Pay the limit and reach 80374 yuan at most

Pay the limit and reach 80374 yuan at most
Pay the limit and reach 80374 yuan at most
Pay the limit and reach 80374 yuan at most It is reported, effect an insurance personnel in hospital and the intersection of clinic and particular project, make chronic disease, and ordinary door (anxious) Examine the basic hospitalization cost, Medical Benefits Funds of residents is paid the limit as twice of annual mean salary of urban unit worker in this city of prior year at most totally in year. Zhang XueWen claims, through calculating, joins sponsors to submit an expense account in one year amount reaches 80374 yuans, it is about about 120,000 hospitalization costs that happen. "Can reach the proportion of crowd of this amount probably in 0.3%, few people can break through this expenses. " It is reported, treatment range, seeking medical advice to manage, utilizing information system management operation of existing medical insurance of resident's medical insurance,etc. is basically identical with the urban worker's medical insurance of Guangzhou at present. " the insurance kind of joining the sponsor once changes, can have no time working days, have not sewn to connect " . Personnel are after paying the fees or stopping paying the fees for the first time that Zhang XueWen says, flexible employment effects an insurance for example, wait for not to enjoy the treatment of medical insurance until half a year, but in order to encourage not obtaining employment residents obtain employment as soon as possible, have already made the breakthrough regulation, should not " convert resident's medical insurance to the flexible employee's medical insurance after employees obtain employment, has stipulated without the empty working days of 6 months at present, in 6 months when cut off, continue enjoying resident's medical insurance. " Zhang XueWen says, the government has fully considered encouraging function too in effecting an insurance to pay the fees the standard, "it is not employees is that 480 yuan / person is annual that individual pays the standard, government's subsidy is 100 yuan / person annual. On this standard of paying the fees, there is few government's subsidy, it is for encouraging them to go to obtain employment too " . Submit an expense account, deceive, protect, participate in urban residents behind the medical insurance easily sporadicly, seek medical advice, produce expense in strange land, also can enjoy the treatment of medical insurance by the way of submitting an expense account sporadicly. According to the introduction of medical insurance He JiMing, Deputy Director of centre of the city, there are four kinds of to accord with situations of seeking medical advice of strange land of submitting an expense account sporadicly: Old man that has already founded a room for in the strange land or living in the same residence for full half a year, can choose the fixed organization of medical treatment to seek medical advice nearby; Sanctioned transferring from one hospital to another to the nonlocal hospital to treat through the application; Take place in hospital at time when on business in the other places or clinic stay view; Whether students or suspend schooling to return to the native place due to illness on the vacation, the expenses qualified to submit an expense account happened can submit an expense account sporadicly. Besides seeking medical advice in the strange land can it uses submits an expense account sporadicly to be still expense of tracing back to etc., for example the neonate was born in went through formalities of effecting an insurance 3 months later, after the procedure was complete, can still enjoy by submitting an expense account sporadicly and was born in the medical insurance treatment in 1- 3 months; Students paid the fees after every summer vacation, the treatment before still enjoying July. Does it have moral hazard to submit an expense account sporadicly? He JiMing claims, in order to take precautions against what may appear deceives and protecting the behavior, organization should strengthen the medical insurance to the supervision submitting an expense account sporadicly too. "Demand to use the unified seeking medical advice manual, register and treat information in the whole journey. We, while checking these procedures, very apt to find that defraud of the clues protected. " It is reported, work and ensure the department to already set up cooperating with the regional labour protection department in Guangzhou, check possession to be suspicious to seek medical advice materials each other, " so will not pay the cash to submit an expense account, remit account, register one's residence all, operation reduce, deceive, protect behavioral emergence even in this way. " The child pays the fees and improves the benefited new policy of increasing while soliciting the opinion, the standard is that 100 yuan / person is annual that minors and the students pay the fees, among them, individual it is annual to pay 20 yuan / person, the governments at all levels subsidize 80 yuan / person annually; But confirm finally pay the fees standard increase 160 of per person per year to, why child pay the fees, will improve where be more? Zhang XueWen explains to this, the original design, according to the business insurance which some universities have done, "unless insurance premiums commercial is 30 yuans, by 60 yuans of school,per person /pay the fees by 90 yuans every year. " But after surveying and studying in detail, find commerce's dangerous guarantee is too low, " only 10 yuan for clinic in the medical insurance place, wonder what medicine they take. " XueWen Zhang introduce the intersection of Guangzhou and at all levels the intersection of hospital and for first class the intersection of hospital and 70 one daily average consumption of clinic at present, 100 yuan of second hospital, the tertiary hospital reaches 130 yuan. "He says, because has improved the standard at one's own expense, government's subsidy is improved to some extent, relatively the business insurance is improved notably in the treatment that minors and the students enjoy. "Clinic pay limit 300 for each person every month at most, community organization can submit an expense account 70%, winter and summer vacation in the other places, the emergency call expenses can offer 40%. " As to the thing that the outside child can't participate in resident's medical insurance, Zhang XueWen made explanations yesterday. He say have household register but outside the intersection of worker and children to have roll, the reason why can effect an insurance, because the education department is strict with management of the roll, the child who gets the roll has already stridden " threshold " of the bureau of education ,It is easy to manage. "But the management of the child is still disordered state, appear ' there is guarantee in a place very easily, if the whole country run there ', damage, join rights and interests of sponsor finally. " Effect an insurance the first step of procedure: The registration authority applies to effect an insurance to join sponsors and carry the following materials to corresponding effecting an insurance. ( 1) Fill in " urban residents of Guangzhou city basic medical insurance effect an insurance, pay the fees blue form return " in duplicate " completely; ( 2) Original paper of the household register, copy; ( 3) Do not obtain employment in resident, old resident and all kinds of institution of higher education, the medium-sized vocational technical school and student that the technical school fulltime studied in, must offer the original paper, copy of ID card; ( 4) Foreign students, must offer the passport copy while applying to effect an insurance; ( 5) Guardian apply, go through the intersection of resident and medical insurance, effect an insurance to need offer their meanwhile the procedure in three months after born ining for neonate" The birth certificate " ; ( 6) The way pay the medical insurance premium of residents to join sponsors and choose to remit account in the authorized bank, need to offer appointed bank book, copy, bankbook householder's ID card original paper and copy. Second step: The registration authority notifies and joins sponsors to get to effect an insurance " It is single to check and ratify " And " personal basic information confirmation form " . Third step: The method regulation pays the medical insurance premium of residents according to paying the fees. Medical treatment standard that in hospital Fixed the intersection of medical organization and the intersection of grade and minor and students obtain employment old resident of residents First grade costs 150 yuan and 500 yuan and 350 yuan 300 yuan and 1000 yuan and 700 yuan for Second Grade Tertiary 600 yuan and 2000 yuan and 1400 yuan The basic hospitalization cost is paid the treatment standard The ginseng sponsor effecting an insurance and paying the fees or stopping paying the fees in year, effecting an insurance and paying the fees again for the first time: Medical minor and students obtain employment residents and old residents by fixed position The organization registers funds and pays the proportion individual and pays the proportion fund to pay the proportion individual and pay the proportion First grade 80% 20% 70% 30% Second 70% 30% 60% 40% Tertiary 60% 40% 50% 50%


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