The second reimbursement of the new rural cooperative medical system is also called the compensation of the serious illness insurance of the new rural cooperative medical system: the participating farmers don't have to pay another penny, and the serious illness insurance fund is allocated from the balance of the new rural cooperative medical system according to the standard of 15 yuan per person per year. Once a farmer suffers from a serious illness, on the basis of enjoying the reimbursement of the new rural cooperative medical system, he can enjoy a second reimbursement of not less than 50% if his out-of-pocket expenses exceed 1 000 yuan.
Medical assistance for serious illness: it refers to a new medical assistance system that relies on the basic medical insurance for urban residents (employees) and the settlement platform of the new rural cooperative medical system, with stable capital investment, * * * using the service platform, * * * enjoying information resources, synchronizing settlement and payment, standardized management and operation, and obvious relief effect, which can provide fast services for people in need and cover scientific and standardized urban and rural areas.
Rescue target:
1, rural five guarantees;
2. People in cities and towns who have no ability to work, no source of economic income and no dependents (hereinafter referred to as "three noes" in cities and towns).
3. Minimum living guarantee for urban and rural residents;
4, enjoy the civil affairs department regular quantitative living allowance in the sixties to streamline retired workers;
5, enjoy the key entitled groups of the civil affairs department regular pension subsidies;
6. Poor workers approved by the Federation of Trade Unions;
7. Urban and rural low income family members.
Extended data:
The new rural cooperative medical system (hereinafter referred to as the "new rural cooperative medical system") refers to the mutual medical assistance system for farmers, which is organized, guided and supported by the government, voluntarily participated by farmers, and jointly funded by individuals, collectives and the government. It takes the form of individual donations, collective support and government funding to raise funds.
On June 5438+ 10, 2002, China clearly proposed that governments at all levels should actively guide farmers to establish a new rural cooperative medical system with serious illness as the focus. In 2009, China made an important strategic plan to deepen the reform of the medical and health system, and established the position of the new rural cooperative medical system as the basic medical security system in rural areas. 20 15 65438+29 10, the State Health Planning Commission and the Ministry of Finance issued a notice on doing a good job in the new rural cooperative medical system in 20 15, proposing that the per capita subsidy standard of financial departments at all levels should be raised from 20 14 to 60 yuan and reach 380 yuan.
In 20 17, the per capita subsidy standard of financial departments at all levels for the new rural cooperative medical system was raised from 30 yuan to 450 yuan on the basis of 20 16, in which: the central government subsidized the newly-increased part according to the proportion of 80% in the western region and 60% in the central region, and subsidized the provinces in the eastern region according to a certain proportion. On the basis of 20 16, the individual payment standard of farmers is raised in 30 yuan, and in principle, the national average reaches about 180 yuan. Explore the establishment of a stable and sustainable financing mechanism that is compatible with the level of economic and social development and the affordability of all parties.
"Second reimbursement" refers to the residents of urban residents' medical insurance or the new rural cooperative medical system. If high medical expenses occurred last year, in addition to normal reimbursement, you can apply for critical illness insurance again, and there is no capping line. Under normal circumstances, the second reimbursement is reimbursed by the citizen's unit.
References:
Baidu Encyclopedia-Medical Assistance for Serious Diseases, Baidu Encyclopedia-New Rural Cooperative Medical System