Jiangsu pursues the medical insurance clinic pool of residents

Jiangsu pursues the medical insurance clinic pool of residents
Jiangsu pursues the medical insurance clinic pool of residents
It is reported ' The reporter relative revitalizes special correspondent Ji Ping of the sharp point) A few days ago, human resources and social security drawing room of Jiangsu Province issued " improved the instruction that urban residents basically treated the pool of dangerous clinic ", before the end of this year, should save and generally launch the medical insurance clinic pool of residents, resident's medical insurance did not build personal account, gradual cancellation already set up. According to have policy now, should save the intersection of resident and medical insurance, protect serious disease, keep the institute mainly. Actual conditions effect an insurance over 90% residents mainly watch the clinic at ordinary times, resident's number is less than 10% to really effect an insurance in hospital. Because resident's medical insurance raises funds competence is relatively low, even if implement the personal account, put under just dozens of yuan of money of the account every year, function of the burden of diagnosing the illness in lightening a patient is limited. The instruction proposes, the pool fund of clinic should generally account for 20%~30% of the total scale of funds, pay in the intersection of basic unit and class-A medicines of medical insurance that medical health organ take place mainly ' Includes the basic medicine) , make a diagnosis fee and other the intersection of coincidence and making a diagnosis expense fixed generally. The instruction is clear, include the eligible medical health organ of basic unit in the basic medical insurance by fixed position, guide and effect an insurance personnel to the medical health organ in the basic unit to seek medical advice. Make a diagnosis fee, class-A medicines of medical insurance generally in fixed the intersection of basic unit and whom medical health organ take place ' Includes the basic medicine) With other coincidence being fixed to make a diagnosis fee, it is not lower than 50% in principle to pay the proportion. To adding up to the part of the clinic with higher hospitalization cost, can raise and pay the proportion appropriately.


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