It's about you and me!There are five new changes in the Shandong Medical Rescue System

On September 5, the Shandong Provincial Government held a press conference to interpret the "Implementation Opinions on Implementation of Medical Insurance and Rescue System" (hereinafter referred to as "Implementation Opinions"). Huang Xiaojun, a member of the Party Group and Deputy Director of the Shandong Provincial Medical Insurance Bureau, introduced at the press conference that the adjustment of this medical assistance policy was mainly five major changes.

First, the scope of the rescue object is more clear and scientific. During the period of poverty alleviation, the medical assistance policy focused on rural poor people. This "Implementation Opinions" based on the new stage of development after comprehensive poverty alleviation, establish a more comprehensive, long -term and systematic rescue mechanism, expand the scope of medical assistance objects to difficult workers and urban and rural residents, and uniformly regulate the rescue objects as special poverty -stricken personnel, and The subsistence allowance objects, the poverty -poverty population, the family members of the subsistence allowances, the prevention and assistance objects of the poor return of poverty, and the six types of patients with poverty -stricken diseases due to illness, expand the medical assistance system from a specific population to all insured persons. More accurate, clearer border, and more targeted policies.

The second is that the personal burden of rescue targets is more comprehensive. The "Implementation Opinions" continues to put the rescue target's inpatient expenses, outpatient special diseases such as outpatient medical institutions, etc., and the individual pay for the individual within the policy scope of the basic medical insurance and major illness insurance reimbursement. It is clearly incorporated into the scope of medical assistance guarantee for the basic medical insurance and major illness insurance annual payment lines below the annual payment line and the maximum payment limit, and the full coverage of medical expenses within the scope of the policy, strengthening the comprehensive guarantee function, further reduced difficulties in difficulties Criminal burden.

Third, the protection of the rescue object is more powerful. Combined with the standards of civil affairs, rural revitalization and other departments, the implementation of the "Implementation Opinions" uniformly clarify the level of assisted objects to classify and guarantee the level of guarantee, and determine the level of rescue and treatment respectively, and play the role of the system for reduced the burden of the system. In particular, the key rescue targets for the poverty -stricken personnel, the subsistence allowance objects, and the poverty -poverty -poverty population, cancel the launch of medical assistance, and the maximum payment limit of special effects drugs for major illness insurance. If it is less than 30,000 yuan, after the guarantee of the triple system, the personal burden is still heavy. It gives the annual reassessment of 20,000 yuan, further increase rescue efforts, strengthen the support function of the bottom of the support, and better support the bottom line of residents.

The fourth is to enjoy medical assistance. Simplify and optimize the rescue process, and to implement medical assistance benefits directly for medical rescue benefits for the special difficulties of the civil affairs and rural rejuvenation departments, members of the poverty -stricken and poor population, and mitral family members who return to poverty -stricken and poverty. For patients who have not been included in the scope of the above -mentioned persons due to illness, poverty -poverty and serious diseases are established in accordance with the application rescue mechanism, and an individual will apply for the application.

Fifth, preventing poverty and returning to poverty due to illness. Establish a high -amount medical expenses expenditure warning and monitoring mechanism, quantify specific monitoring indicators, and will be reimbursed after basic medical insurance and major illness insurance. Members of marginal families, the targets of preventing poverty -relief monitoring and assistance, and the annual accumulated individual burden expenses in the policy scope exceeding the annual per capita disposable income of residents in the province, all of which are included in the scope of early warning and monitoring. The medical insurance department has pushed the monitoring information to the civil affairs and rural rejuvenation and other departments in a timely manner to achieve eligible monitoring people accurately identify, timely incorporate, accurate assistance, and strengthen the connection between medical assistance and employee mutual assistance, charity assistance, commercial medical insurance, etc. Prevent and resolve poverty due to illness.

New Yellow River Client Reporter: Chai Yingying Editor: Sun Feifei

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