The implementation opinions of the medical insurance and rescue system of severe diseases and rescue systems are issued and issued by Jiuquan City.
Author:Jiuquan Daily Time:2022.08.22
In order to further do a good job in the health care of severe diseases, effectively reduce the burden of medical expenses of difficult personnel and patients with major illnesses, and prevent poverty due to illness, and to build the bottom line of people's livelihood protection. Recently, Jiuquan Municipal Government Office issued the "Jiuquan City on improving the improving major diseases of the major diseases Implementation of the medical insurance and rescue system "(hereinafter referred to as" Opinions ").
The "Opinions" clearly states that the rescue targets include the poor people (including orphan and the facts that no one care for children), urban and rural minimum guarantee objects, rural returns to poor people, and incorporate rural areas to prevent the scope of poverty -giving poverty monitoring. Family members of the poverty alleviation population, the family members of the macro -infasonric skeleton, and patients with poverty due to illness. Rescue objects with multiple identities shall be implemented in accordance with the principle of high no repeated principles. Implement the national insurance plan, employers and their employees, urban and rural residents participate in basic medical insurance in accordance with laws and regulations. For those in difficult people to participate in the personal payment of the residents' medical insurance, the city's unified classification funding policy is implemented. Among them, the special poverty -stricken personnel will give full funding. The urban and rural subsistence allowance objects, the rural back to the poor and the poor, and the rural areas to prevent the scope of poverty -stricken poverty monitoring are easy to return to poverty. The population and the population of poverty alleviation during the transition period will be provided for funding.
The "Opinions" pointed out that the comprehensive guarantee of the triple system should be strengthened. Adhere to the basic medical insurance main guarantee function, implement a fair and inclusive protection policy for all insured personnel, and implement the incentive mechanism of the duration of medical insurance payment and treatment; consolidate the level of protection of major illness insurance, and to the special personnel and urban and rural subsistence allowances participating in residents' medical insurance. Objects, rural returns to the poor and poor people to implement a policies for the policies of major illness insurance, and the medical expenses of chronic special diseases in hospitalization and outpatient clinics will be reimbursed in accordance with the current basic medical insurance policy. The reimbursement ratio is increased by 5 percentage points; in accordance with the principle of "first insurance and then assistance", strengthen the support function of medical assistance.
The "Opinions" pointed out that the protection of medical assistance should be strengthened, and rural areas that are prone to poverty -stricken people and the poverty -stricken population in rural areas that are poverty -stricken and poverty -stricken people, and incorporate the scope of poverty -stricken monitoring. , Inpatient expenses within the scope of basic medical insurance payment, medical expenses of chronic special diseases in outpatient clinics, and direct rescue in accordance with the regulations after the reimbursement of basic medical insurance and major illness insurance. The disease is 50,000 yuan, and the special disease is 80,000 yuan. Among them, the proportion of the rescue of the special difficulties is 100%. The proportion of rescue is 70%, which is included in the rural revitalization department to prevent the proportion of rescue ratios of the poverty -poverty and poverty population of poverty -stricken poverty. The subsistence allowance family members and patients with poverty due to illness and poverty -stricken diseases are implemented in accordance with the application for rescue, and the rescue targets within the scope of the basic medical insurance payment in the designated medical institution and the medical expenses of chronic special diseases in outpatient clinics. After the medical insurance payment is paid, the rescue is given according to regulations, and the rescue ratio is 60%. Among them, the annual rescue standard for members of the subsistence allowances of the Ministry of Family Payment is 2,000 yuan, and the annual starting standard of patients with poverty due to illness is 5,000 yuan. For direct rescue targets and application rescue targets, if the medical institutions are treated or regulated with medical institutions in the place of insurance, after a comprehensive guarantee of the triple system, the medical expenses within the basic medical insurance payment scope of personal burden will exceed 6,000 yuan within a year. The above part is implemented at a ratio of 30%.
The "Opinions" also put forward specific requirements for medical rescue funds, improve and resolve the long -acting mechanism of poverty and poverty due to illness, improve the service capacity, and strengthen organizational guarantee, and encourage social forces to participate in rescue guarantees. (Jiuquan Rong Media reporter Ma Xuequan)
Editor -in -chief: Wang Xiaojiao
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