Ji'nan workers medical insurance treatment adjustment levy public opinion outpatient reimbursement ratio to improve
to reduce the personal burden of the insured person, the Bureau of the people's society recently issued a public announcement on the adjustment of the basic medical insurance policy of employees. The notice of the policy (Soliciting Comments), the public consultation of the social opinion, will be adjusted to the proportion of the overall payment, the scope of payment and the proportion of the self payment of Part B. The time for this consultation is up to February 19th. Related comments and suggestions can be sent to mailbox: jnylbxc@163.com feedback, or fax to 66605961 feedback. The draft
involves three policy adjustments. First of all, we should improve the proportion of outpatient payment. In the payment range of the three level fixed-point medical institutions of the city, the insured has increased the proportion of payment from 35% to 40%; in the two and first level medical institutions, the proportion of payment for overall payment is increased from 55% to 60%; in the designated community health service, the payment ratio of the unified fund is raised from 60% to 70%. The proportion of co ordinate payments increased from 30% to 40% in the three level medical institutions transferred from community health service institutions.
secondly, we intend to expand the payment scope of general outpatient expenses. The basic medical insurance category a catalogues were included in the general out-patient overall payment range, and 72 items such as craniocerebral CT and therapeutic massage were included in the general outpatient payment range.
in addition, it is intended to reduce the proportion of personal self payment of some category B catalogues, and reduce the self payment ratio of 30% of the basic medical insurance category B catalogue to 20%.