Shandong next year to implement the health care of the workers
Shandong commercial newspaper reporter Li Yu
21 day, the provincial government office issued the opinion on the establishment of the insurance system for staff and workers, since January 1, 2017, To start and implement the insurance system for the major diseases of the staff and workers. The insured workers who take part in the basic medical insurance for employees and enjoy the medical treatment according to the regulations are all the guarantee objects for serious illness insurance.
the ordinary workers' families in the city are often poor because of the serious illness. In order to improve the level of the protection of the major diseases and reduce the burden of medical expenses for the patients with large diseases, Shandong will start to implement the insurance system for the staff and workers since January 1, 2017. We should gradually improve the policies and methods of financing, scope of guarantee, standard of compensation, management service and so on, and establish an insurance system for workers and workers in close connection with basic medical insurance, large amount of medical expenses subsidies, supplementary medical insurance and medical assistance.
the health insurance of the staff and workers should be compensated according to the compensation of the amount of medical expenses. Medical insurance for workers with serious illness is consistent with the basic medical insurance for employees. The specific scope of medical expenses for employees' serious illness insurance compliance is determined by the Provincial Department of human resources and social security and the provincial finance department in accordance with relevant regulations. The
document stipulates that the compensation standard is based on a certain proportion of the annual average wages of urban workers and workers of the last year published by the statistics department, to determine the starting and payment standards for the insurance of the staff and workers, and to compensate the part of the insured personnel for the annual cumulative burden over the standard above the starting and paying standards. In 2017, the starting payment standard was 20 thousand yuan. The above part of the standard should be paid 60% of the compensation. In a medical year, the maximum amount of insurance funds for employees with serious illness will be 200 thousand yuan. A dynamic adjustment mechanism should be set up to adjust the compensation standard for serious illness insurance at the right time.
the payment of the health insurance of the staff and workers, the documents are also stipulated in the document, and the funds of the staff and workers' major diseases insurance are allocated in principle from the basic medical insurance fund of the staff and workers. The city with insufficient fund of the basic medical insurance co-ordination fund can also be raised through large amount of medical expenses subsidy funds and supplementary medical insurance funds. Every year, the standard of raising funds for major diseases insurance of workers and workers is determined according to the high medical expenses, the financing ability of basic medical insurance and the level of payment. In 2017, the province's workers' serious illness insurance was raised according to the standard of 20 yuan per person per year.