1. What is the new rural cooperative medical system?

The new rural cooperative medical system is a medical assistance system for farmers, which is organized, guided and supported by the government, with farmers participating voluntarily, and financed by individuals, collectives and the government.

2, the new rural cooperative medical care "new" in what aspects?

(1) government financial subsidy support, the government subsidizes 40 yuan every year (according to the number of participants in each county), and individuals pay 10 yuan every year. If individuals do not pay fees, the government will not subsidize them. (two) the government set up a special agency for management, and the funds were earmarked. Those who manage the accounts are leaking money, and those who manage the money are leaking accounts. Separate and closed management to ensure the safety of funds. (three) hospitalization expenses can be reimbursed according to the proportion, and the establishment of family outpatient accounts, taking into account the reimbursement of outpatient medical expenses (8 yuan per person).

3. What is the significance of establishing a new rural cooperative medical system?

The new rural cooperative medical system is an important part of rural social security system in China. It is funded by the government and is a social welfare. It is mainly to establish a long-term and effective medical security system for farmers, so that farmers can benefit from the new rural cooperative medical system, reduce the economic burden due to illness and improve their health.

4. Can the new rural cooperative medical system run for a long time?

The establishment of the new rural cooperative medical system is to establish and improve a long-term and effective medical security system for rural farmers, and it is a practical and good thing for farmers. The government should not only persist in it for a long time, but also constantly sum up, improve, expand and fully promote it, so that farmers can get practical medical security.

5. Who can participate in the new rural cooperative medical system?

All rural residents with agricultural household registration in this county can participate in the new rural cooperative medical system by households, including migrant workers, business people, employees of various enterprises in this county, temporary workers in various organs and institutions in counties and townships, and agricultural household registration personnel among private teachers. In line with the principle of "every household can leak, every household does not leak people", the system of one household and one license is implemented.

6. Why should all family members participate in the new rural cooperative medical system on a family basis?

Because the cooperative medical system has the nature of mutual assistance and helps a few sick people with everyone's money, farmers are required to participate in the cooperative medical system on a household basis, so as to avoid the situation that the sick people pay and the healthy people don't pay.

7. What are the benefits of participating in the new rural cooperative medical system?

There is an old saying in China, "There are unexpected events in the sky, and people are doomed.". It is inevitable that people will not get sick. If a family member is seriously ill, it may drag down the whole family and affect production and life. Farmers' participation in cooperative medical care is first of all a personal benefit. Judging from the minimum standard, the annual payment 10 yuan, if you get sick, the maximum compensation can reach 20,000 yuan, which is 2,000 times that of an individual. Secondly, the new rural cooperative medical system is supported by the government, and the funds supported by the government exceed the individual contributions of farmers. If farmers do not participate, the government will not subsidize them. Moreover, even if you don't get sick, it is equivalent to helping the villagers and doing a good thing. If you get sick in the future, there is still a chance to make compensation. If you are not sick within two years, you can enjoy a free physical examination.

8. Why should farmers invest in rural cooperative medical care?

This is determined by the nature of cooperative medical care. To enjoy the cooperative medical insurance, it is necessary to undertake corresponding obligations, and farmers themselves must participate. Only by assuming corresponding obligations can we enjoy the right to receive government funding. In fact, the new rural cooperative medical system has reflected the financial support of the government and the collective, but the funds of the government and the collective are limited. Only by involving most people can we expand the financing capacity of the cooperative medical system and give full play to the role of mutual assistance.

9. Why pay money once a year? And pay within the specified time?

The new rural cooperative medical system lasts for one year, and farmers who have not participated in the cooperative medical system during the charging period can only participate in the next year. The purpose of this regulation is to timely and accurately count the number of participants and facilitate the accurate accounting of the cooperative medical fund. Because the normal operation of the cooperative medical system is based on scientific calculation, it is necessary to determine how many compensation standards can make ends meet and how much funds can be absorbed to make ends meet every year.

10. How to raise funds for the new rural cooperative medical system in our county? Can the government financial subsidy funds be guaranteed to be in place? Will the funds be misappropriated?

