Job Recruitment Website - Social security inquiry - Can the old rural cooperative medical system be reimbursed together with social security?
Can the old rural cooperative medical system be reimbursed together with social security?
The new rural cooperative medical system and social insurance are two different medical security systems, with different management institutions, fund sources and reimbursement scope, so it is generally impossible to directly combine reimbursement. Specifically, the new rural cooperative medical system is medical insurance that rural residents voluntarily participate in. The fund mainly comes from individual contributions and government subsidies, and the scope of reimbursement is mainly basic medical care, common diseases and chronic diseases, with relatively narrow coverage. Social insurance includes basic medical insurance for employees, social medical insurance for urban and rural residents and basic medical insurance for urban residents. The source of funds is mainly paid by the insured and the employer, and the scope of reimbursement is generally wide, including basic medical care, outpatient service, hospitalization and serious illness medical care. Therefore, if it is necessary to reimburse medical expenses, it is suggested to choose the appropriate medical insurance system for reimbursement according to the specific situation.
The payment terms of the new rural cooperative medical system are as follows:
1. Payment subjects: The payment subjects of the new rural cooperative medical system are rural residents, including farmers, members of rural cooperatives, individual workers, laid-off workers in cities, etc.
2. Payment standard: The payment standard for rural residents to participate in the new rural cooperative medical system is formulated by the local government, which is generally determined according to the average income of local residents, medical security needs and other factors. According to national regulations, the payment standard of the new rural cooperative medical system shall not exceed 4% of the per capita disposable income of local residents;
3. Payment method: Under normal circumstances, the payment method of the new rural cooperative medical system is jointly paid by individuals and the government. Among them, the part paid by individuals can be paid by individuals themselves or reduced or exempted by the government. Part of the government is generally subsidized by local finance;
4. Payment cycle: The payment cycle of the new rural cooperative medical system is generally one year, that is, it needs to be paid once a year. The specific time and payment amount vary according to local policies and regulations.
To sum up, because the implementation time, policies and regulations of the new rural cooperative medical system will vary from region to region, the specific payment conditions and standards should be understood and determined according to local policies and regulations.
Legal basis:
Article 1 of People's Republic of China (PRC) Social Insurance Law
In order to standardize the social insurance relationship, safeguard the legitimate rights and interests of citizens to participate in social insurance and enjoy social insurance benefits, enable citizens to enjoy the fruits of development and promote social harmony and stability, this Law is formulated in accordance with the Constitution.
second
The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law when they are old, sick, injured, unemployed and have children.
essay
The social insurance system adheres to the principles of wide coverage, basic protection, multi-level and sustainability, and the level of social insurance should be compatible with the level of economic and social development.
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