Jiangsu realizes the medical insurance clinic pool of residents and cancels the personal account of the medical insurance within the year

Jiangsu realizes the medical insurance clinic pool of residents and cancels the personal account of the medical insurance within the year
Jiangsu realizes the medical insurance clinic pool of residents and cancels the personal account of the medical insurance within the year
Resident's medical insurance clinic has annual pool to submit an expense account at most the standard raises funds for the clinic for 6 about yesterdays of volume, the intersection of society of the intersection of Jiangsu Province and people and Room transmits " notice on generally launching the relevant question opinions of clinic pool of the basic medical insurance of urban residents of human resources and social security department ", before the end of this year, all parts of the whole province should all realize the medical insurance clinic pool of residents, annual what has been paid the limit standard for annual per person's fund-raising volume of the pool of clinic at most is about 6 times. Cancel resident medical insurance personal account national resident to ensure, effect an insurance in hospital and medical fee, clinic of serious disease of resident in frame of policy one of in medical insurance, not setting up the personal account, so the clinic expenses can only be " given consideration to " . The intersection of society and the intersection of Room and relevant director, people of province, say, there is break-through greatly in Jiangsu Province, began to pursue the clinic and conduct pilot work in the year before last, some pool areas set up the personal account of clinic, is mainly divided into two ways, one kind is clinic expenses " Individual undertakes to do a job until it is completed " ,Mark dozens of yuan and enter the personal account every year, can be used in all cost of clinic, but not used up on; One kind is implemented " The pool of clinic " ,Namely mark some money each person, wrap up to the medical organization of the community, when go to community's hospital to see the doctor, do not restrict number, a part of submitting an expense account in proportion, this sees the doctor to submit an expense account with worker's medical insurance similarly, only a few places such as Suzhou, Zhenjiang take this way at present. Jiangsu Province requires, before the end of this year, all pool areas in the whole province should pursue the clinic pool of resident's medical insurance. Resident's medical insurance does not build personal account, the ones that have already set up will be cancelled progressively. This " notice " still stipulates, Jiangsu will further standardise the clinic and conduct the policy. Confirm the treatment level, the fixed hospitalization cost of coincidence that the pool of clinic takes place in the medical organization at the basic level rationally, the fund is paid the proportion and lower than 50% in principle. That is to say all Jiangsu effect an insurance resident in the intersection of community and the intersection of hospital and the intersection of person who cure cold, suffer from diarrhoea and the intersection of clinic and little expenses of disease, can submit an expense account with the medical insurance fund, submit an expense account the proportion should be up to 50% at least. What set up one pair of lines different from worker's medical insurance is according to medical expenses of visit once, resident's medical insurance is " Protect in current period " ,no let's pay the fees if you can't enjoy by medical insurance, submit an expense account. Does that resident in the future see how the clinic will submit an expense account? Clear in " the notice ",can set up pairs of line visit once expenseses medical, there are about 6 times on that volume for raising funds clinic pool per persons annual for the standards. This person in charge explains, Jiangsu will arrange clinic and fund in hospital rationally, the fund that the principle examines the pool to the doorstep accounts for 20%-30% of the total scale of funds. Suppose some the intersection of clinic and the intersection of pool and annual per person of city raise funds volume 100, clinic at most can submit an expense account 600 one year then. Get up, pay line standard can expenses set up, can according to reach certain threshold to set up after the totally numerous the intersection of visit and expense too according to go to a doctor by 1 clinic, this is decided by proper motion of all parts. Such as at present, the intersection of resident and medical insurance of Nanjing protect serious disease, keep the institute, give consideration to the clinic at the same time mainly, among them, the ordinary clinic of students children, under 300 yuan one submits an expense account the more than 40%, 300 yuan expenses are paid by oneself; Old resident and other residents, after seeing the expenses of over 300 yuan threshold fee of the clinic, 300 wipe out 40% between 800, 300 of here to blow pairs of line. Exceeds one pair of parts above line, can enjoy and submit an expense account, after exceeding and paying the limit at most, take care of oneself. In addition, " notice " is clear, Jiangsu will solve serious disease of clinic to ensure synchronously, on the basis that put special treatment of five items of clinic such as chemotherapy in malignant tumour clinic that the country stipulates, conditional area can also according to local reality, can launch in clinic a little in right time while being appropriate, and the special treatment of convenient, safe, effective other common serious disease includes in the pool fund and pays the range.


|