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Proportion of reimbursement of medical insurance for new rural cooperative medical system and employees
1, employee medical insurance: the reimbursement ratio is relatively high, generally 70-80%;
2. New Rural Cooperative Medical System: The reimbursement rate is relatively low, generally 50-70%. When reimbursement is made in different places, the reimbursement ratio may be only 30-40%.
The handling process of the new rural cooperative medical system generally includes the following steps:
1. Registration: Applicants need to register at the local new rural cooperative medical service station, provide relevant identification, household registration book, rural land contractual management right certificate and other materials, and fill in relevant application forms.
2. Payment: Payment is one of the necessary conditions for participating in the new rural cooperative medical system. Applicants need to pay the corresponding insurance fees. For specific payment standards and methods, please consult the local new rural cooperative medical service station.
3. Audit: After the applicant submits the application, the new rural cooperative medical service station will conduct an audit to verify whether the materials provided by the applicant are true and effective.
4. Get a medical insurance card: After approval, the applicant can get a new rural cooperative medical insurance card, which records the basic information of the insured and the relevant information of medical insurance.
5. Use medical insurance card: Cardholders can seek medical treatment in qualified designated medical institutions, and use medical insurance card to settle accounts and reimburse medical expenses.
To apply for the new rural cooperative medical system, you need to provide the following information:
1. identification of farmers: rural residents need to provide identification materials such as ID cards and household registration books.
2. Hukou book or certificate: Hukou book or relevant certificate is required to prove that the applicant and his family members live in the countryside.
3. Application Form: You need to fill in the application form of the new rural cooperative medical system, including the basic information of the applicant and family members, family income, medical insurance category, etc. It needs to be filled in the application form.
4. Photo: One-inch photo of the applicant is required.
5. Other materials: According to different regions and conditions, it may be necessary to provide other materials, such as family income certificate and medical institution diagnosis certificate.
To sum up, the handling process of the new rural cooperative medical system may be slightly different in different regions, and the specific operation needs to be carried out according to the local actual situation.
Legal basis:
"Interim Regulations on the Collection and Payment of Social Insurance Fees in People's Republic of China (PRC)" Article 2.
These Regulations apply to the collection and payment of basic old-age insurance premiums, basic medical insurance premiums and unemployment insurance premiums (hereinafter referred to as social insurance premiums).
The units and payers mentioned in these Regulations refer to the units and individuals that should pay social insurance premiums in accordance with relevant laws, administrative regulations and the provisions of the State Council.
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