Farmers voluntarily pay 10.00 yuan each year, and the national, provincial, municipal and county finances subsidize 40 yuan (central 20 yuan, province 15 yuan, 2 yuan, county 3 yuan) every year, with 50.00 yuan per person, all of which are deposited in the special account of the county cooperative medical fund, forming a county-based overall fund, which is specially used for the subsidy of hospitalization medical expenses for participants and

Government funds can only be allocated on schedule after the number of participants has been declared and verified, and the funds for participation will not be misappropriated.

1 1. What preferential policies does the government have for five-guarantee households and poor households to participate in the new rural cooperative medical system?

Vulnerable groups and poor households, such as five-guarantee households, disabled people, poor households with two women's ligation households, martyrs, elderly people over 80 years old, are included in the minimum living security line, and the individual contributions to participate in the new rural cooperative medical system are partially funded by the county civil affairs bureau.

12. All the students at school are insured. Do you want to join the new rural cooperative medical system?

Rural students, including all primary and secondary school students and kindergarten children, have participated in the insurance, and they should also participate in the new rural cooperative medical system with their families, which will benefit both sides. Students from colleges and universities who have moved out of their registered permanent residence and are studying in other places are not allowed to participate.

13. Why do you have to go to a designated medical institution for reimbursement?

(1) Ensure the quality of medical services and the rights and interests of participants. Only medical institutions with certain conditions can be designated medical institutions. (2) easy to manage, to prevent someone from impersonating, taking false bills for reimbursement, and taking cooperative medical funds.

14. Can medical expenses be reimbursed across years?

No, because the validity period of the cooperative medical certificate is one year, and the expired farmers have to continue to pay the cooperative medical fund to remain valid. The so-called cross-year is based on the date of issuance of medical bills. For continuous hospitalization, farmers should pay the cooperative medical insurance fund in time before the expiration of the cooperative medical insurance certificate.

15. Is the office expenses paid by farmers a pooling fund?

No, the office expenses of the new rural cooperative medical system are included in the county budget, and no money will be drawn from the cooperative medical fund. All the money paid by farmers and government-funded money and interest should be used for reimbursement of sick farmers.

16, how to participate in cooperative medical care? What is the time limit for paying the medical cooperation fund?

Farmers voluntarily participate in the family-based cooperative medical system. Every year1October 30th, the participation fee for the next year will be paid according to the standard of 10 yuan per person per year, which will be uniformly collected, registered and filled in by the township joint management offices.

17. When did the participating farmers enjoy the cooperative medical subsidy?

The period from 65438+1 October1to 65438+February 3 1 in the following year is one cycle, and participating farmers can enjoy the medical expenses compensation treatment stipulated by the new rural cooperative medical system. For example, after paying the participation fee in 2007, the time to enjoy the cooperative medical subsidy is from 1 October 2008 to 1 February 2008.

18, what is the use of the cooperative medical fund paid by farmers themselves?

The cooperative medical co-ordination fund paid by each participating farmer every year, in which 8 yuan set up a family fund account with the family as the unit, and the rest of 2 yuan, together with the subsidies from the central and local governments, formed the county-wide rural cooperative medical co-ordination fund for co-ordination reimbursement of farmers' serious illness.

19. how to use the family account fund?

Family account Fund (8 yuan per person) is mainly used for reimbursement of outpatient medical expenses of family members. The principal and interest belong to the family, and the balance is carried forward to the next year for cumulative use, but cash cannot be withdrawn, and it shall not be used to pay the participation fee payable by individuals in the next year.

20. How to reimburse family account's funds?

The medical expenses incurred by participating farmers in the outpatient clinics of designated medical institutions (county hospitals, township hospitals and village hospitals) shall be paid in advance by patients temporarily, and after treatment, they shall be reimbursed to the joint management department of township hospitals with cooperative medical certificate, ID card (household registration book), special prescription of new rural cooperative medical system and medical expense invoice, or by installments.

2 1, how to use the cooperative medical fund?

The overall fund is set as a serious illness overall fund, a risk reserve fund and a health check-up fund.

The risk reserve is drawn according to 12% of the overall fund, which is used to prevent the cooperative medical fund from overdrawing or to deal with the emergency of major accidents.

The health examination fund is extracted according to the per capita 2 yuan standard, and used for the health examination of participating farmers who have not incurred outpatient and hospitalization expenses for two consecutive years.

The serious illness pooling fund is the rest except the risk reserve fund and the health examination fund, which is mainly used to compensate the medical expenses of participating farmers.

