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Rural cooperative medical care is used for hospitalization reimbursement, and its payment mechanism is to pay one year and manage it for one year. If you don't pay this year, then you don't need to pay again. You can just pay it next year, but if there is something this year, he just can't reimburse you.
But if you pay late, there is one more problem you need to pay attention to if you want to make up for it. The first is the waiting period, because you don't pay at the specified time, for example, he asks you to pay the next year's money in December and November. But if you miss it, then at the beginning of the next year, you will not be able to enjoy this reimbursement.
Treatment, if you pay the money in January, then he will make you wait three months. It should take effect in April. Therefore, it is better to pay the money in advance so that it will take effect next year.
Otherwise, you can't be reimbursed, isn't it just to enjoy the reimbursement treatment by paying NCMS? Because no one knows who is in trouble and when, accidents and illnesses are always uninvited.
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The new type of rural cooperative medical care is now a medical insurance for urban and rural residents, which is guaranteed once a year, and there may be cases of missed payment, and there is no need to make up for the missed payment. It's just that the missed payment cannot be reimbursed if you are sick and hospitalized in the year you are hospitalized.
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Rural cooperative medical care is not social security, so there is no supplementary payment. Rural cooperative medical care is a year's money, just one year, social security is a month's payment of a month's money can be accumulated.
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No, as long as you hand it over that year.
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It is possible to make up for it, but it is not necessary to make up for it. NCMS is a medical insurance for rural residents to be reimbursed for hospitalization when they are sick, and this medical insurance is different from the medical insurance for employees, which must be paid every year, and can be reimbursed in the current year. If you do not pay in the current year, you cannot apply for reimbursement.
The impact of the severance is that medical expenses incurred in the year of the discontinuation of payment will no longer be reimbursed. The specific policies are different in various places, taking Heze City as an example, the Heze Municipal Human Resources and Social Security Bureau and the Municipal Finance Bureau jointly issued the "Notice on Doing a Good Job in the Individual Payment of Basic Medical Insurance for Residents", which stipulates that the establishment of a continuous full payment mechanism for basic medical insurance for residents will be established since then. According to the financing standard of the current year, the individual shall pay the basic medical insurance premiums of the interrupted year in full, including the part paid by the individual and the subsidy part, and the medical expenses incurred in the year of the interruption will not be reimbursed.
Extended Information:1Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by the risk of disease.
Through the employer and individual payment, the establishment of medical insurance**, after the insured person is sick and incurs medical expenses, the medical insurance institution will give him a certain amount of economic compensation.
2.The establishment and implementation of the basic medical insurance system gathers the economic strength of the unit and the members of the society, coupled with the first funding, which can enable the sick members of the society to obtain the necessary material help from the society, reduce the burden of medical expenses, and prevent the sick members of the society from "becoming poor due to illness".
In November, the first batch of 422 diseases and payment methods in Anhui were announced, and from January 1, 2020, urban and rural residents will have a unified payment standard when they seek medical treatment in 18 hospitals in the province. Medical insurance has the basic characteristics of social insurance, such as compulsory, mutual aid and sociality. Therefore, the medical insurance system is usually enforced by national legislation, and the establishment of a first-class system, the cost is jointly paid by the employer and the individual, and the medical insurance premium is paid by the medical insurance institution to solve the medical risk caused by the illness or injury of the worker.
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If the rural cooperative medical insurance has missed payment for one year, if you want to reimburse the expenses of the current year, you cannot achieve the purpose of reimbursement through supplementary payment.
The participation of NCMS is a medical insurance that is paid in advance, and the payment is made one year in advance and the insurance treatment of the following year is enjoyed. That is, if it was paid last year, it can be reimbursed this year; If you pay this year, you will enjoy next year's reimbursement. The cost of breaking off the payment can be made up, but the cooperative medical treatment paid is only to protect the medical treatment of the current year, and it is meaningless to make up for the previous years, it will only waste money, as long as the current year is paid.
The new type of rural cooperative medical insurance, that is, "agricultural insurance," should implement the principles of voluntariness, mutual assistance, openness, and service, and insist that peasants voluntarily participate in it as a family unit. This kind of insurance needs to be paid every year, that is, once a year, but in practice, some people often forget to pay. Remind everyone to pay the cooperative medical treatment in time, and if there is any serious illness or accident, it is too late to make up for it.
