Paying 100 yuan every year can offer 100 000 medical fee at most

Paying 100 yuan every year can offer 100,000 medical fee at most
Set up basic medical insurance systems of urban and rural residents, strives to make the whole province spreads out at the end of the year in pilot project of Sanya
Yesterday, reporters learnt from saving human resources and social security drawing room, Sanya combined the basic medical insurance and new rural cooperative medical insurance of urban residents, and started the basic medical insurance pilot work of urban and rural residents at last the end of October. According to saving the annual work programs of human resources and social security drawing room, will strive to start the basic medical insurance pilot work of urban and rural residents in the whole province in an all-round way at the end of this year, set up and improve the basic medical insurance system which cover urban and rural residents.
Pilot project of Sanya
Set up basic medical insurance systems of urban and rural residents
It is introducedded, the thematic meeting of provincial government was determined on June 30 last year, the pilot project that Sanya went ahead of the rest, combine the basic medical insurance and new rural cooperative medical insurance of urban residents, set up basic medical insurance systems of urban and rural residents. At the end of October in the same year, the basic medical insurance pilot work of the urban and rural residents in Sanya is started formally.
After pilot work is started, Sanya combines and amalgamates with the function new rural cooperative medical service office and resident medical insurance centre, establish " basic medical insurance centre of the urban and rural residents in Sanya " . Meanwhile, to the intersection of urban and rural residents and medical number, target of insurance policy coverage, more, distribute wide characteristic, offer the close quarter, high-efficient effecting an insurance services such as registering, card releasing and business consultation of information alteration, social security,etc. conveniently for joining sponsors at the gate of home, the village committee of area under one's jurisdiction sets up to work to ensure the service station in every town.
It is reported Sanya city make " urban and rural residents of Sanya city medical insurance raise funds standard calculate the scheme " system already at present, urban and rural residents medical insurance premium impose the software and pay the software to basically finish, handle organization and every fixed medical organization (one, two, tertiary hospitals and market community health stations) Having already networked, in order to effect an insurance residents offer the convenient and swift service from effecting an insurance, paying the fees, seeking medical advice and such respects as the treatment is paid.
Range of effecting an insurance
Including the flexible rural workers of persons who obtain employment of students
According to the intersection of Sanya and the intersection of city and relevant regulation, every accord with the following condition personnel, can choose to participate in the basic medical insurance of urban and rural residents voluntarily: Have household register of Sanya, have not included in the urban and rural residents in the basic medical insurance system coverage of the employed in urban areas (including land-reclaimable residents) ; Every university, technical secondary school, middle and primary schools students and children of Sanya; With the approval of government of Sanya, participating in the basic medical insurance of the employed in urban areas really has closing retired personnel and difficult unit worker of bankrupt enterprise of a difficulty; Flexible employee not participating in the basic medical insurance of the employed in urban areas; City stay temporarily over one o'clock in Sanya, participate in the intersection of the employed in urban areas and basic medical insurance have rural worker of difficulty really.
Standard of raising funds
It is divided into two pieces of grade of paying the fees in unison that in urban and rural areas
Sanya city when being designed the standard of paying the fees of the basic medical insurance of urban and rural residents, fully consider the difference of the development level of the urban and rural economies and medical consumption of the urban and rural residents, implement unified points of grade fund-raising and treatment standard in urban and rural areas. The standard is divided into two pieces of grade to raise funds: One raise funds standard 276 for each person every year, individual pay the fees 100 among them, Sanya the intersection of city and finance subsidize 98, the provincial finance subsidizes 18 yuan, state revenue subsidizes 60 yuan; Two shelf raise funds standard 196 for each person every year, individual pay the fees 30 among them, Sanya the intersection of city and finance subsidize 88 yuan, the provincial finance subsidizes 18 yuan, state revenue subsidizes 60 yuan; Minors (including students, children) 179 for each person every year, individual pay the fees 30 among them, Sanya the intersection of city and finance subsidize 71 yuan, provincial finance subsidizes 18 yuan, the state revenue subsidizes 60 yuan.
The treatment is paid competence
Pay supreme newspaper 100,000 of 100 yuan every year
The grade is tied to treatment level to raise funds. The intersection of Sanya and the intersection of city and regulation, effect an insurance the intersection of coincidence and fixed hospitalization cost that urban and rural residents take place in hospital under not blowing, paying lining in hospital, the head raises funds and refuses to pay in hospital; Exceed, get up pairs of the intersection of line and standard in hospital, accord with fixed hospitalization cost, deduct, get up behind the pairs of standard according to pay proportion, pay in the limit paying at most in year. Ones that settle account in one and is in hospital again in year, no longer implement one pair of standards.
Settle account in the year in one, raise funds standard (individual pay the fees 100 every year) according to one Pay the fees, the community health Center (station) , the commune hospital does not have one pair of standards, it is 90% to pay the proportion; At city level (Second Grade) One pair of standards of 250 yuan arises, it is 75% to pay the proportion in the hospital; The province grade is (tertiary) One pair of standards of 350 yuan arises, it is 60% to pay the proportion in the hospital. The standard pay the fees to raise funds according to two shelves, the community health Center (station) , the commune hospital does not have one pair of standards, it is 80% to pay the proportion; At city level (Second Grade) One pair of standards of 300 yuan arises, it is 60% to pay the proportion in the hospital; The province grade is (tertiary) One pair of standards of 450 yuan arises, it is 50% to pay the proportion in the hospital.
Settle account in the year in one, raise funds whom standard pay the fees according to one, the intersection of pool and fund it pays limits to be 100,000 at most; The standard pay the fees to raise funds according to two shelves, it is 60,000 yuan that the pool fund is paid the limit at most.
Sanya still stipulates, with the development of economy, but adjust and raise funds appropriately the competence and treatment are paid competence.
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