Resident's ordinary clinic can also submit an expense account to see the doctor to effect an insurance in Hainan from New Year's Day next year

Resident's ordinary clinic can also submit an expense account to see the doctor to effect an insurance in Hainan from New Year's Day next year
December 23 news (reporter of the South China Sea net in the South China Sea net Li XiaoMei) On December 23, Hainan issues " ordinary clinic pool temporary means of basic medical insurance of urban residents " (hereafter referred to as " method ") . According to " the method ", from January 1, 2011, Hainan effect an insurance resident medical pool the unit ordinary clinic diagnoses the illness by fixed position, can wipe out some medical fee live, for each person every year can enjoy, exceed to wipe out treatment 200.
" method " stipulates, the personnel participating in the basic medical insurance of urban residents, enjoy the clinic and conduct the treatment. Residents can choose the hospital (including the hospital, commune hospital, community service station and school clinic at the basic level) of one class or below voluntarily to effect an insurance ,As one's own fixed hospital, except the person who can't alter (residence change in one year) . Among them, it is from September 1 paying the fees to enjoy one in treatment of students of university, junior college and special secondary school at school in the same year to August 31 of next year; Effect an insurance while being other treatment of resident enjoy issue for pay the fees from next year will it be 1 January to December 31. Way of can take total value to prepay of the clinic or pay.
It is reported, settle account in one in year, personnel are in the fixed clinic hospitalization cost of coincidence that the medical service organization takes place by fixed position that effect an insurance, ordinary the intersection of clinic and the intersection of pool and fund wipe out 40%, individual pays 60%, but pay the limit and does not exceed 30 yuan at most each time, annual to pay the limit and does not exceed 200 yuan totally at most. Had already enjoyed special number treatment of the clinic, sought medical advice in not medical clinic of service organization by fixed position, can't enjoy the treatment of submitting an expense account of the pool of ordinary clinic.
Reporter know clinic pool fund manages the separate account, check and calculate alone, draw according to 20% of the total funds raised of those years of basic Medical Benefits Funds of the urban residents in all cities and counties, resident individual does not pay the pool fee of clinic to effect an insurance. What residents take place in the ordinary clinic to effect an insurance accords with the basic medical insurance and paying the hospitalization cost of the range, paid according to the fixed standard by the pool fund of clinic. According to regulation, bear clinic pool medical care medical service organization want, strictly observe the intersection of medical insurance and regulation and requirement by fixed position, construct, cure due to illness, check, use medicine, charge, need prevarication effect an insurance person rationally.
The ones that merited attention are, according to the regulation, effect an insurance personnel can't lend others to assume another's name and handle the pool of clinic my medical insurance card, if forge or falsely use others' medical insurance card and handle the pool of clinic, conceal, make up the medical history, forge, alter medical document, document,etc. relevant evidences, making a false report or resident's basic medical insurance treatment,etc. of falselying claim as one's own, will be investigated criminal liability.
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