Thursday, May 3, 2012

The medical insurance new policies of urban residents - residents of pushing away in Jinan can submit an expense account to bear the medical fee

The medical insurance new policies of urban residents - residents of pushing away in Jinan can submit an expense account to bear the medical fee
The medical insurance new policies of urban residents - residents of pushing away in Jinan can submit an expense account to bear the medical fee
Resident medical insurance pay limit, change 150,000 to from 90,000 at most year, resident individual pay, reduce to 45% by 50% by some in hospital in tertiary medical organization, the government of Jinan issued " notice on adjusting some policies of basic medical insurance of urban residents " (hereafter referred to as " notice ") a few days ago ,Since 2012, bore the hospitalization cost to include in Medical Benefits Funds of residents and pay the range. Keyword: Pay 150,000 yuan for volume every year and can submit an expense account at most " notice " is clear, since January 1, 2012, medical insurance join sponsor within a year for medical treatment in hospital and clinic stipulate number whom treatment take place accord with the intersection of resident and Medical Benefits Funds pay medical treatment that range stipulate resident Expenses (bear some in certain proportion including individual) If you can't pay by 150,000 yuans by limit at most, change. At the same time, since September 1, 2011, stay, help university effect an insurance university student within a year for medical treatment in hospital and clinic stipulate number whom treatment take place accord with the intersection of resident and Medical Benefits Funds pay medical treatment that range stipulate Expenses (bear some in certain proportion including individual) If you can't pay by 150,000 yuans by limit, change at most. Keyword: Fund pay proportion fund to can pay 80% at most " notice " is clear, since January 1, 2012, resident medical insurance join sponsor in hospital and clinic stipulate number whom treatment take place accord with Medical Benefits Funds of residents and paying the hospitalization cost that the range stipulates, the standard that Medical Benefits Funds of residents and individual share is changed to: In the first class medical organization (including the hygiene service organization of the community) Medical treatment, paid 80% by Medical Benefits Funds of residents, individual bears 20%; In medical treatment of second medical organization, are paid 65% by Medical Benefits Funds of residents, individual bears 35%; In tertiary medical treatment of medical organization, are paid 55% by Medical Benefits Funds of residents, individual bears 45%. And according to " medical insurance temporary means of urban residents of Jinan ", before this, in the first class medical organization (including the hygiene service organization of the community) Medical treatment, paid 70% by Medical Benefits Funds of residents, individual bears 30%; In medical treatment of second medical organization, are paid 60% by Medical Benefits Funds of residents, individual bears 40%; In tertiary medical treatment of medical organization, are paid 50% by Medical Benefits Funds of residents, individual bears 50%. Meanwhile, according to " the notice ", stay, help university effect an insurance university student enjoy take place during this period accord with Medical Benefits Funds of residents and paying the hospitalization cost that the range stipulates in treatment, the standard that Medical Benefits Funds of residents and individual share is still carried out according to the original regulation. Keyword: Clear that one increases " notice " for one month for the period of paying the fees convenient for people that the medical insurance pays the fees, adjust the intersection of resident and medical insurance pay the fees issue, since 2011, the intersection of resident and medical insurance pay the fees issue change annual a September 1 to December 31 to. According to the stipulation that before this, pay the fees one to December 31 for the intersection of resident and medical insurance premium will it be October 1 every year. This adjustment will pay the fees for a leading month, so can let residents have more time to carry on the business of paying the fees. Keyword: Bore the medical fee and bore the medical fee and undertook to do a job until it is completed according to " notice " by norm, since January 1, 2012, the ones that joined resident's medical insurance the sponsor and give birth in hospital to happen bore the hospitalization cost, fee, operation fee, cost of hospitalization, expenses for medicine,etc. include in Medical Benefits Funds of residents and pay the range including checking the fee, delivering a child before production. Residents join sponsors and bear the hospitalization cost and undertake to do a job until it is completed by norm in medical insurance, paid according to the standard by Medical Benefits Funds of residents: Natural labor is 800 yuan; The overcast type operation has 1000 yuan; Cut open the palace and produce 1900 yuan. Residents join sponsors to entertain and meet before enjoying, must accord with the child-bearing policy of the state plan to bear in medical insurance, and while joining sponsors to bear in hospital, have already paid the fees and participated in resident's medical insurance for more than 1 year (calculate in year by medical treatment) normally according to the regulation . Join sponsor should the intersection of city and the intersection of birth insurance and fixed medical organization bear in Jinan, first aid, rescue, and except other special circumstances. The ones that joined sponsors and gave birth in hospital and happened in resident's medical insurance bore the hospitalization cost and paying for first by individual first. Leave hospital, according to the intersection of medical insurance and card and relevant material, reach the medical insurance of city handle organization and go through formalities of submitting an expense account by I or relative. At the same time, resident medical insurance join sponsor effect an insurance with birth insurance already man the intersection of worker and the intersection of spouse and identity enjoy birth insurance bear subsidy or their bear hospitalization cost adopt the new countryside The cooperative medical service submits an expense account, residents no longer pay in medical insurance. (reporter Zhu CaiLing)


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