What does it mean to freeze the new rural cooperative medical insurance? The freezing of new rural cooperative medical insurance refers to a means that participating farmers violate the new rural cooperative medical insurance policy, but they can't operate and reimburse in the reimbursement system of the new rural cooperative medical insurance in that year, and at the same time keep the family new rural cooperative medical insurance account. If the bank account is frozen, the money is still there, but it can't be withdrawn. Similarly, the account of the new rural cooperative medical system still exists, which is only used to reimburse patients, and it is generally displayed in gray on the computer.
What do you mean by mutual transformation between social security and new rural cooperative medical system? The difference between social security and new rural cooperative medical system;
First, the new rural cooperative medical system: first, only farmers can participate; Second, the whole family must participate as a family; Three, the new rural cooperative medical system to pay once a year, once a year to participate in this year to enjoy reimbursement; Fourth, due to the limited financing of the new rural cooperative medical fund, the security is slightly lower; Fifth, the new rural cooperative medical system is a national policy, and the ultimate goal is to solve the problem of "poverty caused by illness and returning to poverty due to illness".
Second, the medical insurance in social security is different. It has the characteristics of "low level and wide coverage". Payment is based on the cost that most units and individuals can afford at a low level, covering all units and employees in cities and towns, and employees in different units can enjoy the rights of basic medical insurance. The insured can enjoy it for life after completing the payment period. Secondly, the basic medical insurance has the characteristics of "burden on both sides and combination of unified accounts"; Based on the principle of "balance of payments". Enjoy treatment according to uniform standards.
What does the new rural cooperative medical system mean? How many "new rural cooperative medical systems" have been reported? Refers to the * * * organization, guidance, support, voluntary participation of farmers, individual, collective and * * * multi-party financing, with serious illness as the main medical mutual aid system for farmers. The new rural cooperative medical system is a medical security system created by farmers themselves in China, which has played an important role in ensuring farmers' access to basic health services, alleviating poverty caused by illness and returning to poverty due to illness. The reimbursement scope of the new rural cooperative medical system includes outpatient compensation, hospitalization compensation and serious illness compensation.
Reimbursement standard
Outpatient compensation
60% of the medical expenses of village clinics and village center clinics are reimbursed, and the prescription drug fee limit for each visit is 10 yuan, and the prescription drug fee limit for temporary rehydration of hospital doctors is 50 yuan.
40% reimbursement for medical treatment in the town health center, with the limit of examination fee and operation fee for each visit, and the limit of prescription drug fee 100 yuan.
The reimbursement for medical treatment in secondary hospitals is 30%, with the limit of each examination fee and operation fee in 50 yuan and the limit of prescription drug fee in 200 yuan.
Third-level hospitals will be reimbursed 20% for medical treatment. The examination fee and operation fee for each visit are limited to 50 yuan, and the prescription fee is limited to 200 yuan.
Chinese medicine invoice with prescription, limit 1 yuan.
The annual compensation limit for rural cooperative medical clinics is 5000 yuan.
Hospitalization compensation
Reimbursement scope:
A. Drug expenses: auxiliary examination: examination expenses such as electrocardiogram, X-ray fluoroscopy, radiography, laboratory tests, physiotherapy, acupuncture, CT, nuclear magnetic resonance, etc., limited to 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 the town health center, and the daily treatment and nursing expenses are compensated 10 yuan, with the limit of 200 yuan.
Reimbursement ratio: town health centers reimburse 60%; 40% reimbursement for secondary hospitals; Third-level hospitals are reimbursed 30%.
Serious illness compensation
Compensation from town risk fund: if the medical expenses of inpatients participating in cooperative medical care exceed 5,000 yuan at one time or for the whole year, they should be compensated by stages, that is, 5001-kloc-0/0000 yuan is 65%, and10001-8000 yuan is 75%.
The annual compensation limit of town-level cooperative medical system hospitalization, uremia outpatient hemodialysis and tumor outpatient radiotherapy and chemotherapy is 1. 1 ten thousand yuan.
The special diseases reimbursed by the new rural cooperative medical fund are: chemotherapy and radiotherapy for malignant tumors; Hemodialysis and peritoneal dialysis for severe uremia; Anti-rejection therapy after tissue or organ transplantation; Schizophrenia with mental retardation; Systemic lupus erythematosus (one of the complications of heart, lung, kidney, liver and nervous system); Aplastic anemia; Anticoagulation therapy after cardiac surgery. Other special diseases that can be reimbursed shall be subject to local specific policies.
Specific outpatient treatment of special diseases includes necessary supportive treatment and symptomatic treatment of systemic and local reactions during treatment, while general adjuvant treatment is not included in the scope of reimbursement.
What does the new rural cooperative medical system mean in the social security service center? The new rural cooperative medical system, referred to as the "new rural cooperative medical system", refers to the farmers' medical mutual aid system, which is organized, guided and supported by * *, with farmers participating voluntarily, and raising funds by individuals, collectives and * * *. Take individual contributions, collective support and * * * funding to raise funds.
