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The New Rural Cooperative Medical System (medical insurance for urban and rural residents) is paid once a year, and the payment is guaranteed for one year, and there is no guarantee if you do not pay. If the payment is interrupted for one year, the protection will be lost for one year, and the protection will continue after the renewal of the policy.
1. In some areas, there is a liability exemption period after the payment is interrupted, and the re-payment is made during the exemption period, and the outpatient (emergency) and hospitalization can be reimbursed immediately after the insurance is successful. (as per local policy).
2. If the exemption period is exceeded, and the urban and rural residents re-pay the medical insurance after the payment is stopped, some areas need to wait for the period, that is, the expenses incurred after a period of time can be reimbursed.
3. In some areas, the premium for 2020 will be collected in 2020; In some areas, the premium for 2020 will be collected at the end of 2019.
4. Since you need to pay the financial subsidy part after a certain period of time (taking Guilin City as an example, the individual payment is 250 yuan, the financial subsidy is 550 yuan, and only 250 yuan is required to be paid before July 1, 2020, and 800 yuan is required to be paid after July 1), it is recommended to pay in time.
According to the new regulations, by 2020, the per capita subsidy for medical insurance for urban and rural residents will also increase by 30 yuan. As long as the conditions are met, the minimum subsidy per person per year will not be less than 550 yuan. In other words, although the payment amount has been increased to 280 yuan, we can enjoy a financial subsidy of 550 yuan for medical insurance.
In contrast, farmers pay only half the price. It's still very cost-effective for seniors who often need health insurance.
Can I still pay the fee in the second year after the NCMS is terminated? Regarding this issue, if you do not pay NCMS this year, you do not need to make up when you pay next year, because the principle of NCMS payment is voluntary payment and voluntary payment, which is not mandatory, and it is paid once a year.
This fee is guaranteed for one year. If you don't pay NCMS this year, you can't use NCMS for reimbursement if you are sick and hospitalized this year, because you don't enjoy NCMS benefits this year. , so you don't need to make up for the second year, you only need to pay the fee for the current year.
NCMS has now been integrated with the medical insurance for urban residents into the medical insurance for urban and rural residents. However, some places are still called "NCMS", after the integration of NCMS into medical insurance for urban and rural residents, its payment method and reimbursement method have not changed from the original NCMS, but the overall level has been improved, the original NCMS is county-level overall planning, and after integration, it has been upgraded to prefecture-level and city-level overall planning. The improvement of the overall planning level makes it more convenient for the insured to seek medical treatment when they are sick, and they can better choose medical institutions for medical treatment.
Therefore, it can be used on the NCMS.
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You can renew the year of the break, and you can enjoy the reimbursement of hospitalization expenses immediately.
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After the medical insurance payment is repaid, you can enjoy the reimbursement of hospitalization expenses, which is not affected in any way.
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You must pay all the money yourself and then make up all the money before you can enjoy the reimbursement of hospitalization expenses.
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6 months. Because the waiting period for medical insurance is 6 months, it takes 6 months to enjoy the reimbursement of hospitalization expenses after repayment.
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You can enjoy it after a month, and there is basically no time difference, so it is very convenient to use.
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You can usually only get this help for the next year, because you pay for the following year.
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As long as you pay the hospitalization expenses within one year, you can contact the Social Security Bureau for reimbursement.
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Although it can be repaid after the severance of the relationship, there is a limit to the payment time of NCMS, it is paid within a fixed period of each year, and if the payment is not made within the specified period, it will have to wait until the next year. New agricultural cooperation is a basic social security, which has now become very popular throughout the country, and whether to pay or not is voluntary, and if you pay enough for one year, you will be reimbursed for one year's medical treatment. NCMS is paid annually, and if the relationship is severed in the middle, it will definitely affect the use, and it is not recommended to break the relationship.