22. What are the designated medical institutions in our county?

1) County People's Hospital, County Traditional Chinese Medicine Hospital, County Maternal and Child Health Station, and Township Health Center.

2) Participate in the designated hospitals in the village where the farmers live (outpatient treatment only).

23, all levels of designated medical institutions reimbursement standards?

The township deductible line in 80 yuan, the reimbursement ratio is 60%, and the capping line is 3,000 yuan; County deductible line 200 yuan, reimbursement rate of 50%, capping line of 8000 yuan;

800 yuan, municipal deductible line, reimbursement rate of 35%, capping line 10000 yuan;

Above the municipal level, the deductible line 1000 yuan, the reimbursement ratio is 30%, and the capping line is 20,000 yuan.

If the participating farmers are hospitalized many times within one year, the total reimbursement for medical expenses shall not exceed 20,000 yuan.

24. What medical expenses subsidies can participating farmers enjoy when they are hospitalized?

The scope of subsidy is: bed fee, treatment fee, medicine fee, operation fee, laboratory fee, electrocardiogram, X-ray, B-ultrasound examination and other necessary examination fees.

25. How to enjoy the family planning medical subsidy?

If the participating farmers give birth normally in the plan and are hospitalized, each case will be reimbursed for medical expenses 150 yuan. If cesarean section is selected due to dystocia, hospitalization will be subsidized according to the reimbursement standard of serious illness pooling fund. (The hospital delivery person must bring a valid birth certificate)

26. What medical expenses will not be reimbursed by the new rural cooperative medical system?

The hospitalization subsidy fund is mainly used to subsidize the medical expenses incurred by farmers in hospitalization due to illness. Not all medical expenses are within the scope of reimbursement. The medical expenses that are not reimbursed by the new rural cooperative medical system in our county mainly include:

(1) Medical expenses of those who did not participate in the cooperative medical system;

(2) Self-purchased medicine fee, heating fee, water and electricity fee, out-of-hospital consultation fee, surcharge for roll call operation, washing fee, food fee and ambulance fee;

(3) The expenses for assembling artificial limbs, dentures, artificial eyes, hearing AIDS, organ transplantation, valve replacement and pacemakers, physiotherapy equipment, cosmetic surgery and medical expenses for its sequelae, infertility, sexually transmitted diseases and sexual dysfunction, abortion and induced labor, etc.

(4) Medical expenses for injuries, disabilities, drug abuse, alcoholism, suicide, homicide, self-mutilation, traffic accidents, medical malpractice, medical appraisal and work-related injuries and occupational diseases caused by the export of labor services;

(five) medical expenses for recuperation, rehabilitation, self-diagnosis, treatment and unauthorized transfer to hospital (except emergency) in non-designated medical institutions;

(6) medical expenses incurred in unplanned hospital delivery;

(7) During the treatment period, medical expenses unrelated to diseases, medical expenses unrelated to diagnosis in prescriptions, medical expenses beyond the scope of examination, medical expenses not in accordance with doctor's advice, and fraudulent medical expenses are used outside the catalogue of new rural cooperative medical care in Gansu Province;

(8) Blood transfusion, albumin and tonic drugs.

(nine) other medical expenses, living services and service facilities that are not reimbursed by the cooperative medical system as stipulated by the county joint management office.

27. What provisions did the participating farmers violate that they should not be reimbursed or must return the subsidized medical expenses?

1) Lend my cooperative medical certificate to others for use;

2) Alter the cooperative medical certificate, medical expense receipt, medical record, prescription, etc. without authorization. ;

3) Because I don't abide by the provisions of the cooperative medical system, I can't submit an expense account or affect the reimbursement and make trouble without reason;

4) other violations of cooperative medical management regulations.

28. What are the precautions for participating farmers to see a doctor in the county?

When farmers need medical treatment and hospitalization due to illness, they should go to designated hospitals for medical treatment or go through hospitalization procedures with cooperative medical certificate, ID card or household registration book. (If the photos on the cooperative medical care certificate are incomplete or not posted, the recent registration photos of the patients shall be submitted to determine their identity). If you are hospitalized in a county-level hospital, you will bring your cooperative medical certificate, household registration book (ID card) and hospitalization diagnosis certificate to the county joint management office to issue a treatment notice on the same day or within three days of hospitalization; In township hospitals, in order to facilitate farmers' participation, the managers of township hospitals act as agents.

