All parts of Jiangsu will improve or cancel worker's medical insurance and bind the line in 2010

All parts of Jiangsu will improve or cancel worker's medical insurance and bind the line in 2010
All parts of Jiangsu will improve or cancel worker's medical insurance and bind the line in 2010
"In the past, effect an insurance worker's cost of hospitalization of over 190,000 yuan, medical insurance did not submit an expense account, we will cancel this ' bind the line ' in the future. " Yesterday, reporters learnt from the medical insurance centre of market of Nantong, Nantong urban area effected an insurance the worker's cost of hospitalization submitted an expense account and was " no ceiling " ,Part over 190,000 yuan, can offer 80% more. But endurance that the relevant persons in charge in the medical insurance centre in the province say, all parts will consider the medical insurance fund synthetically this year, improve or cancel binding the line, and further improve the medical insurance treatment of joining the sponsor, cost of hospitalization wipe out proportion try, up to 80%, 17,645,000 effect an insurance the worker will benefit from it. The relevant person in the medical insurance centre of Nantong introduces, the worker's cost of hospitalization is within 190,000 yuan that effect an insurance in the urban area of this city before this, could submit an expense account according to the regulation of medical insurance, the part over 190,000 yuan, the medical insurance is " willing to help but unable to do so " (used after a verb to indicate the completion of an action). And from now on, the worker has set up " serious disease supplements the system of medical insurance " in order to effect an insurance in Nantong ,More than over 190,000 annual hospitalization costs, and accord with the expenses of the medical insurance ranging, will submit an expense account according to 80% of the proportions. For example join the sponsor Mr. Wang and come down in one year, the medical fee which accords with the medical insurance range is up to 250,000 yuan, the part of under 190,000 yuan, submit an expense account according to the proportion stipulated in the past, this 60,000 yuan gone beyond, the medical insurance fund still gives and submits an expense account 48,000 yuan. In addition, from July 1 this year, worker's medical insurance of urban area of Nantong improved two compensation standards again, individuals within one year of personnel afford more than 10,000 yuan, accord with the expenses in the medical insurance range to effect an insurance, the medical insurance is still given to submit an expense account 50%. "All parts should improve or cancel the medical insurance to bind the line appropriately according to the balance situation of the medical insurance fund. " The medical insurance Hu DaYang, director of centre in the province says, at present, the medical insurance of every pool district binds the line differently, some are 100,000 yuan, some are 200,000 yuan, requiring in the province, so long as there are the medical insurance funds, will improve the treatment of joining the sponsor appropriately soon, the place of the fund balance Duo, can cancel binding the line, because the ginseng sponsor suffering from serious disease is the minority after all, the medical insurance fund can digest these expenses. Yesterday, Hu DaYang still revealed, by the end of this year, the medical fee in the fixed range of worker's medical insurance submitted an expense account the proportion should be striven for and was more than 80%, urban residents medical insurance wipe out proportion, try to be up to 60%. "By the look of world, is most appropriate that worker individual bears 20%- 25% to effect an insurance. " He tell reporter whether if it is too many for medical insurance to wipe out, hospital will feel, anyway kind to wipe out, using medicine desperately, excessive service, the patient will pursue top-grade medical treatment to consume too, the unreasonable medical demand will increase, waste medical resources; If the medical insurance submits an expense account too little, the patient's medical fee is very difficult to bear to afford. So " medical insurance wipe out 80% this year, can already inhibit the unreasonable medical demand, can lighten the financial burden of joining the sponsor. " (Qi QingYan)


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