1, below 300 yuan, 30% will be reimbursed.
2, 300 yuan above excluding 2000 yuan, 70% reimbursement.
3, more than 2000 yuan, 50% reimbursement.
Proportion of reimbursement of medical expenses in designated medical institutions at county level
1, below 500 yuan, 25% reimbursement.
More than 2500 yuan excluding 10000 yuan, 65% reimbursement.
3, 10000 yuan or more, 50% reimbursement.
Proportion of reimbursement of medical expenses in secondary hospitals
1, below 500 yuan, 25% reimbursement.
More than 2500 yuan excluding 10000 yuan, 55% reimbursement.
3, 10000 yuan or more, 50% reimbursement.
Proportion of reimbursement of medical expenses in tertiary hospitals
1, 1000 yuan, 20% reimbursement.
2. 1000 yuan, excluding the part exceeding 10000 yuan, 45% will be reimbursed.
3, 10000 yuan is not included, which is 40% of the reimbursement time of rural cooperative medical care.
In principle, the medical expenses incurred in that year must be settled before the end of the following year 1.
Benefits of the new rural cooperative medical system
1, the pin ratio increases.
In the past, some farmers were reluctant to participate in the new rural cooperative medical system because they were worried that the medical expenses of illness could not be reimbursed. Even if you are insured, you will choose to cope as much as possible. But now the reimbursement rate of the new rural cooperative medical system has increased to 70%, and even to 90% for poor families, which means that farmers and friends can afford medical expenses no matter where they are, and they don't have to hesitate because of the expenses. The increase in the reimbursement rate of the new rural cooperative medical system has brought greater protection to farmers and reduced the burden.
2, the new rural cooperative medical subsidies increased.
The new rural cooperative medical system not only requires farmers to pay fees, but also gives certain subsidies. Since 2022, the subsidy funds of the new rural cooperative medical system have reached 6 10 yuan. Take the payment of farmers in 350 yuan as an example. After the state subsidizes 6 10 yuan, the insured farmers can get medical insurance benefits totaling 960 yuan. This reform measure makes the payment of insured farmers more cost-effective, more favorable and more cost-effective than the previous plan.
3. The scope of outpatient reimbursement has increased.
In the past, some farmers chose not to participate in the new rural cooperative medical system because outpatient services were not reimbursed. However, today's new rural cooperative medical system no longer limits the scope of outpatient reimbursement. No matter in rural areas, towns or cities, as long as it is a hospital that cooperates with the new rural cooperative medical system, farmers can enjoy the preferential treatment of outpatient reimbursement. This reform has solved the problem that farmers can only go to the city for medical treatment in the past, and also eliminated the inconvenience of enjoying the treatment of the new rural cooperative medical system in hospital.
4. Convenience of reimbursement in different places
There are about 295 million migrant workers in China, accounting for about 20% of the total population. As a large number of migrant workers have left home to go out to work, the past new rural cooperative medical system policy did not support reimbursement in different places, resulting in their inability to enjoy medical security. However, the reform of the new rural cooperative medical system has brought the convenience of reimbursement in different places, and migrant workers can enjoy medical insurance benefits without returning to the local area, which greatly facilitates their medical treatment and reimbursement.
To sum up, the reform of the new rural cooperative medical system has brought tangible benefits to farmers. The reform of the new rural cooperative medical system has provided better medical security and welfare benefits for farmers from the aspects of increasing the proportion of reimbursement, increasing subsidies, expanding the scope of outpatient reimbursement, and facilitating reimbursement in different places. In addition, farmers who have reached the age of 60 can also receive pensions, which provides some support for the elderly in rural areas. Although the cost of the new rural cooperative medical system has increased, compared with before, farmers can enjoy more benefits and a higher reimbursement rate, which is a tangible benefit for farmers.
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.