29. How to reimburse the medical expenses of participating inpatients?

Farmers who are hospitalized in designated medical institutions due to illness should pay a deposit before going through hospitalization procedures. During hospitalization, the cooperative medical certificate shall be temporarily kept by designated medical institutions. After the patient is discharged from the hospital for paying the expenses of Saijiu, he/she will be reimbursed the hospitalization subsidy expenses in the joint management department of the designated medical institution with the cooperative medical certificate, ID card (household registration book), discharge certificate, copy of prescription, detailed list of charging items, expense settlement list and other related documents (if accidental injury occurs due to farm work, a letter of introduction from the village committee should be attached, which will be audited and sealed by the township joint management office).

30. How to calculate the reimbursement method?

(1) deductible. (2) Reduce the expenses outside the drug list. (3) multiplied by the reimbursement ratio. (4) If it exceeds the capping line, it shall be paid according to the capping line.

Calculation method = (total expenses-unreclaimed expenses-floating line) × reimbursement ratio of medical institutions%

3 1. How to go abroad for medical treatment?

The cooperative medical patient needs to be transferred to a designated medical institution at or above the county level for hospitalization due to illness. The attending doctor of the designated medical institution at the county level shall be transferred to the hospital for treatment with the cooperative medical certificate, ID card or household registration book, and then reported to the county joint management office for approval. Under special circumstances, if it is too late for critically ill patients to go through the referral procedures, they can report to the county joint management office by telephone (44286 15) first, and then go through the relevant procedures.

32. What information should the patient bring when he leaves the hospital?

Diagnosis certificate, discharge summary, copy of hospitalization medical records (stamped with the official seal of the hospital), expense settlement list, detailed list of charging items, and approval form for referral.

33. What are the regulations for hospitals going abroad for medical treatment?

1) Designated hospitals in Zhangye City: Zhangye People's Hospital, Zhangye Traditional Chinese Medicine Hospital, Zhangye Maternal and Child Health Station and Zhangye Red Cross Psychiatric Hospital;

2) Hospitals above the provincial level must be non-profit hospitals.

34. How do patients who go abroad for medical treatment reimburse their medical expenses?

After discharge, the patients who were transferred for medical treatment will bring relevant information to the county joint management office for registration, fill in the transfer registration form and the notice of medical treatment, go to the township health center where they are located or transfer out the joint management department of designated medical institutions for settlement and reimbursement. Without the approval and registration of the county joint management office, medical expenses will not be reimbursed in principle.

35. How is the use of drugs in the list regulated during hospitalization?

When designated medical institutions use drugs outside the list of basic drugs for cooperative medical care, the proportion of township-designated medical institutions in the total drug expenses shall not exceed 10%, and county-level designated medical institutions shall not exceed 15%. When it is necessary to use drugs outside the catalogue due to illness, the consent of the participating patients must be obtained.

36. How to manage the county-wide rural cooperative medical fund?

The county-wide rural cooperative medical fund implements a three-way co-management system of finance, joint management office and bank, with special financial account management, joint management office and bank management, which restrict each other, separate money from accounts, and operate in a closed way to ensure that the cooperative medical fund is fully used for reimbursement of farmers' medical expenses.

37, how to supervise the county rural cooperative medical fund?

A supervision committee composed of county people's congress, CPPCC, Commission for Discipline Inspection, supervision, price control and auditing departments, and farmers' representatives participating in the cooperative medical care system was established in the county to inspect and supervise the use and management of the cooperative medical care fund every six months. County New Rural Cooperative Medical System Office regularly publicizes fund reimbursement and accepts social supervision; The audit department regularly conducts special audits on the use of funds.

38. What are the requirements for filling in the new cooperative medical certificate?

The new rural cooperative medical certificate should be stamped with a unified seal, with accurate content, standardized number (10), complete photos posted, and consistent with the name of my ID card, and shall not be altered.

39, the "new rural cooperative medical certificate" is lost, how to reissue?

In the process of use, the cooperative medical certificate shall not be wrong. If it is lost or damaged, I will apply and introduce it to the village Committee. After being audited by the township joint management office, it was handed over to the county joint management office for replacement.

