New medical insurance!Cross -district outpatient clinics will achieve "roaming in the city"!

Improve citizens 'medical insurance benefits, improve Foshan's maternity medical treatment standards, and promote the "outpatient help" guarantee for employees and residents' medical insurance ... On the 17th, the reporter learned from the Foshan Medical Insurance Bureau that a series of new medical insurance policies and benefits of the people will be introduced in the second half of the year.

Cross -district outpatient clinics will realize "roaming in the city"

"2022 is the year of reform and reform of the medical security department." Lin Jianwei, secretary of the party group and director of the Foshan Medical Insurance Bureau, introduced that this year, the outpatient "support" reform of Foshan employees and residents will be promoted. In general, the reform ideas of "outpatient design, the city's selection, first aid office, and referral guarantee", as well as the principles of "consistent management methods and implementation of classification guarantee" of employees, urban and rural residents' outpatient guarantee systems, and the outpatient guarantee system of urban and rural residents. , Settlement Management and Personal Treatment, etc., make 24 optimization and adjustments to the current policies, actively respond to the demand and social concerns of citizens, and further enhance the protection of the rights and interests of participants.

It is worth noting that the new policy of cross -regional clinics in Foshan will also be introduced. In the future, the insured can select medical institutions throughout the city and enjoy the general outpatient clinic of "roaming in the city". The insured will enjoy the general outpatient treatment of medical insurance in the existing place of insured. At least two medical institutions are selected across the region to enjoy the general outpatient treatment of medical insurance for medical insurance, of which at least one grass -roots medical and health institutions should be selected as a fixed point.

At the same time, Foshan will further let go of ordinary outpatient qualifications. As long as qualified medical and health institutions can apply to become designated medical institutions for ordinary outpatient clinics. For example, the first hospital and municipal hospitals that citizens are concerned about can apply for designated medical institutions for ordinary outpatient clinics.

Adjustment of maternity medical expenses and treatment to pay for the following month to take effect

The "Administrative Measures for Performance Insurance in Foshan City" led by the Foshan Medical Insurance Bureau will be implemented soon. The New Deal has adjusted and revised the current policies from the scope of guarantee personnel, fertility medical expenses, and maternity allowance benefits.

The New Deal will increase the protection of flexible employment, further link to the insurance mechanism for flexible employment personnel, cancel the restrictions on the participation of flexible employees, and participate in the basic medical insurance for employees. You can enjoy the fertility medical expenses without paying maternity insurance premiums.

Enjoy the effective date of fertility benefits to the payment of the payment the next month. It is clear that the ectopic pregnancy termination of pregnancy, and the cost of diagnosis and treatment during family planning surgery and the cost of complications will be incorporated into the scope of the nuclear report of maternity insurance, and the fertility costs are 100%reimbursement. If the actual number of female employees' daily departure holiday days are lower than the number of days of holidays, the number of births in the holidays will be issued in accordance with the prescribed holidays to further protect the rights and interests of female employees.

Lin Jianwei said that there are currently 6.32 million biders in Foshan. The Municipal Medical Insurance Bureau will adhere to the concept of "people's supremacy and life first", and strive to provide participants with a comprehensive and full -cycle medical security, so that the masses can see, see the disease, and see the disease. At the same time, it is necessary to serve the insurers from other places from all over the country to seek medical treatment in Foshan, meet the people's diverse medical security needs, and continuously enhance the people's sense of gain, happiness, and security.

Text/Foshan Daily reporter Tang Gezhen

- END -