A survey on the implementation of the new cooperative medical system in rural areas

1. What is the new type of rural cooperative medical care?

The new type of rural cooperative medical care, referred to as "NCMS", refers to the system of mutual medical assistance and mutual aid for farmers that is organized, guided and supported by the first and the other, with the voluntary participation of farmers, and the financing of individuals, collectives and multiple parties. Funds are raised by means of individual payment, collective support and funding.

All rural residents who are registered in the place and have been born after 90 days and urban residents who have not participated in the basic medical insurance for urban employees can participate (there is no upper age limit). In addition, those who have already participated in the basic medical insurance for urban employees and the safety insurance for students do not need to participate in the new rural cooperative medical care.

The new type of rural cooperative medical care is a medical security system created by Chinese farmers themselves, which has played an important role in ensuring that farmers have access to basic health services and alleviating the poverty caused by illness and the return to poverty due to illness. It provides a model for the problems that are common in all countries in the world, especially in developing countries, and has been well received not only by the peasant masses at home but also by the international community.

Second, the basic situation of the new type of rural cooperative medical care.

Scope of insurance: Rural residents who have reached the age of 16 (excluding school students) and have not participated in the basic old-age insurance for urban employees can voluntarily participate in the insurance at the place of household registration.

Payment method: resident payment, Zhengwang file Sakura subsidy. Since 2013, the subsidy standard for NCMS has been raised from 240 yuan per person per year to 280 yuan per person per year.

Within the scope of the policy, the reimbursement ratio of hospitalization expenses will be increased to about 75%, and the pilot work of major disease protection for 20 diseases such as childhood leukemia, congenital heart disease, colon cancer, and rectal cancer will be fully promoted.

3. The reimbursement process for new rural cooperative medical care.

1) Fill in the "Basic Medical Insurance Non-local Work and Residence Personnel Declaration Form" and affix it;

2) List of required reimbursement: In general, it is necessary to have a discharge statement, a list of expenses, a discharge summary, a copy of the case, a copy of the ID card, a copy of the household registration book, and a referral certificate in the health center;

3) Take the completed "Application Form" to the social security institution for review;

4) After passing the review, you can directly rely on the medical insurance card to settle the card in the networked medical institutions and pharmacies.

Through the above detailed introduction, I believe that you have a basic understanding of what the new rural cooperative medical care is and the reimbursement scope of the new rural cooperative medical system, if you have other legal questions, welcome to consult a lawyer, we will have a professional lawyer to answer your doubts.

Hello, you can log in to the Social Security Bureau** to inquire.

The reimbursement of the new type of agricultural cooperative ,,, is not transparent, and the amount of reimbursement is not the same as the township and village accounts

a>] (1) The outpatient fee is set at x yuan, according to the title:

1-30%)x=280, solution: x=400 (yuan) (2 points) (2) If the actual inpatient medical expenses within one year are 18,000 yuan, then he should pay the medical expenses out of pocket as:

3500+13000 RMB) (3 points).

3) The actual medical expenses of the farmer in the current year are total x yuan, 5000, and 15000 7500

The actual hospitalization medical expenses of the farmer must exceed 20,000 yuan (1 point): 7,500 + (x-20,000) points).

x-20000）×

Therefore: x-20000=15000

x=35000 (yuan) (1 point).

Answer: If a farmer is reimbursed 15,000 yuan for medical expenses due to his hospitalization within one year, the actual medical expenses of the farmer that year will total 35,000 yuan