40. How do migrant workers participate in cooperative medical care?

Migrant workers to participate in cooperative medical care in the domicile must be reported to the county joint management office for the record by telephone, fax and letter. After discharge, you can go to the county joint management office for review with discharge certificate, copy of medical records (stamped with the official seal of the hospital), hospitalization invoice, detailed list of expenses and proof of work, and then transfer to the health center where the household registration is located for reimbursement of subsidies. Special circumstances can not return, their close relatives can carry relevant materials to handle.

4 1. Can you handle the reimbursement procedures in time? How long will it take to get the reimbursement?

Yes, as long as the procedures are complete, you can usually check out on the same day, and you can get reimbursement after checking out. Special circumstances cannot be reimbursed on the same day, and the staff will explain.

42. What should we farmers do in the face of the new rural cooperative medical system?

"Life is more important than a thousand dollars", a person's life is only once. Everyone gathers firewood and the flames are high. Farmer friends, let's work together. Under the correct leadership of the new central government, we will help each other in the same boat, resist the risk of serious illness and pave the way for health and happiness with the help of the government.

43. Song who participated in the publicity of the new rural cooperative medical system

The sun shines on the earth and the policy benefits thousands of households. Participate in the new rural cooperative medical system, and medical care is guaranteed.

Individuals pay less, the government pays more, and poor households are subsidized by the Civil Affairs Bureau.

Participated in the new rural cooperative medical system, with subsidies for medical treatment, light family burden and guaranteed health.

Listen to the people in the same village, look at the people who take the money, and calculate the economic account, which is cost-effective.

Early participation benefits early. You can't make up for it without participating. What a good policy. Let's join the insurance.

44, the new rural cooperative fund-raising propaganda song

Spend 30 cents a day to participate in health insurance, 10 dollars for individuals and 40 dollars for the government.

Take eight dollars from ten dollars, deposit them in family account, and leave two dollars, which is the serious illness pooling fund.

Help people without illness, help people with illness, cooperate and help each other, and medical care is guaranteed.

45, cooperative medical fund management propaganda song

The cooperative medical fund and medical insurance fund will not be paid by individuals, and the government will not give up.

The fund has a special account, which is managed separately, but the money is not in the account and the money is not in the account.

Please rest assured that the fund will be used for special purposes, and the usage will be publicized for everyone's supervision.

46. Participate in farmers' hospitalization propaganda songs.

See a doctor at the selected point, complete documents, proof of identity cooperation, and nothing is lacking.

The doctor diagnosed, came to the Agricultural Association, filled in the notice, and the hospital paid the deposit.

When the patient is in hospital, the prescription should be copied and the patient should sign it. When he left the hospital,

Pay the money for settlement, make a settlement list, and go through the reimbursement procedures in the hospital management department.

47, participating farmers hospitalization reimbursement ratio propaganda song

Township hospitals, the proportion of 60, the threshold fee of 80, the highest 3000.

County-level hospitals, the proportion is 50, the threshold fee is 200, and the maximum is 8 thousand.

Municipal hospitals, the proportion is 35, the threshold fee is 800, and the highest report is 1 10,000.

Provincial hospitals, the proportion is 30, the threshold fee 1000, the maximum is 20,000.

How to calculate reimbursement? If the expenses are reduced, and then the expenses are not reported, multiply it by the reimbursement ratio.

48. Participating farmers promote propaganda songs.

If a serious illness is transferred to a hospital, it needs to be transferred step by step, and the county-level hospital shall fill in the referral approval form.

Come to the agricultural cooperative, go through the examination and approval procedures, and transfer to the designated place to treat the disease.

When I leave the hospital, I will take five data samples, a medical certificate and a settlement invoice.

Fill in the discharge summary, complete the expense list, copy the medical record and affix the official seal of the hospital.

Take everything with you when you come, then go to the Agricultural Association, fill out the notice and the hospital will reimburse you.

49, cooperative medical certificate management propaganda song

The cooperative medical certificate should be stamped with a unified seal, with photos and names.

The word is the same as the ID card. Don't change it. Every family has a number, with a * * * ten digits.

After reimbursement for medical treatment, the voucher will be recorded. If you lose your certificate, go to the village Committee.

Issue a letter of introduction, and after the township audit, transfer it to the management office for supplementary documents.