Next year, kindergarten and primary and secondary school students’ personal medical insurance paymen-www.yn111.net

Next year the kindergarten and primary students’ personal Medicare payment increased to 300 yuan before the Shaoxing City Social Insurance Administration held between urban and rural residents (students) the basic medical insurance payment training session. This means that the announcement issued by the municipal government of the people’s Government of Shaoxing Municipality on the establishment of a unified urban and rural residents basic medical insurance system has officially entered the actual operation stage. To implement the Municipal Committee on accelerating the integration development of the three areas of the decision to deploy, according to the provisions of the basic medical insurance policy relevant superior departments of urban and rural residents, combined with the actual city, before the municipal government issued the "notice" of Shaoxing Municipal People’s Government on the establishment of the basic medical insurance system for urban and rural residents of urban unity, decided from 2017 onwards in the urban areas (in the city, Keqiao District, Shangyu District) the implementation of a unified urban and rural residents basic medical insurance. Reporters learned from the training meeting, the urban and rural residents medical insurance system adjustment is mainly reflected in the financing standards, general outpatient treatment, hospitalization and special diseases outpatient treatment three aspects. In terms of financing standards, the annual financing standards for urban and rural residents (including kindergartens, primary and secondary school students) in 2017 were 1000 yuan per person per year, of which 300 yuan was paid by individuals and 700 yuan by financial aid. In addition, the standard of financing for students studying in urban ordinary universities is 580 yuan per person per year, of which 100 yuan is paid by individuals and 480 yuan by financial aid. In the aspect of general outpatient treatment, medical insurance in a year, the insured in the designated medical institutions (including general outpatient emergency) Qifubiaozhun for 80 yuan; the insured in the basic medical and health institutions (including general outpatient emergency) more than Qifubiaozhun policy within the scope of the cost of funds, reimbursement of 50% of them Chinese herbal medicine and traditional Chinese medicine diagnosis and treatment project cost reimbursement funds increased from 50% in 2016 to more than 60%; the insured occurred in the urban general outpatient medical institutions other Qifubiaozhun policy within the overall fund expenses, reimbursement of 15%, the Chinese herbal medicine and Chinese medicine treatment project cost reimbursement funds increased from 20% in 2016 to 25%; cumulative net reimbursement increased from 500 yuan to 800 yuan in 2016. In the aspect of hospital and special disease outpatient treatment, in a year of medical insurance, hospitalization in the designated medical institutions Qifubiaozhun: three medical institutions of 1000 yuan, and the following two medical institutions (not including the basic medical and health institutions) 600 yuan, 300 yuan of basic medical and health institutions. Special disease outpatient Qifubiaozhun is still 400 yuan. The maximum payment limit increased from 200 thousand yuan in 2016 to 280 thousand yuan. The above insured hospital and outpatient special disease occurrence Qifubiaozhun to the maximum payment policy within the scope of the cost, in the basic medical and health institutions medical, funds for reimbursement of 85%, in other designated medical institutions for medical reimbursement fund, 75%. It is worth noting that the insured persons in urban areas are hospitalized in Shaoxing, and the self care rate is not set. Because of illness need to transfer outside the city of Shaoxing designated medical institutions hospitalization, must apply for transfer procedures, did not apply for transfer procedures, the proportion in the original provisions based medical care to outside.

明年幼儿园和中小学生个人医保缴费提高到300元日前,绍兴市社会保险事业管理局召开城乡居民(学生部分)基本医疗保险参保缴费工作培训会议。此举意味着,由市政府发布的《绍兴市人民政府关于建立市区统一城乡居民基本医疗保险制度的通知》正式进入实际操作阶段。为贯彻落实市委关于加快推进三区融合发展的决策部署,根据上级部门有关城乡居民基本医疗保险政策规定,结合我市实际,日前,市政府发布《绍兴市人民政府关于建立市区统一城乡居民基本医疗保险制度的通知》,决定从2017年起在市区范围内(越城区、柯桥区、上虞区)施行统一的城乡居民基本医疗保险。记者从培训会上了解到,此次城乡居民医保制度调整主要体现在筹资标准、普通门诊待遇、住院和特殊病种门诊待遇三方面。在筹资标准方面,2017年度城乡居民医保(包括幼儿园、中小学生)的筹资标准为每人每年1000元,其中个人缴纳300元,财政补助700元。此外,在市区普通高校就读学生的筹资标准为每人每年580元,其中个人缴纳100元,财政补助480元。在普通门诊待遇方面,在一个医保年度内,参保人员在定点医疗机构普通门诊(含急诊)的起付标准为80元;参保人员在市内基层医疗卫生机构普通门诊(含急诊)发生的起付标准以上的政策范围内费用,统筹基金报销50%,其中中药饮片及中医诊疗项目费用,统筹基金报销由2016年的50%提高到60%;参保人员在市区其他定点医疗机构普通门诊发生的起付标准以上的政策范围内费用,统筹基金报销15%,其中中药饮片及中医诊疗项目费用,统筹基金报销由2016年的20%提高到25%;累计净报销额从2016年的500元提高到800元。在住院和特殊病种门诊待遇方面,在一个医保年度内,参保人员在定点医疗机构住院的起付标准为:三级医疗机构1000元,二级及以下医疗机构(不包括基层医疗卫生机构)600元,基层医疗卫生机构300元。特殊病种门诊起付标准仍为400元。最高支付限额从2016年的20万元提高到28万元。参保人员住院和特殊病种门诊发生的起付标准以上至最高支付限额的政策范围内费用,在基层医疗卫生机构医疗的,统筹基金报销85%,在其他定点医疗机构医疗的,统筹基金报销75%。值得注意的是,市区参保人员在绍兴市范围内住院的,不再设定转外就医自理比例。确因疾病需要转绍兴市外定点医疗机构住院治疗的,须办理转院手续,未办理转院手续的,转外就医的自理比例在原规定基础上再提高10个百分点。此外,记者从市社保局还了解到,为方便参保人员缴费,学生或家长可通过“绍兴智慧人社通”手机APP进行手机转账。相关的主题文章: