Pay attention!Shenyang employee medical insurance has changed!

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"Shenyang City is established and improved

Employee Basic Medical Insurance Outpatient Fair

Implementation Plan for the Protection Mechanism "

(Hereinafter referred to as the "Implementation Plan")

Release

The outpatient costs are proposed to improve the scope of the payment of employee medical insurance overall funds; implement overall planning and help, strengthen the combination of basic medical insurance mutual aid functions, improve the efficiency of fund use, and gradually reduce the burden of medical expenses for insured personnel.

"Implementation Plan" clarify these things

The "Implementation Plan" clarifies the treatment standards for the use of outpatients, and the insured persons will cause the insured personnel to pay more than a fixed -point medical institution due to multiple diseases and common diseases. Percent payment. The annual starting standard is not less than 300 yuan; the reimbursement ratio is not less than 50%, and the highest payment limit of the year is not less than 5,000 yuan. The treatment policy is appropriately tilted to retirees.

The "Implementation Plan" also clarifies the management of personal accounts, and proposes the method of reforming personal accounts:

The personal account of the staff (the flexible employment person who pays at a ratio of 6.8%does not establish a personal account) is included in the standard of 2%of the payment base for participation; the personal account of the retirees is based on the 2%quota of the basic pension level in 2022 in our city. Credit.

Standardize the scope of personal account use:

Used to pay the medical expenses affordable by individuals that the insured person and their spouses, parents, and children will take medical treatment at the designated medical institution; the cost of personal burden of personal burden of drugs, medical equipment, and medical consumables at designated pharmaceutical institutions, and purchase of commercial supplements to buy commercial supplements The cost of insurance can be used for personal payment of individuals such as spouses, parents, and children to participate in basic medical insurance such as urban and rural residents; other payment scope stipulated in the province.

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