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NCMS is a medical insurance that is paid in advance, and if you pay one year in advance, you can enjoy the insurance treatment the next year, and if you miss one year, you will not be able to enjoy the medical insurance policy in the next year, and even if you make up the payment, you can only resume the NCMS medical insurance in the next year.
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Those who miss the payment in the year are not entitled to reimbursement and can make up for it. But you have to pay more, because as long as you break off the payment, if you want to continue to pay in the future, you must pay the previous year, and the part of the state subsidy must be paid by yourself.
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NCMS medical insurance is guaranteed for one year and reimbursed for one year. If you miss a year, there will be no reimbursement for that year, and you can't make up for it. If you want to be covered by health insurance, you must pay the premium every year.
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You can't make up the payment, you can only pay the fee in the next year and enjoy the treatment in the next year.
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Rural cooperative medical insurance missed a year, want to reimburse the words can not make up, has missed the payment of this year, the system can not query, so can not be reimbursed, remind everyone to pay in time to pay cooperative medical care, what serious illness or accident occurs, and then to make up for the end.
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If the rural cooperative medical care is missed for one year, the hospitalization expenses incurred during the missed payment period cannot be reimbursed, and if you want to make up the payment, it can only take effect after two months after the payment is made.
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Resident medical insurance can only enjoy medical insurance benefits in the year of insurance. If you don't pay, you can't be reimbursed, and there is no such thing as making up for it.
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Cooperative medical care is originally paid once a year, and then the current year of hospitalization write-off, there is no omission of payment, if you need to write off the current year is not paid, it is not possible to make up for it, can only be paid in the second year.
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The missing payment cannot be reimbursed in the current year, and it cannot be made up after the payment deadline. I have to wait until the next year to pay it back.
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There is no such thing as missing the payment of rural cooperative medical care, because it is paid every year and used every year, that is, the rural cooperative medical care next year must be paid at the end of this year before it can be used normally and will not affect the reimbursement of illness.
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No additional submission is required. 1. First of all, the policy of NCMS is to solve the problem of difficult and expensive medical treatment for farmers, and the principle of NCMS payment is also based on the principle of autonomy and voluntariness.
2. Secondly, the way of NCMS payment is to take individual payment, collective support and funding for unified funding, which is paid once a year, and is generally collected by the village committee in the village, of course, some areas can also go to the bank to collect and guarantee, and the time of NCMS guarantee is one year.
3. Therefore, if you have not paid NCMS before, and you have not enjoyed the NCMS policy, you do not need to make supplementary payments, and the insurance of NCMS is also time-sensitive.
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Legal analysis: Regardless of whether the NCMS is new, renewed or severed, the cooperative medical management system is recorded, and there is no need to pay back the money of previous years.
NCMS is paid annually, only for one year, participation is voluntary, collected on an annual basis, participation this year, participation next year can not be participated, participation can continue to participate in the year after next, is not mandatory. If an individual wants to participate in the cooperation next year, he can wait until the end of this year to pay the cooperative medical fee for next year, and as long as he pays the money, he can start to enjoy the cooperative medical treatment from January 1 next year.
Legal basis: "Law of the People's Republic of China on Social Association Insurance" Article 2 The State shall establish a social insurance system such as basic endowment insurance, basic medical insurance, work-related injury insurance, unemployment insurance, and maternity insurance, to protect citizens' right to receive material assistance from the State and society in accordance with the law in the event of old age, illness, work-related injury, unemployment, childbirth, etc.
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NCMS can be made up for missing deliveries. The participation of NCMS is the basic principle of voluntary participation of villagers, and the cost of breaking the payment can be made up, but there is no need to make up for it, and the cooperative medical care paid is only to ensure the medical treatment of the current year, and it is meaningless to make up for the previous years, it will only waste money, as long as the payment of the current year can be made. The new type of rural cooperative medical care should implement the principles of voluntariness, mutual assistance, openness, and service, and insist that farmers voluntarily participate in it as a family unit.
