Rural Cooperative Medical Care and Supplementary Medical Insurance: Payment (insurance) is due from November to December each year.
It will take effect on January 1 of the following year.
Rural cooperative medical insurance refers to a rural medical mutual aid financial system organized, guided and supported by the government, with farmers voluntarily participating, with multi-party financing by individuals, collectives and the government, and focusing on overall planning of serious illnesses.
Funds are raised through individual contributions, collective support and government funding.
Rural cooperative medical care is a mutually supportive and economical medical security system created by my country's farmers themselves. It plays an important role in ensuring farmers' access to basic health services and in alleviating farmers' poverty due to illness and their return to poverty due to illness.
Medical insurance generally refers to basic medical insurance, which is a social insurance system established to compensate workers for economic losses caused by disease risks.
A medical insurance fund is established through employer and individual contributions. After insured persons incur medical expenses for medical treatment, the medical insurance agency will provide them with certain financial compensation.
The establishment and implementation of the basic medical insurance system gathers the economic strength of units and social members, and coupled with government funding, can enable sick members of society to obtain necessary material help from the society, reduce the burden of medical expenses, and prevent the society from falling ill.
Members are “impoverished due to illness.”
Legal basis: "Notice of the General Office of the State Council forwarding the opinions of the Ministry of Health and other departments on the establishment of a new rural cooperative medical system" 4. Fund Management The rural cooperative medical fund is a private social fund funded by farmers' voluntary contributions, collective support, and government funding.
Management must be carried out in accordance with the principles of determining revenue and expenditure, balancing revenue and expenditure, and being open, fair, and impartial. Funds must be earmarked for special use and stored in special accounts, and no misappropriation or misappropriation is allowed.
(1) The Rural Cooperative Medical Care Fund is managed by the Rural Cooperative Medical Care Management Committee and its handling agencies.
Rural cooperative medical care agencies should set up special accounts for rural cooperative medical care funds in state-owned commercial banks recognized by the management committee to ensure the safety and integrity of the funds, establish and improve rules and regulations for the management of rural cooperative medical care funds, and reasonably raise funds and review payments in a timely manner in accordance with regulations.
Rural Cooperative Medical Fund.
(2) The rural cooperative medical care fund’s individual contributions from farmers and support funds for rural collective economic organizations shall, in principle, be collected annually by the dispatched offices (personnel) established by rural cooperative medical care agencies in townships (towns) or entrusted relevant agencies, and deposited
into the special account of the Rural Cooperative Medical Care Fund; local financial support funds will be allocated to the special account of the Rural Cooperative Medical Care Fund by local financial departments at all levels based on the actual number of people participating in the new rural cooperative medical care; the central government's special financial subsidy for the new rural cooperative medical care in the central and western regions
The funds will be approved by the Ministry of Finance based on the actual number of people participating in the new rural cooperative medical care in each region and the availability of funds, and will be allocated to the provincial finance.
The central and local finances at all levels must ensure that subsidy funds are promptly and fully allocated to the special account of the rural cooperative medical care fund, and gradually improve the transfer methods of subsidy funds through the new rural cooperative medical care pilot, simplifying the procedures as much as possible and making them easy to operate.
It is necessary to gradually realize direct fiscal payment based on the reform and improvement of the fiscal treasury management system.
The specific subsidy measures for new rural cooperative medical care funds will be studied and formulated by the Ministry of Finance in consultation with relevant departments.
(3) The rural cooperative medical care fund mainly subsidizes the large medical expenses or hospitalization medical expenses of farmers participating in the new rural cooperative medical care.
Where conditions permit, a combination of large-amount medical expense subsidies and small-amount medical expense subsidies can be implemented to not only improve the ability to resist risks but also take into account farmers' benefits.
For farmers who participate in the new rural cooperative medical care and have not used the rural cooperative medical care fund during the year, a routine physical examination must be arranged.
All provinces, autonomous regions, and municipalities directly under the Central Government must formulate a list of essential drugs for rural cooperative medical reimbursement.
Counties (cities) should scientifically and reasonably determine the payment scope, payment standards and amounts of rural cooperative medical funds based on the total amount of funds raised and local conditions, determine the specific inspection items and methods of routine physical examinations, and prevent overspending or overpayment of rural cooperative medical funds.
More balance.
(4) Strengthen the supervision of rural cooperative medical funds.
Rural cooperative medical management agencies must regularly report the income, expenditure, and use of rural cooperative medical funds to the rural cooperative medical management committee; they must take measures such as posting lists to publish the specific income, expenditure, and use of rural cooperative medical funds to the public on a regular basis to ensure that
Farmers participating in cooperative medical care have the right to participate, be informed and supervise.
The people's government at the county level may, based on local conditions, establish a rural cooperative medical care supervision committee composed of relevant government departments and farmer representatives participating in cooperative medical care to regularly inspect and supervise the use and management of rural cooperative medical care funds.
The rural cooperative medical management committee must regularly report its work to the supervisory committee and the people's congress at the same level and actively accept supervision.
The audit department must regularly audit the income, expenditure and management of rural cooperative medical funds.