments in accordance with regulations. At present, many places in China have abolished the system of free medical care, but some cities are still implementing it, such as Guangzhou. The abolition of free medical care has been done, but the progress is slow. Cancel public medical care and incorporate it into employee medical insurance. If the two are simply merged, it means that state employees will enjoy the same medical treatment as enterprise employees.

Who can enjoy free medical care?

According to the Measures for the Administration of Free Medical Care, the main clients of free medical care are national staff and students. , as follows:

1, state organs, political parties and people's organizations at all levels spend money from the state budget and are in the process of staffing.

2, all levels of culture, education, science, health, sports, economic construction and other institutions paid by the state budget wages, staff in the establishment.

3. Wage expenditure is within the national budget and belongs to the grass-roots industrial and commercial and tax personnel of the country.

4. Full-time staff of the All-China Federation of Trade Unions, local trade unions at all levels and industrial trade unions, as well as staff of institutions organized by trade union leading organs at or above the county level and implementing full budget management.

5, belongs to enjoy free medical care units, approved by the long-term rest due to illness of supernumerary personnel, long-term support and supernumerary personnel to be allocated.

6, long-term pension in rural second-class disabled revolutionary servicemen and disabled revolutionary servicemen reeducation through labor, disabled revolutionary servicemen.

7, belongs to the retirees enjoy free medical care units, retired workers without military status working in the army.

8. Employees of administrative institutions who do not enjoy free medical care will enjoy retirement benefits in the State Council, and the civil affairs department will issue pensions after retirement.

9. Students and graduate students (excluding those who are entrusted to train and work as cadres at their own expense) enrolled in the plan of ordinary colleges and universities (excluding military academies) officially approved by the state, students who have been suspended for one year due to illness and retain their school status, and fresh graduates of colleges and universities who cannot be assigned jobs within one year due to illness.

10, graduate students enrolled by scientific research institutions enjoying free medical care.

1 1, contract cadres and workers recruited by units enjoying free medical care (excluding contract workers who implement labor insurance and welfare as a whole).

12, other personnel who enjoy free medical care as stipulated by the central government and the State Council.

The difference between public medical care and medical insurance

1, with different concepts. Medical insurance means that employees or residents can get affordable and appropriate medical technology that can be provided to them at present when they are sick. However, free medical care refers to a social security system implemented by the state to protect national staff and provide free medical care and preventive services to those who enjoy it through medical and health departments according to regulations.

2. The people covered are different. The population covered by medical insurance includes employees and residents, but public medical care is limited to civil servants.

3. Scope of protection. Compared with the coverage of medical insurance, public medical insurance is larger and the reimbursement ratio is higher.

4. The burden subjects are different. Public medical care shall be borne by the unit and included in the departmental budget; Medical insurance is paid by the social security fund, and those who enjoy medical insurance are the employees of the stripped enterprises and the employees of the original institutions.

5. The reimbursement rate is different. Free medical care is paid by the unit and fully reimbursed. Medical insurance shall be implemented in accordance with the reimbursement ratio stipulated by the state, provinces and cities.

Reimbursement scope of public medical care

1. Medical expenses (including bed fee, examination fee, medicine fee, treatment fee, operation fee, etc. ) medical staff who enjoy free medical treatment in designated medical units.

2, because of emergency can't go to the designated medical units, in the nearest medical units (state-owned, collective) medical expenses.

3 on business or holidays to visit relatives, in the local medical units (state-owned or collective) medical expenses.

4. The medical expenses for short-term recuperation or rehabilitation after hospitalization for operation or critical illness shall be approved by the competent department of public medical care after the original treatment unit puts forward its opinions and obtains the consent of the unit where it belongs; Medical expenses for non-surgical or non-critical illness convalescence or rehabilitation shall be recommended by designated hospitals, approved by the unit, approved by the competent medical department, and treated at public expense.

5. Because the original treatment unit has no drugs, it is necessary to purchase (referring to national pharmacies or other medical units) and attach the medical expenses certified by the hospital.

6, according to the provisions of the transfer of medical units (national, collective) medical expenses.

7. Medical expenses for family planning operation.

8, due to illness, the treatment unit issued a certificate to install imported artificial organs, not exceeding the highest domestic price.

9, organ transplantation due to illness, according to the principle of public medical care, units and individuals share the burden, the cost should be borne by public medical care.

10, medical expenses for work injury and disability.

1 1, the cost of precious nourishing drugs (including blood products) necessary for rescuing critically ill patients or treating public injuries.

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