Create background
The new rural cooperative medical system is a medical security system created by farmers themselves in China, which has played an important role in ensuring farmers' access to basic health services, alleviating poverty caused by illness and returning to poverty due to illness. It provides a model for common problems in the world, especially in developing countries, which is not only welcomed by farmers at home, but also well received internationally. 1974 At the 27th World Health Assembly in May, third world countries generally expressed warm concern and great interest. In its annual report 1980 ~ 198 1, the United Nations Children's Fund pointed out that the "barefoot doctor" system in China provided primary health care in backward rural areas and provided a sample for underdeveloped countries to improve their medical and health standards. The World Bank and the World Health Organization call China's rural cooperative medical care "the only mode for developing countries to solve health expenses". In the course of nearly 50 years' development, cooperative medical care has gone through the embryonic stage in 1940s, the initial stage in 1950s, the development and peak stage in 1960s and 1970s, the disintegration stage in 1980s and the recovery and development stage since 1990s. Facing the problems encountered in the traditional cooperative medical system, the Ministry of Health organized experts and local health institutions to conduct a series of special studies, which laid a solid theoretical foundation for the establishment of a new rural cooperative medical system. 1At the end of 1996, the Central Committee and the State Council held a national conference on health work. Comrade * * pointed out in his speech: "Now many rural areas have developed cooperative medical care, which has won the hearts of the people, and the people call it' popular project' and' moral policy'. With the continuous development of China's economy and society, more and more people are beginning to realize that the "three rural issues" are fundamental issues related to the overall situation of the party and the country. Without solving the problem of farmers' medical security, the goal of building a well-off society in an all-round way cannot be achieved, let alone the complete establishment of a modern society. A lot of theoretical research and practical experience also show that it is imperative to establish a new rural cooperative medical system.
The new rural cooperative medical system has been piloted in some counties (cities) in China since 2003, and will gradually cover rural residents in China by 20 10.
Progress and objectives
On June 5438+00, 2002, the * * * Decision of Central the State Council on Further Strengthening Rural Health Work clearly pointed out: "A new rural cooperative medical system should be gradually established", "By 2065, the new rural cooperative medical system should basically cover rural residents", and "since 2003, the central government has arranged according to the annual per capita 10 yuan. "The obligation of farmers to participate in cooperative medical care and resist the risk of disease cannot be regarded as increasing the burden on farmers."
This is the first time in the history of China that large-scale investment has been made to solve the basic medical and health problems of farmers. Since 2003, based on the principle of multi-party financing and farmers' willingness, the pilot areas of new rural cooperative medical care have been increasing. Through the experience summary of the pilot areas, it has created a solid theoretical and practical foundation for the comprehensive development of the new rural cooperative medical system in the country in the future. By the end of 2004, 3 10 counties had participated in the new rural cooperative medical system, with 65438 counties. According to the requirements of the 11th Five-Year Plan, by 20 10, the coverage rate of the new rural cooperative medical system in rural areas will reach more than 80%.
Problems existing in practice
1, low social satisfaction
The most basic and important point of social insurance is that it emphasizes not the equality of individual costs and benefits, but the social satisfaction of insurance benefits [7]. As a kind of social insurance, the satisfaction of farmers who benefit from the new rural cooperative medical system and taxpayers who are subsidized by it plays an important role in its success. The survey found that some farmers did not participate in the new rural cooperative medical system mainly because the level of the new rural cooperative medical system was low, farmers did not understand it, and they were afraid of policy changes, thinking that they were using their own insurance money to compensate others. However, farmers' dissatisfaction with participating in the new rural cooperative medical system is mainly due to the low level of security and the complicated procedures of participation and claim settlement. In addition, unfair policies lead to low social satisfaction of the new rural cooperative medical system.
2. Low barrier level
The new rural cooperative medical system is an economic system of mutual medical care for farmers, which focuses on overall planning of serious diseases and settlement of minor diseases. This definition shows that the new rural cooperative medical system is to help farmers with medical expenses for diseases, but outpatient service, falls and injuries are not covered by this insurance. This provision makes the actual income of farmers not as great as expected.
3. The publicity of rural cooperative medical system is not in place.
The existing propaganda mainly introduces the superficial benefits brought by the new rural cooperative medical system to farmers, without establishing farmers' risk awareness and display focus, and without investigating those farmers who do not participate, which makes the propaganda stay in form. Many farmers don't really understand the significance of the new rural cooperative medical system. They only consider their short-term gains and losses. There is no need to spend that money because they are in good health and have a low probability of hospitalization. There are also some farmers who think that, like the previous compulsory education deposit, they were finally cheated by * *, thinking that they would use their insurance money to compensate others. The propaganda did not give farmers specific compensation standards, which made them feel cheated when they saw that so many medicines could not be paid.
