The medical insurance of the worker in Jiangsu pays the proportion for itself without exceeding 25% The medical fee of the neonate can be offered

The medical insurance of the worker in Jiangsu pays the proportion for itself without exceeding 25% The medical fee of the neonate can be offered
The medical insurance of the worker in Jiangsu pays the proportion for itself without exceeding 25% The medical fee of the neonate can be offered
News of Xinhua Journalism Website Let the intersection of employee endowment insurance and relation in smooth switching, worker's medical insurance under province " Pay the proportion for itself " Dropped to 25% of the following, university students after all implementing resident's medical insurance, neonate and born the medical fee included in the birth insurance and submitted an expense account in some timed Yesterday, the whole province work, ensure working conference hold in Nanjing, release, lighten the burden steady hillock, promoted and obtained employment while being a series of, advance the favourable policy of people's livelihood in respects such as the endowment insurance, medical insurance, birth insurance,etc.. It is reported, about raising the detailed implementation policy of the medical insurance, birth insurance treatment level, will be made in unison by every city under the jurisdiction of the provincial government. -The medical fee submits an expense account and raises to 75% in the medical insurance regulation of the medical insurance A worker In fact state: The whole province submits an expense account the proportion exceeds 70%, Suzhou of Nanjing is close to 75% By the end of last year, urban enterprise worker's medical insurance of the whole province effects an insurance the number of people exceeds 16 million. This year, our province will expand the cover unit of worker's medical insurance, include retired personnel and worker, non-public economic organization, flexible employee, rural worker and lost territory peasant of difficult enterprise in, stay in the unit of Jiangsu and enterprise under the province in the middle of the ones that have not participated in worker's medical insurance in the possession yet, must all participate in this year. Meanwhile, submit an expense account competence will be improved too. According to " suggetion on improving the birth insurance treatment of the basic medical insurance and ensuring competence " which province labour insurance department announced yesterday, by 2010, the medical fee in the fixed range of worker's medical insurance will submit an expense account the proportion will be more than 80%, be more than 75% this year. This means, the part in the fixed range of personal medical fee of worker's medical insurance will be limited to 25% this year. So-called " fixed range or policy range part inside " ,Refer to one effect an insurance medicines, apparatus, service item,etc. that person used, all in medical insurance catalogues, if has gone beyond and paid the bill by oneself. For example, effected an insurance personnel Mr. Wang spent 10,000 yuan in hospitalled, medicines, apparatus, service item at 8000 yuan are in medical insurance catalogues, then, to wipe out proportion, more than 75% this year this piece, namely it can't be less than 6000 yuan to submit an expense account; Individual " pays the proportion for itself " Drop to under 25%. The medical insurance Hu DaYang, director of centre in the province says, according to reality, submits an expense account 75% are a more rational standards, if individual bears it too little, it is apt to cause the waste of medical resources; Individual bears too much, the pressure of the fund expenditure of the medical insurance is too heavy. Certainly, the proportion is a average level of the whole province that this submits an expense account, are reached between different areas, different patients specifically, also there are greater differences. By the end of last year, medical insurance of the worker of our province submitted an expense account the proportion had already exceeded 70%, among them, Suzhou, Nanjing and other places, close to 75%. In fact state of serious disease fee of the clinic of submitting an expense account of the personal account of the pool: Can't plan as a whole, someone is not enough, someone can not use up It is introduced, of our province all parts improve method to wipe out competence at present, reduce, effect an insurance the intersection of personnel and wiping out, getting up pair standard and the intersection of medicines and medical individual of service item pay the proportion go to a doctor, usually, cancel and pay the limit at most progressively. Expand " personal account " Function,last clinic serious disease,too it is let's improve wipe out by the one of attempts newses of competence. It is reported, many personnel's personal accounts of effecting an insurance at present, namely the money put under the medical insurance card can not be used up, a person at most has more than 10,000 yuan, the whole province adds up nearly ten billion yuan. Our province requires, launch the reform of personal account management of the medical insurance this year, expand and ensure the range, try the clinic expenses of worker's medical insurance and conduct the method, give full play to helping function together of fund of personal account. Hu DaYang says, the money in the personal account belonged to individual in the past, your money was yours, my money is mine, can't plan as a whole. The person that has like this is not enough, some people can not use up. Pool stand up, assign I of you, so, on more suitable for controlling money. It is introduced, the clinic expense pool of our province mainly has two kinds of methods at present, one is method of Wuxi, Suzhou, Zhenjiang and other places, after the money in the personal account is used up, the medical fee reaches certain amount, in the certain proportion, submitted an expense account by the personal account pool fund. Another kind is a method of Nanjing, namely whether no matter the money in the personal account has been used up, so long as retired personnel's hospitalization cost reaches reaching more than 1500 yuan of more than 1200 yuan, retired personnel in one year, the part exceeded submits an expense account in the fixed proportion.


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