Wednesday, August 1, 2012

The medical insurance of the worker in Jiangsu submits an expense account the proportion will be raised to 80 next year

The medical insurance of the worker in Jiangsu submits an expense account the proportion will be raised to 80 next year
The medical insurance of the worker in Jiangsu submits an expense account the proportion will be raised to 80 next year
The reporter learnt yesterday, save human resources and social security drawing room, committee's office of the mechanism of organizations of the province, province General Office of Finance, department of public health of the province, province Bureau of Civil Affairs, the supervision bureau in Jiangsu of China Insurance Regulatory Commission has jointly issued " suggetion on accelerating advancing basic medical treatment to ensure the institutional improvement " (hereafter referred to as " opinion ") ,In expanding coverage rate of medical insurance, improving the treatment level of the medical insurance etc., provide time table and concrete task, this means ordinary people in Jiangsu in the future see the doctor the expenses are drawn less. Meanwhile, our province proposes, will realize next year that seeks medical advice and networks and settles account in the strange land between 13 cities under the jurisdiction of the provincial government in an all-round way. The rural worker who is signed contract of the coverage rate enters the medical insurance and saves the human resources and social security Shen HuanGen, division chief of of medical insurance of drawing room to tell reporters yesterday: Up to will it be will it be the end November this year, of our province the intersection of worker and medical insurance effect an insurance number of people reach 16,860,000, resident medical insurance effect an insurance number of people in 7,940,000 people, 5,300,000 people joined and shut newly and agriculturally, the medical insurance of our province has already covered 95% of the population at present, and by the end of next year, closing retired personnel and difficult enterprise worker of bankrupt enterprise should be included in worker's medical insurance - -Really have a difficulty, after gaining approval from people's government in the province from the people's government in the intersection of pool where one stays and district, participate in resident's medical insurance. In addition, sign the labour contract and establish and trouble the rural worker of the relation with the employing unit steadily, also the responsibility of paying the fees according to the clear employing unit of the national regulation, include it in worker's medical insurance system - -Other rural workers participate in medical insurance of the residents in the site or the household register site of working to shut newly and agriculturally according to the actual conditions. Shen HuanGen still revealed yesterday, 13 market of our province has already started the relevant method that university students have effected an insurance this year, 1,600,000 university students at school in the whole province will be sure to all enter resident's medical insurance next year. Subsidize 80 yuan this year of standard, 120 yuan next year The reporter knows, Jiangsu is not lower than 80 yuan to the financial subsidy standard of the medical insurance of urban residents for each person every year at present. "In fact, Su Nan's subsidy of the area has already reached more than 200 yuan, even the subsidies of some areas in northern Jiangsu exceed 80 yuan. " Tell reporter root Shen,at province can only norm minimum standard,to next year, the finance at all levels should reach 120 yuan for each person every year at least to the subsidy standard of resident's medical insurance, and improve with economic development progressively. All parts are according to local economic development level and per capita disposable income of residents, factor of combining the hospitalization cost and increasing etc., confirm the standard of raising funds and share the proportion rationally, and set up steady fund-raising, increase mechanism dynamically, financial subsidy to difficult for crowd to slope. Provincial finance to economy weak area close state-run the intersection of collective-owned enterprise and retired personnel, participate in the intersection of worker and medical insurance with urban residents join the intersection of resident and medical insurance offer, subsidize especially while being bankrupt while being difficult. Wipe out 75% this year such as proportion, 80% next year At present, the proportion is 75% that the medical insurance of the worker of our province submits an expense account, the proportion is 60% that resident's medical insurance submits an expense account. According to the stipulations of " opinion ", by 2010, urban worker's medical insurance and resident's medical insurance effect an insurance in the fixed range of the systems of personnel the medical expenses submit an expense account the proportion is up to 80% and more than 60% respectively. Shen Huan root say for example worker's medical insurance join the sponsor Xiao Wang, it spends 20,000 yuan altogether to see the doctor for example, in that the hospitalization cost of 10,000 yuan is not in the range that the medical insurance stipulate, while settling account, the medical insurance department rejects this 10,000 yuan, paid by Xiao Wang, 10,000 yuan left accords with medical insurance and submits an expense account in the range, then the medical insurance fund will be given and submitted an expense account 80%, namely 8000 yuan, Xiao Wang pays 2000 yuan again by oneself. In addition, the highest payment limit of the medical insurance will be improved to some extent too next year. The worker pay the limit to improve to more than 6 times of annual per capita disposable income of annual mean salary of the local worker and resident respectively at most in medical insurance and resident's medical insurance. With ensuring competence to improve constantly, cancel and pay the limit at most progressively. The pilot project of this year of the pool of clinic, the whole province will push away next year At present, the national resident's medical insurance policy is mainly to keep institute and clinic serious disease, do not set up the personal account, so see the little disease of clinic that a piece of headache has a fever, suffers from diarrhoea etc., expenses can only " Give consideration to " . According to the introduction of medical insurance Hu DaYang, director of centre in the province, our province breaks through to some extent in this respect, began to pursue the clinic and conduct pilot work last year, a plurality of pool areas such as Huaian, Suzhou generally set up the personal account of clinic, mainly divided into two ways, one is clinic expenses " individual undertake 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, set aside to the medical organization of the community, when go to the community 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, over half at present area has already taken this way. " opinion " issued newly points out, by the end of 2010, all parts will set up the medical insurance clinic pool of residents in an all-round way. Namely implement the clinic expenses " Individual undertakes to do a job until it is completed " Regional progressively change to " The pool of clinic " ,Little disease of residents' clinic of effecting an insurance like this and according with fixed checking the expenses before production and can also submit an expense account. Shen Huan root say clinic pool can set up, blow pairs of standard, pay proportion and pay limit at most alone, confirmed rationally actually by the regional foundation specifically. The medical insurance concerns the medical insurance can be be " taking away " switching next year "Have worked for 5 years, my medical insurance but it is still zero! " Mr. Huang told reporter about the experience that he does the medical insurance recently: He work 3 year in Changzhou, jump to Nanjing on 2008, because Nanjing medical insurance policy to " change over to neither, do not produce either " ,Not receiving his medical insurance personal account, he has to retreat and protect to Nanjing to reopen accounts again. In October of this year, he found a better job in Huaian, but his medical insurance personal account in Nanjing can not rotate out, service life does not approve of either paying the fees. Gentleman Huang has to transfer the intersection of social insurance and endowment insurance personal account in the Carlos first, get the money in the personal account of the medical insurance out and then. "Curing the premium and is paid in vain of these 5 years. " Mr. Huang asks gloomily: "When could my medical insurance relation hand-carry? " " opinion " issued yesterday is pointed out, make the organ which has not reached legal retirement age of country, public institution and establishing employee's trans-regional medical insurance relation between enterprise worker,etc. of working and concerning steadily to shift and continue the method. Stipulate and flow employees continued medical insurance relation in time within 3 months trans-regionally, all parts should admit its original service life of effecting an insurance and pay the fees for service life actually, can't set up and wait for one, realize with the city, with the system, ensure the treatment together. Medical insurance relation can " Hand-carry " ,This, for jumping to ginseng sponsor working in the other areas inside the province, it is undoubtedly good news. Staff reporter Qi QingYan


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