According to the relevant policies of the New Rural Cooperative Medical System, farmers voluntarily participate in the NCMS on a household basis, and the financing is implemented once a year, which is valid for the current year, and the payment is paid before the start, and there is no return if they do not enter or return halfway. If the participating farmers intermittently participate, they will not be able to enjoy the reimbursement policy of the new rural cooperative cooperative system in the current year, and can only wait until the next year.
The payment model of the new rural cooperative medical care adopts the method of paying all the premiums of the current year in a lump sum. The state does not stipulate a unified payment period, and the payment period is generally from November to December each year, and the start time of the new cooperative medical treatment in the new year starts from January 1.
Fourth, as a district of the city, its population is relatively small, its NCMS financing tasks may be divided into sub-district offices, or may set up several points in the hospital to charge, NCMS financing is generally carried out in mid-October, before the start of the fund-raising work, to carry out the corresponding publicity work, usually pay more attention to should be able to see, can also consult the district NCMS management department.
Legal basis
Social Insurance Law of the People's Republic of China
Article 26 The treatment standards of basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with the provisions of the State.
Article 27 Individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, the cumulative contributions reach the number of years prescribed by the State, and they will no longer pay the basic medical insurance premiums after retirement, and enjoy the basic medical insurance benefits in accordance with the provisions of the State; If the number of years prescribed by the state has not been reached, the fee can be paid until the number of years prescribed by the state.
Article 28 In line with the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency and rescue medical expenses, in accordance with the provisions of the State from the basic medical insurance ** payment.
Article 29 The part of the medical expenses of the insured persons that should be paid by the basic medical insurance** shall be directly settled by the social insurance agency and the medical institution and the drug business unit.
The administrative department of social insurance and the administrative department of health shall establish a system for the settlement of medical expenses for medical treatment in other places to facilitate the insured persons to enjoy basic medical insurance benefits.
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If you didn't pay it last year, you can still pay it this year, but you can't make up for it.
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.
The new type of rural cooperative medical care covers rural residents, and the funds** are paid by individuals and subsidized by the government.
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Qingdao Pingdu City, Gray Town, North Xiaojia Village, three years of supplement.
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We in Fusong, Jilin Province, also did not pay the NCMS last year, and this year's payment must be made up last year, which level is the highest level.
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This year, I also paid for the first time, 220 yuan in 2019, but at the same time, I paid 180 yuan in 2018 and 150 yuan in 2017! Hehu Town, Fengcheng, Jiangxi.
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You need to pay 600 yuan, Shandong Tai'an is like this, I don't know if it's a local policy or a national rule.
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No, just buy this year's one.
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NCMS didn't copy last year, and I want to pay it the next year, do I need to make up for last year's fees? du
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Reasonable, medical insurance supplementary payment party.
Formula: 1Medicare since.
According to the arrears of medical insurance, the collection department of the institution shall establish the arrears data and information, fill in the "Notice of Supplementary Payment of Social Insurance Premiums", and notify the insured units to make up the arrears;
2.For the insured units that are unable to pay off the arrears in full at one time due to financing difficulties, the collection department of the medical insurance institution shall sign a social insurance supplementary payment agreement with them;
3.The insured unit shall handle the supplementary payment according to the Notice of Supplementary Payment of Social Insurance Premiums or the supplementary payment agreement, and the collection department of the medical insurance institution shall accept it and notify the financial management department of the medical insurance institution to collect the payment;
4.If the bankrupt unit cannot fully pay off the arrears, the collection department of the medical insurance institution shall accept the application submitted by the bankruptcy liquidation group of the unit, and send it to the audit and supervision department for processing after review;
5.The collection department of the medical insurance institution adjusts the arrears information of the insured unit according to the information on the receipt of the arrears from the financial management department and the write-off information from the audit and supervision department.
In the event of merger, division, bankruptcy, etc., the arrears shall be subject to the following methods:
1.If the arrears unit is merged, a supplementary payment agreement shall be signed with the merging party;
2.If the arrears unit is divided, a supplementary payment agreement shall be signed with each separate party;
3.If the arrears unit enters bankruptcy proceedings, it shall sign a repayment agreement with the liquidation group;
4.If the unit is auctioned** or leased, a supplementary payment agreement shall be signed with the competent department.
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Each local policy is different, so it is recommended to consult the local agricultural protection office directly.
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