A big wave of benefits coming from Ji'nan will no longer be allocated for medical insurance reimbursement.
reporter today, from April 1st, Ji'nan will adjust the basic medical insurance and the basic medical insurance policy for the residents. Among them, the reimbursement ratio of residents' basic medical insurance will no longer be divided into files, and the proportion of payment for the general outpatient funds of medical insurance will increase.
according to the "notice on the adjustment of the basic medical insurance policy of residents", the medical expenses in the hospital or outpatient of the funds paid by the resident basic medical insurance insured persons (excluding the insured college students) are stipulated in the hospitalization or outpatient service, and do not distinguish the grade of individual payment, and the fund payment proportion in the two level medical institutions One for 65% medical institutions in the first level medical institutions, the proportion of fund payment is 75% in the medical institutions that fully implement the national basic drug system, and the proportion of fund payment is 90%. That is to say, the medical expenses of the sick or out-patient department within the scope of the payment of the fund will change the way of payment according to the individual payment scale.
notice that the workers' basic medical insurance participants are in the general outpatient medical expenses within the scope of payment in the three level designated medical institutions of the city. The proportion of payment for overall payment is raised from 35% to 40% at the two and first level medical institutions, and the proportion of payment for overall payment is increased from 55% to 60% at the designated community health service. The proportion of payment for payment was raised from 60% to 70%. The notice put forward that 72 items of medical treatment projects such as craniocerebral CT and therapeutic massage were included in the scope of overall payment in general outpatient service.
adjustment fund payment ratio
in the two level medical institutions, the proportion of fund payment is unified to 65%
medical institutions in the first level medical institutions. The proportion of fund payment is 75%
in the medical institutions which fully implement the national basic drug system, the proportion of fund payment is 90%.
the proportion of payment for overall payment was increased by
three level designated medical institutions. The proportion of payment for overall payment was raised from 35% to 40%
in grade two and first level medical institutions. The proportion of payment for overall payment was raised from 55% to 60%
in designated community health service institutions, and the proportion of overall payment was increased from 60% to 70%.