Rural cooperative medical system is a new type of rural cooperative medical system, referred to as "new rural cooperative medical system". It refers to the farmers' medical mutual aid system organized, guided and supported by the government, in which farmers voluntarily participate and individuals, collectives and the government jointly raise funds. It takes the form of individual donations, collective support and government funding to raise funds.
Rural cooperative medical care includes the following items:
1, basic medical security. Including outpatient service, hospitalization, surgery, medication, examination, diagnosis and treatment and other basic medical services;
2. Critical illness protection. Including rare diseases, special diseases, major diseases and other treatments that require high medical expenses;
3. Temporary mutual assistance. In the rural cooperative medical system, residents can help each other and cope with sudden high medical expenses;
4, outpatient chronic disease management. Rural cooperative medical system can provide management and treatment of chronic diseases in outpatient department, including diabetes, hypertension, chronic lung disease and chronic liver disease.
5. Maternal and child health care. Including maternal health care, newborn health care, child health care and other aspects of medical security.
To sum up, the specific provisions of using the new rural cooperative medical system need to be judged according to the local policies and systems. If in doubt, you can consult the local new rural cooperative medical management institution. At the same time, the insured also need to provide true and accurate materials and medical certificates when using the new rural cooperative medical system to avoid violations or false reimbursement.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 30
The following medical expenses are not included in the basic medical insurance fund payment scope.
1, which shall be paid from the industrial injury insurance fund;
2, should be borne by a third person;
3, should be borne by public health;
4. Go abroad for medical treatment.
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