820,000 university students at school Jiang Cheng will enter the medical insurance from now on
820,000 university students at school Jiang Cheng will enter the medical insurance from now on
News of Jingchu net (the newspaper of city of sky above Hubei and Hunan) Yesterday, the government of Wuhan held to university's university students in Wuhan area and participated in the medical insurance of urban residents and implemented the mobilization meeting, stock the medical insurance and work and start indicating the university students in Wuhan district 820,000 formally. From this day, at school university student pay the fees 20 for each person every year, can enjoy serious illness, submit an expense account 70%, submit an expense account yuan of medical insurance treatments at most year. The relevant person has understood the implementing regulation of university student's medical insurance. Target of effecting an insurance The full-time students of the full-time university The target of effecting an insurance of university student's medical insurance is two " The fulltime " ,Namely the full-time university and college (including non-governmental university, independent institute, branch school, technological institute of higher job) , accept ordinary higher full-time two (-or-three)-year-term college student, full-time graduate student this of education with record of formal schooling in the scientific research institutions ' Hereinafter referred to as university students) . There are all kinds of 85 universities in all in Wuhan area at present, 22 scientific research institutions, ordinary full-time students at school are 820,000. Individual, medical insurance of university student, pay the fees standard in order to pay 20 yuan for each person every year ' Severe deformity and family's university student of low insurance are subsidized by the university) ,The finance is subsidized for 100 yuan for each person every year. Effect an insurance to register in September - October of every year Every university should be from September 1 every year to October 31, in order to effect an insurance in this school university students pay the fees and declare the business for year, and withhold students and pay the fees. Consider that has just started implementation this year, it pays the fees time is lengthened until November 20. The intersection of medical insurance of the intersection of Wuhan and city and in the center recommend, university students only pay the fees before November 20 this year, the hospitalization cost that happened after September 1 this year, the ones that accord with the regulation of medical insurance can also submit an expense account. Ensure treatment can wipe out 100,000 yuan at most every year It is an insurance year till August 31 of next year on annual September 1, it is 100,000 yuan that it accords with the ceiling of the fixed hospitalization cost that the medical insurance fund is paid university students totally during this time. University student's medical insurance treatment includes three respects: Ordinary clinic, the intersection of outpatient service and some in weight disease ' Chronic) Disease and in hospital. Medicines catalogue of university student's medical insurance, the payment ranges and standards of the project catalogue, medical service facility catalogue consult the urban worker's basic medical insurance of Wuhan to stipulate that carries out to make a diagnosis. Ordinary clinic: Wipe out proportion, lower than, must seek medical advice in medical organization that university appoint by 70% the intersection of university student and clinic, wipe out proportion, can't be lower than 70%. The number and standard of 20 yuan for each person every year that medical insurance fund pays the fees according to every university, appropriate the medical pool fund of university student's ordinary clinic to the university, is managed in unison by the university and undertakes to do a job until it is completed to use. The serious disease of clinic: Wipe out, mean, according to the intersection of resident and the intersection of medical insurance and policy, can pay some 10 disease of hospitalization cost by the intersection of medical insurance and fund and in outpatient service by 70% the intersection of clinic and serious disease, it is 70% to pay the proportion, different diseases have different payment limits, the chronic renal function is not dialysed (lose and compensate one) completely , renal transplantation resist, arrange different it puts chemotherapy to be at most 100,000 yuan in diseasing in three serious diseasing by malignant tumour while being postoperative. University students needed to go through the serious disease of clinic formalities, are held materials of relevant diagnosis case history,etc. that this student sought medical advice in the medical organization recently by university's scientific research institutions, qualified to handle, the social insurance place is according to one's own will, the fixed medical organization treats by an appointed one of its nearby. Hospital treatment: University students are in hospital and can choose to seek medical advice independently in over 300 fixed medical organizations of Wuhan to wipe out 80% and effect an insurance at most. One pair of standards arises and pay the proportion as follows: 200 yuan of community health Centers and first class medical organizations, 80%; 400 yuan of second medical organization, 70%; 800 yuan of tertiary medical organization, 60%; Put materials, replace the hospitalization cost of artificial organs and blood product in the body which university students