Where the household registration is the agricultural population of this city, all households can participate in the new rural cooperative medical system. Pay the next year's cooperative medical fund period for participating farmers around 65438+February every year, and those who fail to pay within the time limit will no longer enjoy the compensation for hospitalization expenses.
The scope of compensation that does not belong to the new rural cooperative medical fund is as follows:
1. Disability caused by fighting, alcoholism, self-injury, self-mutilation, suicide, drug rehabilitation, illegal crime, industrial injury, dispute, disfigurement, sexually transmitted diseases and traffic accidents; Disability caused by intentional crime, resisting arrest and other intentional acts;
2, dentures, various beauty and bodybuilding projects, non-functional cosmetic surgery, orthopedic myopia, orthosis, qigong therapy, sound therapy and health nutrition therapy, magnetic therapy and other expenses.
3, all kinds of vaccination, health care drugs and self-purchased drugs, unauthorized use of non-essential drugs;
4. During hospitalization, meals, escort, nutrition, air conditioning, ambulance, incubator and special medical materials cost more than beds in general wards;
5, without the approval of the designated medical institutions (for-profit hospitals) hospitalization medical expenses, beyond the scope of inspection fees;
6, other medical insurance for urban workers can not be reimbursed for medical treatment projects and drug costs.
legal ground
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. Twenty-seventh individuals who participate in the basic medical insurance for employees, when they reach the statutory retirement age, will no longer pay the basic medical insurance premium after retirement and enjoy the basic medical insurance benefits in accordance with state regulations; Those who have not reached the fixed number of years prescribed by the state may pay the fees to the fixed number of years prescribed by the state.