2021 New Rural Cooperative Medical Care Policy

The 2021 New Rural Cooperative Medical Care System will start paying fees for the next year in the fourth quarter of each year.

Continue to lower the minimum payment standard. After the integration of urban and rural medical insurance, the minimum payment standard will also be statistically lowered to half of residents' per capita disposable income.

The details are as follows:

1. Complete the integration of the new rural cooperative medical insurance and urban and rural medical insurance and implement basic medical insurance for urban and rural residents;

2. Continue to implement the basic medical insurance for special groups in rural areas Basic guarantees are provided for minimum living allowances, special poverty, registered poor households in rural areas and other needy families;

3. Reimbursement is limited. Medical insurance has a minimum reimbursement line. and cap line, the excess needs to be borne by the individual;

4. Realize outpatient chronic disease reimbursement.

Article 21 of the "Social Insurance Law of the People's Republic of China" New rural social pension insurance benefits consist of basic pensions and personal account pensions.

Rural residents who participate in the new rural social pension insurance and meet the conditions prescribed by the state will receive new rural social pension insurance benefits on a monthly basis.

Article 24 The state shall establish and improve a new rural cooperative medical system.

The management measures for the new rural cooperative medical system shall be stipulated by the State Council.

Article 30 The following medical expenses are not included in the payment scope of the basic medical insurance fund:

(1) Should be paid from the work-related injury insurance fund;

( 2) Should be borne by a third party;

(3) Should be borne by the public health department;

(4) Seek medical treatment abroad.

Medical expenses should be borne by a third party in accordance with the law. If the third party fails to pay or the third party cannot be identified, the basic medical insurance fund shall pay first. After the basic medical insurance fund has paid in advance, it has the right to recover compensation from the third party.

Article 31: Based on the needs of management services, social insurance agencies may sign service agreements with medical institutions and pharmaceutical business units to standardize medical service behaviors.

Medical institutions should provide reasonable and necessary medical services to insured persons.

Article 64 Social insurance funds include basic pension insurance funds, basic medical insurance funds, work-related injury insurance funds, unemployment insurance funds and maternity insurance funds. Except for the basic medical insurance fund and maternity insurance fund, which are jointly established and accounted for, other social insurance funds are accounted for and accounted for separately according to the types of social insurance insurance. Social insurance funds implement the unified national accounting system.

The social insurance funds are earmarked for exclusive use and may not be misappropriated or misappropriated by any organization or individual.

Basic pension insurance funds will gradually implement national coordination and other social insurance funds will gradually implement provincial coordination. The specific time and steps will be stipulated by the State Council.