rural cooperative medical service
The new rural cooperative medical system (hereinafter referred to as the "new rural cooperative medical system") refers to the mutual medical assistance system for farmers, which is organized, guided and supported by the government, voluntarily participated by farmers, and jointly funded by individuals, collectives and the government.
Reimbursement scope of rural cooperative medical care
The reimbursement scope of rural cooperative medical care includes: emergency and rescue medical expenses; Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items and medical service facilities standards. The state establishes and improves the new rural cooperative medical system, and the medical expenses within the scope of reimbursement are directly settled by social insurance agencies, medical institutions and pharmaceutical business units.
Can I make up the medical reimbursement expenses?
According to relevant regulations, the new rural social endowment insurance benefits consist of basic pension and personal account pension. Rural residents who participate in the new rural social endowment insurance meet the conditions stipulated by the state and receive the benefits of the new rural social endowment insurance on a monthly basis. The payment of rural cooperative medical system is usually carried out annually, and the participants need to pay the medical insurance fee within the specified time.
Participants who miss the deadline for payment are generally not allowed to make up. This is because the payment period is determined by relevant policies and regulations, and it may not be possible to pay again after the expiration. But the specific policies and regulations may vary from region to region.
To sum up, the payment of rural cooperative medical care is a risk-taking mechanism. If the payment is allowed, it may cause some people to delay or wait until they are sick, which will undermine the fairness and sustainability of the system. At the same time, it will increase the difficulty and cost of management and affect the operating efficiency of the system.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 24
The state establishes and improves the new rural cooperative medical system.
Measures for the administration of the new rural cooperative medical system shall be formulated by the State Council.
Article 28
Medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency rescue shall be paid by the basic medical insurance fund in accordance with state regulations.