For example, the urban and rural poor (including orphans) are fully subsidized;
One or two types of subsistence allowances and urban full security objects are funded according to the standard difference of 220 yuan;
Three or four types of low-income objects, urban differential security objects and people returning to poverty are subsidized according to the standard difference of 160 yuan;
Those who are easy to return to poverty (monitoring personnel) and those who have been out of poverty are funded according to the standard difference of 100 yuan.
The latest Notice on Basic Medical Security for Urban and Rural Residents, jointly issued by the National Medical Security Bureau, the Ministry of Finance and State Taxation Administration of The People's Republic of China, stipulates this standard. However, it should be noted that although the charging standard of cooperative medical care has increased, the per capita financial subsidy standard of residents has also increased. For example, in the past, the proportion of reimbursement for hospitalization was small, and after the increase, the proportion of reimbursement reached 80%, and hospitalization only required 20% of the money, which reduced a lot of economic burden. In fact, according to the national policy in recent years, it is to let farmers become the biggest beneficiaries after paying the cooperative medical care.
Reimbursement of rural medical insurance
1, outpatient compensation:
(1) village clinics and village center clinics are reimbursed 60%, and the prescription drug fee limit for each visit 10 yuan, and the prescription drug fee limit for temporary rehydration for doctors in health centers is 50 yuan.
(2) Reimbursement for medical treatment in town health centers is 40%. The limit of examination fee and operation fee for each visit is 50 yuan, and the limit of prescription drug fee is 100 yuan.
(3) The reimbursement for medical treatment in secondary hospitals is 30%, and the limit of each examination fee and operation fee is 50 yuan, and the limit of prescription drug fee is 200 yuan.
(4) 20% reimbursement for medical treatment in tertiary hospitals, with the limit of each examination fee and operation fee in 50 yuan and the limit of prescription drug fee in 200 yuan.
(5) The prescription attached to the invoice of traditional Chinese medicine is limited to 1 yuan. (6) The annual compensation limit for rural cooperative medical clinics is 5,000 yuan.
2, hospitalization compensation
(1) Reimbursement scope: A. Drug expenses: supplementary examination: examination expenses such as electrocardiogram, X-ray fluoroscopy, radiography, laboratory test, physiotherapy, acupuncture, CT and nuclear magnetic resonance, etc. 200 yuan; Surgical expenses (refer to the national standard, reimbursement exceeding 1000 yuan 1000 yuan). B, the elderly over 60 years old are hospitalized in Xingta Town Health Center, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.
(2) Reimbursement ratio: town hospitals reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.
3. Compensation for serious illness
(1) town risk fund compensation: where the medical expenses of inpatients participating in rural cooperative medical insurance exceed 5,000 yuan at one time or throughout the year, they should be compensated by stages, that is, 5001-kloc-0/0000 yuan will be compensated by 65%,10001-.
(2) The annual compensation limit for hemodialysis, radiotherapy and chemotherapy in the town-level cooperative medical system inpatient and uremia clinic is1.65,438+0.000 yuan.
How to participate in rural medical insurance?
After rural residents understand the payment standard of rural medical insurance, what they want to know most is how to participate in the insurance. The staff of the Social Security Bureau said that when rural residents apply for rural medical insurance, they can apply for rural medical insurance at the village (neighborhood) Committee where the household registration is located with the original and photocopy of the household registration book and the second-generation ID card, choose the payment grade, and fill out the new rural social medical insurance registration form in duplicate, and then they can apply for rural medical insurance.
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 25 The state establishes and improves the basic medical insurance system for urban residents.
The basic medical insurance for urban residents combines individual contributions with government subsidies.
People who enjoy the minimum living guarantee, disabled people who have lost their ability to work, elderly people and minors over 60 years old in low-income families, etc. , subsidized by the government.
Notice of the Ministry of Finance of State Taxation Administration of The People's Republic of China and the National Health Insurance Bureau on Doing a Good Job in Basic Medical Security for Urban and Rural Residents in 2022
First, raise the fund-raising standard reasonably.
In order to adapt to the growth of medical expenses and basic medical needs, and protect the medical insurance rights and interests of the insured, in 2022, we will continue to raise the financing standard of basic medical insurance for urban and rural residents (hereinafter referred to as "residents' medical insurance"). Finance at all levels will continue to increase subsidies for residents' medical insurance. The per capita financial subsidy standard will be raised in 30 yuan, reaching not less than 6 10 yuan per person per year, and the individual payment standard will be raised in 30 yuan, reaching 350 yuan per person per year. The central government will continue to subsidize local governments in different grades according to regulations. The western and central regions respectively give subsidies according to 80% and 60% of the per capita financial subsidy standard, and the eastern provinces respectively give subsidies according to a certain proportion. Co-ordinate arrangements for urban and rural residents' serious illness insurance (hereinafter referred to as "serious illness insurance") funds to ensure that the funding standards and treatment levels are not reduced. Explore the establishment of a dynamic financing mechanism linked to residents' medical insurance financing standards and per capita disposable income, and further optimize the financing structure. Release the household registration restrictions of flexible employees such as employees with new forms of employment. Conscientiously implement the provisions of the "Provisional Regulations on Residence Permit", and grant subsidies to those who hold residence permits to participate in medical insurance for local residents according to the same standards as local residents.