1. What is the impact of the severance of diplomatic relations with NCMS?
The payment standard of the New Year's agricultural cooperative cooperative system has been increased a lot in recent years, if the family population is large, a lot of money will be paid at one time, which makes many farmers dissatisfied, feel that it is too expensive, and do not want to pay, so some people will stop paying every year. NCMS is paid annually, paid for one year, and if it is not paid for one year, then there is no guarantee for that year, and you cannot enjoy the benefits of NCMS medical reimbursement. For example, the NCMS paid in 2019 will take effect on January 1, 2020, if you do not pay the fee, then you will not be able to enjoy the ** subsidy, medical reimbursement and other benefits of the NCMS throughout 2020.
Although it is possible to re-intercourse after the severance of diplomatic relations, it is more troublesome to re-interfer, and many friends who have severed diplomatic relations with NCMS have said: It is not cost-effective.
Second, after the severance of diplomatic relations, do you need to make up for the previous one?
Many people want to pay it again after a year or a few years, can they pay it again? Do I need to make up the previous fee for repayment? Cooperative medical care can be repaid, if there is a break in the middle, just re-apply for payment, no need to make up the previous expenses, because cooperative medical care is charged once a year, and there is no need to make up for it if it has passed, and you can continue to enjoy the benefits of medical reimbursement if you repay.
But for the general public, no one can guarantee that they will not get sick for a year, and it will be too late to pay if they are sick. Although it can be repaid after the severance of the relationship, there is a limit to the payment time of NCMS, it is paid within a fixed period of each year, and if the payment is not made within the specified period, it will have to wait until the next year.
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First of all, if NCMS has been suspended for one year, it is okay to hand it over after a few years, which is stipulated in the relevant laws and regulations of NCMS, so there is no need to worry about not being able to pay it again. In this regard, NCMS is also different from employee medical insurance. If you pay the money this year, then you can enjoy medical benefits such as reimbursement for serious illness and proportional reimbursement for hospitalization this year.
The premium of NCMS is only valid for one year, which can be described as a real "overdue period".
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If the diplomatic relationship is severed this year, it can be used next year to pay the agricultural cooperative medical insurance.
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Summary. If the medical card is interrupted in the middle, the continued payment is generally interrupted within 3 months, and the medical insurance will take effect in the next month after the renewal, regardless of whether it is repaid. If it is interrupted for more than 3 months, it will not take effect until 6 months after the renewal.
If the payment is severed, before the time when the medical insurance treatment takes effect, the medical expenses incurred due to hospitalization cannot be reimbursed, and if you happen to be sick and hospitalized during this period, then all the expenses must be borne by the individual, which is still a relatively large burden for the individual.
NCMS has been cut off for one year, and how long does it take for the re-payment to take effect.
NCMS has been cut off for one year, and how long does it take for the re-payment to take effect.
The NCMS was bought at the end of the year, and it will take effect on the 1st of the next year's yuan nuclear crack, that is, from January 1 of the next year, and all diseases within the scope of reimbursement can be reimbursed.
If the medical card is interrupted in the middle, the continued payment is generally interrupted within 3 months, and the re-payment is renewed, regardless of whether it is repaid, and the medical insurance will take effect in the next month after the re-renewal. If it is interrupted for more than 3 months, it will not take effect until 6 months after the renewal. If the payment is severed, before the time when the medical insurance treatment takes effect, the medical expenses incurred due to hospitalization cannot be reimbursed, and if you happen to be sick and hospitalized during this period, then all the expenses must be borne by the individual, which is still a relatively large burden for the individual.
I consulted about rural cooperative health care.
I didn't pay it before, but if I paid it in May, how long will it take to take effect?
After the NCMS is paid, it will take effect from the day of the payment. Generally speaking, if NCMS misses the payment time, it is known that the core cannot take the orange digging to make up the payment, but there are also some areas that can make up the payment, but they need to pay in full.
If you pay it in May, then it will take effect in June.
Oh, we should be able to make up for it here.
In the short term, you can go to the local social security bureau to make up the payment, and the first level of celery can be effective after paying for it within 1 or 3 months, and it will take effect after 6 months if it is paid for more than 3 months; And as long as you have a social security card or medical insurance card, you can participate in the NCMS for the next year before the deadline for payment.
If you can make up for it, it's preferable, then it will take effect in one month.
Oh. If you break off diplomatic relations for a year, it may take 6 months before it takes effect, depending on the policies of each place.
