reporter Zhang Shuai correspondent summer Xu young Fu
reporter learned from the Ji'nan Social Security Bureau: Recently, the municipal government department issued the implementation of the implementation of the opinion. This will further raise the level of medical security for the poor and reduce the burden on the poor. It is understood that the new deal will benefit 196 thousand poor people in the city.
the proportion of reimbursement for major diseases insurance and the increase of payment upper limit
the reporter has learned to further improve the insurance system for the residents' major diseases and improve the level of medical security for the poor. In Ji'nan, the standard of starting and paying for large disease insurance is halved, the proportion of medical expenses is increased by 5%, and the policy of raising the maximum payment limit from 300 thousand yuan to 500 thousand yuan is made. The time of implementation of the policy has been carried out since 2016.
staff of the Municipal Social Security Bureau: in order for the poor people to enjoy the improvement of the treatment of major diseases as soon as possible, the Municipal Social Security Bureau has implemented a combination of "one-stop report" and "two times report", which compensates for the costs of the poor people who are in accordance with the coverage of the residents' insurance. At present, the cost of the poor population in the designated medical institutions which conforms to the coverage of the residents' major diseases insurance will be reimbursed in accordance with the new policy and the residents' basic medical insurance.
up to now, the Municipal Social Security Bureau has completed the summary of the medical expenses of the poor people in 2016 and this year according to the accurate poverty alleviation new deal and the two new deal report on the new deal. It involves 4684 people, and the compensation cost of the big disease insurance has reached 15 million 277 thousand and 700 yuan.
zero threshold, there is no starting payment line for poor people,
the "implementation opinion" stipulates that from March this year, the poor people who have participated in the basic medical insurance of the residents will no longer bear the standard of starting and paying for medical treatment. Up to now, a total of 7570 people have enjoyed this treatment.
it is understood that the current medical insurance in Ji'nan has 9 outpatient regulations, such as malignant tumor and leukemia, dialysis of renal failure, anti rejection of organ transplantation, hemophilia, aplastic anemia, systemic lupus erythematosus, Parkinson's disease and syndrome (only adult residents), semen deity, phenylketonuria and so on. Definite disease.
300 yuan per month, the poor people can apply for medical care
from March this year, the poor elderly in Ji'nan can apply for medical care subsidies to a grass-roots designated medical institution in the District of the insured. The designated medical institutions shall organize the appraisal, conduct on-site examination and evaluation of the patient's condition and self-care condition, and examine relevant medical record materials. If the application is eligible, the designated medical institution shall report the relevant information of the insured person to the social insurance agency of the county, and the medical care allowance shall be obtained after the examination and approval. The standard is 300 yuan per person per person per month. The grass-roots designated medical institutions that accept the application are responsible for providing medical care services to the insured, and the insured pays the corresponding coupons to them.
the staff of the Municipal Social Security Bureau said: the identification of the poor and disabled elderly and the payment of medical care have been handed over to the medical insurance agencies of various counties. Recently, this part of the insured will enjoy this treatment one after another.
no payment, the poor people enjoy free medical insurance
since the integration of the new rural cooperation in Ji'nan and the medical insurance of urban residents in 2015, the number of medical insurance participants in Ji'nan has now reached about 4000000. In 2017, Ji'nan adult medical insurance adult payment standard was divided into two files, namely, 300 yuan per person per year and 160 yuan per person per year. Children are 100 yuan per person per year. But this is the cost of hundreds of dollars for this family, which is also a burden for the poor families.
for this reason, the Municipal Social Security Bureau has done a solid job in research and measurement. After eliminating the volunteers who have volunteered to participate in medical insurance, a free payment policy is implemented for the poor people who voluntarily participate in the medical insurance of the residents, and their personal contributions will be borne by the full amount of the finance. In this way, the impoverished people will have basic protection when they see a doctor, and they will enjoy the same medical insurance reimbursement treatment as the about 4000000 urban and rural residents.