used according to the regulation, belong to not domestic, medical insurance fund pays 65%; The one that belong to and import, the medical insurance fund pays 50%; Clinic serious disease and hospital treatment use it is the intersection of medical insurance and fund that pay to make a diagnosis project and the intersection of medicines and class-B medicines under catalogue some expenses, individual pays 10% for itself first, the remaining sum is carried out according to the relevant regulation again. University students are in hospital and seek medical advice with the serious disease of clinic to effect an insurance, should hold one's own ID card. University students carried on clinic serious disease and hospital treatment in the fixed medical organization, belonging to the expenses that individual paid is collected from university students by the fixed medical organization; The intersection of medical insurance and expense that fund paid, are kept accounts by the fixed medical organization first, fixed a little more in medical organizations and settled account with the medical insurance centre of the city. What if the special circumstances are ill while dealing with and practising, suspending schooling? University student restrict, can't make a diagnosis and give treatment because of fixed condition of medical organization, can apply, transfer from one hospital to another treatment. Going through formalities of transferring from one hospital to another must get the permission of fixed medical organization and be submitted to medical insurance centre of the city for approval. University student practise, winter and summer vacation, suspend schooling,etc. time at school in hospital due to illness, can seek medical advice in the local fixed medical organization of medical insurance. Because university students rescue and seek medical advice in non- fixed medical organization of this city promptly, the university must be gone to the social insurance place to put on record within 7 days when are admitted to hospital. Above-mentioned hospitalization cost pay first by individual first, within stipulated time by school according to to in hospital the intersection of expense and document materials student, go to the social insurance place of area under one's jurisdiction to settle account. Among them, university students are not practising, suspending schooling etc. in the time at school and in hospital in the strange land due to illness, should enclose affiliated the intersection of university and practice that scientific research institutions provide, suspend schooling, prove. (the intersection of reporter and Peng YanE, reporter of jasmine, Liu) Our province of the policy background has already implemented urban worker's medical insurance, new agricultural shutting and urban residents medical insurance, ensure range expand to urban rural the intersection of household register and student, the intersection of lost territory and peasant and other to obtain employment urban residents,etc. in the the intersection of city and planning district that school study in, only university student's medical insurance problem becomes the blank of policy. Until hospitalization cost rise constantly and the intersection of university student and number increase constantly, blow, implement the intersection of university and at public expense medical treatment system so far begin, reply weak will it be the fifties last century. Many university students fall into " Suffer from the serious disease to depend on contributing money " Condition. Municipal human resources and person in charge of social security office of Wuhan say, bring university student within the medical insurance of urban residents, will change the state that the horizontal difference of different university student's medical insurance will be great in the past, improve university student's medical insurance level wholly, lighten school and family burden. Embodiment analyze university student of university student medical insurance * Liu * ,In some first hospital treatment of second fixed hospital, need hospitalization cost of 98000 yuan together, 95000 yuan of expenses in the range. Among them: Class-A medicines and make a diagnosis the intersection of project and 45500 of expenses, class-B medicines and make a diagnosis event expense of 45500 yuan, put material and blood transfusion expenses of 4000 yuan in the domestic body, expenses at one's own expense are 3000 yuan. (medicines, criteria for classification of the project of making a diagnosis consult the urban worker's medical insurance of Wuhan) The expenses which individual should pay for itself: ( 1) One pair of standards arises: 400 yuan (second hospital ) ( 2) Class-A medicines and project of making a diagnosis are paid 70% by the fund, bear 30% personally: 45500* 30% =13650 yuan ( 3) Class-B medicines and individual of project of making a diagnosis pay 10% for itself first: 45500* 10% =4550 yuan ( 4) Pay 70% for the remaining sum after class-B medicines are in order to pay 10% for itself, the fund? Does �� Wu arrange the tool instrument? 0%, individual needs to pay again: (45500-45500* 10%) *30% =12285 yuan ( 5) Put material and blood transfusion expense fund and pay 65% in the domestic body, bear 35% personally: 4000* 35% =The above-mentioned individual of 1400 yuan pays the amount of money for itself altogether: 400+13650+4550+12285+1400 =32285 yuan. The fund payable hospitalization cost of the medical insurance: 95000-32285 =62715 yuan, account for 64% of this medical all-inclusive cost, account for 66% of medical all-inclusive cost in this range.
|
No comments:
Post a Comment