1. Village-run and village-managed. That is, the cooperative medical station (point) to build their own, and managed by the village committee, its funding by the village collective economic organization (or village retention) and the village masses *** with the implementation of the object is limited to the village residents, individuals enjoy the scope of the cooperative medical care and standards are set by the village, it is the past China's rural cooperative medical care in the form of the main. For example, in 1985, in the suburban counties of Shanghai, the implementation of cooperative medical care in 3037 villages, by the village village management accounted for 83.5%.
2. Village-run and township-controlled. In this model, the cooperative medical station (point) is still by the village committee to build, cooperative medical funding by the collective and individual **** with the fund-raising, but to enjoy the scope and standard by the village, township negotiation to develop the funds by the township health center or township cooperative medical management committee unified management, by village accounting, funding overruns by the villages to be self-financed.
3. Village joint-type. In this model, the cooperative medical station (point) by the township, village district construction, cooperative medical funding in addition to the village collective retention and personal contributions, the township regime also subsidizes part of the funds; funds by the township unified management, the township and the village divided into accounting, retention and reimbursement rate by the township, village consultation to determine the scope of the enjoyment of the standard by the township regime unified development. For example, in 1985, 13% of the rural cooperative medical care in the suburban counties of Shanghai belonged to this model.
4. Township-run and township-managed. In this mode, the cooperative medical station (point) is responsible for the preparation and construction by the township-level authority, and the funds for cooperative medical treatment are raised by the township, village and individual, and managed and accounted for by the township, and the scope and standard of enjoyment are formulated uniformly by the township.
5. Multi-party participation. In this model, in addition to the township and village levels of rural grass-roots power, there are other places to participate in the preparation of rural cooperative medical stations (points). For example, Shanghai Jinshan County, Hubei Jianli County, etc. in the local government and the public's support, the initial establishment of cooperative medical health insurance system. In Tingxin Township, a pilot township in Jinshan County, for example, the township has set up a "Cooperative Medical Care Health Insurance Management Committee," with the participation of the county health bureau, the county people's insurance branch company, and the township government in its management and coordination, and the participation of rural residents on a voluntary basis on a household basis, and of enterprises on a business basis on a township (including village) basis, with the payment of fees for registration by the township's "Health Management Committee. The rural residents participate voluntarily on a household basis, and enterprises in townships (including villages) on an enterprise basis; they pay fees and register, and the township "health management committee" issues health care cards, with which they are referred to the doctor or to the doctor at each level, and are reimbursed for their medical expenses according to a certain percentage. Statistics, from 1987 to 1989, the township **** raise health care insurance fund of 1.075 million yuan, during the same period, the township paid 1.435 million yuan, of which 413,000 yuan by the patient to pay, 1.022 million yuan paid by the health fund, and another expenditure of 450,000 yuan of management fees, revenue and expenditure is basically balanced.
6. The major disease co-ordination type. In this model, the cooperative medical care is only responsible for reaching the "big disease" standard of the rural community's medical problems, general diseases are not included in the scope of cooperative medical care. For example, Gaoyou City, Jiangsu Province, has implemented a cooperative medical care system for major illnesses, the basic content of which is: each person pays about 1.5 yuan per year for the co-ordination of funds, which are stored in the township's special account, and members of the rural community are reimbursed 20% of the medical expenses of 50-100 yuan at one time, and 30-40% of the expenses of 100-500 yuan at one time, and so on, with the maximum reimbursement of 70%, with more than 700,000 farmers in the city's 32 rural towns voluntarily taking part in this model. rural residents in the city's 32 rural townships have voluntarily enrolled in this cooperative medical care for major illnesses.
7. Mixed-guarantee type. In some places, a comprehensive rural grassroots security system has been set up, in which cooperative medical care is included. For example, Shiqu Township in Lucheng County, Shanxi Province, and Changyuan Village in Yuantan Township, Linxiang County, Hunan Province, have set up grass-roots social security systems in the townships and villages, in which cooperative medical care and old-age pension security are the basic contents, thus making them networked and comprehensive.
The above different models of rural cooperative medical system are in the process of exploration and development, the village-based or township-based good, single good or comprehensive protection is still debated. In some places, they are called medical social insurance or medical insurance, which is not yet true. Therefore, they all belong to the rural cooperative medical security, its in the multi-party financing, income for expenditure, comprehensive services, to protect the health of residents are the same.