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NCMS medical insurance can be severed, because NCMS is voluntary, not compulsory; For specific insurance recipients, there are unemployed urban residents and rural residents. If you stop paying, you will not be able to enjoy the protection in the next year, and if you want to pay in the future, you can participate in the insurance, if you have not bought employee medical insurance, it is recommended that NCMS should not be cut off.
The difference between social security and NCMS.
1. The payment standard is different.
The annual payment fee for the new agricultural union is about 200 yuan, and the minimum annual payment for social security is 1,000 yuan. If your salary is high, the higher the amount you need to pay, so from the perspective of the payment standard, the social security is much higher than that of NCMS. Generally speaking, for people with stable jobs, they have a fixed income, and a fixed amount of contributions is no problem for them, but for most farmers who do not have a job, it is obviously more cost-effective to choose NCMS, unless they have a long-term job, then it is more appropriate to choose social security.
2. The reimbursement ratio is different.
The reimbursement in social security is mainly medical reimbursement, including inpatient medical expense reimbursement, general outpatient reimbursement, etc.; For different regions, NCMS also has different reimbursement ratios, and outpatient reimbursement is larger than that of social insurance, and there is also reimbursement for serious illnesses.
As for which reimbursement ratio is higher, it depends on whether you are in a township hospital or a municipal hospital, and in a township hospital, NCMS reimbursement will be more cost-effective; If you are in a municipal hospital or above**, the reimbursement ratio of social security will be higher.
It is worth noting that the higher the level of the hospital, the reimbursement ratio will be significantly lower, and in this regard, NCMS and social security are the same.
Generally speaking, the reimbursement ratio of social security is generally between 70% and 85%, and the reimbursement ratio of NCMS is between 50% and 70%. This may vary slightly depending on the policy and region.
The difference between commercial medical insurance and social medical insurance.
1. Different attributes: commercial medical insurance is a supplement to social security medical insurance to protect people's health; The medical insurance in social security is a kind of basic medical security.
2. Different subjects: commercial medical insurance is operated by commercial insurance companies; Social security is operated and managed by ** or its established institutions.
3. Different implementation methods: commercial medical insurance is based on the principle of voluntary participation of both parties; Social security, on the other hand, is mandatory.
4. Different protection functions: commercial medical insurance mainly protects medical treatment; In addition to medical security, social security also has a variety of guarantees such as pension, maternity, and unemployment.
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If the social security is stopped, it is possible to pay for rural medical insurance. The social security to NCMS belongs to the high to low, that is, the payment of the NCMS fee in the current month and the enjoyment of the NCMS treatment in the next month, and the subsequent payment is once a year and a lifelong payment. First of all, to transfer to rural insurance, you need to stop social security, and bring the original unit of the social security bureau to issue a payment voucher, as well as my ID card, household registration back to the place of household registration, directly to the township social security office to apply for insurance, but the treatment enjoyed by the employee medical insurance and the new rural cooperative medical insurance is not used, the reimbursement ratio of employee medical insurance is higher than that of rural medical insurance, it is recommended that you can first attach to the company's name to continue to pay social security, or you can find a new job as soon as possible to renew the medical insurance.
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NCMS can be cut off for a few years, but during the period of severance of diplomatic relations, it cannot enjoy the benefits of NCMS medical insurance.
In addition, if NCMS has been paid for several years, there is no need to make up the fee when paying again, because the principle of NCMS payment is based on the principle of autonomy and voluntariness, which is not mandatory, and the fee payable is paid once a year. However, NCMS can only be paid within the specified payment time, and it cannot be paid again after the expiration date.
NCMS is paid annually, so it is only for one year, whether to participate in NCMS is voluntary, farmers can choose to participate or not according to their personal needs, but if they do not pay this year, then next year, they will not be able to enjoy any reimbursement benefits related to NCMS.
Legal basis. Article 24 of the Full Text of the Social Insurance Law of the People's Republic of China The State shall establish and improve a new type of rural cooperative medical system. The management measures for the new type of rural cooperative medical care shall be stipulated by ***.
Article 26 of the Full Text of the Social Insurance Law of the People's Republic of China 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.
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