Heavy notice!Follow Jining residents' medical insurance treatment

About doing well for private things

Further improving the notice of the problem of residents' medical insurance treatment

All counties (cities, districts) Medical Security Bureau, Finance Bureau, Health and Health Bureau, Jining High -tech Zone Human Resources Service Center, Tai Baihu New District Social Security Business Service Center, Jining Economic and Technological Development Zone Human Resources and Social Security Service Center:

This year, the Jining Municipal Government listed medical security treatment as private affairs. In order to accelerate the effectiveness of the implementation of private offices and further reduce the burden of personal medical expenses, in accordance with the "Opinions of the CPC Shandong Provincial Party Committee and the People's Government of Shandong Province to implement the" Opinions of the Central Committee of the Communist Party of China and the State Council on the Reform of the Deepening Medical Security System "(Lu Fa Fa Fa Fa Fa Fa Fa [2020] No. 18) and other documents stipulated and implemented the relevant requirements of healthy Chinese actions, combined with the actual situation of Jining City to determine the improvement of residents' medical insurance benefits, the relevant matters are notified as follows:

1. Increase the proportion of residents' medical insurance reimbursement. Institute of medical institutions in the first, second, and third -level medical institutions increased by 5%, from the original 80%, 70%, and 55%increased proportion of medical insurance funds to 85%, 75%, and 60%, respectively.

2. Reduce the standards for hospitalization for residents' medical insurance. Insurance residents were hospitalized at the first, second, and third -level medical institutions. The starting standard paid by the basic medical insurance funds was reduced from the original 200 yuan, 500 yuan, and 1,000 yuan to 100 yuan, 400 yuan, and 800 yuan, respectively.

Third, reduce the proportion of self -payment of category B drugs for residents. The basic medical insurance for residents implements a national and provincial unified medical insurance drug directory. The proportion of category B in the drug directory is reduced by 10%, which is consistent with the proportion of employees' medical insurance category B drug.

Medical security is an important livelihood work. It involves the practical interests of the masses. Improve the treatment of residents' medical insurance treatment is the municipal government's practical practice for private affairs, and it is also an important assessment indicator for health China. Relevant departments such as medical insurance, finances, and health and health at all levels should strengthen cooperation and cooperation, strengthen fund supervision, improve service levels, and ensure that the policy is effective. The medical insurance agencies at all levels should attach great importance to setting up medical insurance information systems in a timely manner to realize instant settlement of medical institutions, timely allocation of fixed -point medical institution funds, do a good job of publicity and guidance, severely crack down on fraudulent behavior in accordance with the law, and ensure the safe operation of medical insurance funds.

Jining Medical Security Bureau

Jining Finance Bureau

Jining City Health and Health Committee

August 12, 2022

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