4. The registration and claim settlement procedures of rural cooperative medical care are too complicated.
First of all, the registration procedures for participating in the new rural cooperative medical system are cumbersome. Secondly, the claims procedure of rural cooperative medical care is also very complicated. Urban residents' medical insurance can mortgage a part of medical expenses, pay directly on the card and settle afterwards. Foreign medical insurance allows hospitals, doctors and insurance companies to have direct interests rather than patients. The new rural cooperative medical system in Wuyishan requires farmers to pay in advance, so if some farmers can't borrow money and still look down on the disease, they should go to the cooperative medical reimbursement center to declare with relevant procedures and finally go to the credit union to withdraw money. Some villages are far from the reimbursement center and credit cooperatives, and the round-trip fare is more expensive. The cumbersome registration and claim settlement procedures have added a lot of trouble to farmers who have not graduated and reduced their satisfaction.
Significance of architecture
After more than 20 years of reform and opening up, great changes have taken place in rural areas of China, and the economy has developed by leaps and bounds. However, economic development has not brought much benefit to farmers on the issue of medical treatment. China's population accounts for 22% of the world, but its medical and health resources only account for 2% of the world. Of the only 2% medical resources, 80% are concentrated in cities. From 1998 to 2003, the per capita income of farmers increased by 2.48% annually, but the medical and health expenditure increased by 1 1.48% annually, nearly five times as much as the former. According to relevant media reports, up to now, half of the farmers in rural areas of China have neglected the disease for economic reasons. In economically developed areas like Guangdong, 40.08% of people were ill and didn't see a doctor, and 23.35% of people should be hospitalized instead of hospitalized. In addition, the coverage of social security in China is still very narrow, which is not enough to solve the "worries" of farmers. In the vast rural areas, the social security system is basically in a "blank zone". Disease, like a sword hanging over the heads of peasant brothers, is a common phenomenon in rural areas of China. During the 11th Five-Year Plan period, the economic and social transformation of China will be further deepened. In order to realize this transformation smoothly, the whole society needs to establish a strict and reliable safety net. Therefore, the medical and health problems of farmers have gone far beyond the problem itself. This is not only a question of respecting farmers' minimum survival rights, but also an inevitable requirement of building a fair and just harmonious society. How to solve farmers' difficulty in seeing a doctor? Looking back at history, we have solved this problem, and it was under very difficult conditions. 1993 the world bank's annual development report "investment and health" points out: "until recently, (China) has been an important exception for low-income countries ... by the end of 1970s, medical insurance covered almost all urban population and 85% rural population, which was an unparalleled achievement for low-income developing countries." In the early 1980s, the rural population still accounted for 80% of the national population, but the average life expectancy in China has increased from 36 years in the early days of the founding of New China to 68 years. Experts admit that this kind of health performance is based on the "three magic weapons" of "putting the focus of medical and health work in rural areas", supplemented by the three-level public health and medical service network in counties and villages, the "barefoot doctors" team born and bred in every rural community and the cooperative medical system. Therefore, it is necessary to strengthen rural health work and develop rural cooperative medical care.
You must have more money in your account than 20 yuan. The exact amount varies from place to place. You can consult the local rural medical insurance department. You pay 20 yuan a year, plus the local financial burden, which is the amount of money you should enjoy this year. Of course, use it less once. In the coming year, there will be a new number for you to use. Zhushun!
What does the new rural cooperative medical system mean? Thank you. The new rural cooperative medical system is the abbreviation of the new rural cooperative medical system.
The new rural cooperative medical system is the decision on further strengthening rural health work made by the national rural health work conference in 2002. 2002? 13). It is a major social security project, an important measure to solve the problem of poverty caused by illness of farmers and herdsmen, and the basic guarantee for building a harmonious socialist society. The implementation of the new cooperative medical system is of great significance to promote the all-round progress and development of society. In 2008, the new cooperative medical system was widely promoted.
What does 240 yuan, the subsidy standard of the new rural cooperative medical system, mean? In 20 12 years, the new rural cooperative medical system's financing standard is that individuals pay 50 yuan, and all levels subsidize a lot of 240 yuan.
What is the significance of medical insurance for serious illness? Can the new rural cooperative medical system be insured? You can apply completely. Nowadays, many diseases are regarded as serious diseases. If there is any ambiguity, please continue to give it to me and adopt it for me. Thank you!
What does it mean that the new rural cooperative medical system is a family planning certificate? Family planning certificate is a certificate for grass-roots family planning management departments to record citizens' marriage, childbearing and birth control in order to standardize management and service. In practical work, there are mainly "Birth Certificate", "Reproductive Health Service Certificate" and "Marriage and Childbearing Certificate of Floating Population".
What does it mean to refund the new rural cooperative medical system? I suggest you call the social security number 12333 to find out.