Ji'nan will achieve the basic level of medical insurance this year, and the payment standard will be unified.
source: Ji'nan daily
Shandong provincial human resources and social security department issued a message today, according to the newly released "guidance on promoting urban basic medical insurance in urban areas of our province," in 2011 Shandong province will be realized. The basic level of medical insurance for urban workers and urban residents should be co-ordinated. The opinion points out that the urban basic medical insurance is an effective means to strengthen the basic medical insurance and the ability to resist the risk. Shandong province will establish the basic medical insurance for urban and urban residents and urban residents on the basis of the current policy framework of basic medical insurance for urban and urban residents and urban residents. At the same time, we should set up a large scale fund adjustment mechanism and management operation mechanism as soon as possible. This year, 9 cities and towns in Ji'nan, Qingdao, Dongying, Jining, Weihai, sunshine, Laiwu, Linyi and Binzhou have realized urban and urban residents' basic medical insurance for urban and urban residents, including Zaozhuang, Yantai, Weifang, Tai'an, Dezhou, Laiwu and other cities and towns and the basic medical insurance of urban and urban residents. The city area of the dangerous city is integrated.
Shandong province stipulates that the urban staff and urban residents' basic medical insurance municipal level is organized independently in the framework of the city system, and the scope and project of the whole city, the unified payment standard, the unified treatment standard, the unified fund management, the unified management process, and the unified information management are unified in the whole city. Employees of all employers in cities and towns in cities and towns (including stable employment of migrant workers) and retirees, urban individual business owners and employees and other employees should be integrated into the city level of urban staff and workers' basic medical insurance. Universities and primary and secondary school students who are not covered by the basic medical insurance system of urban workers (including the full-time college students, full-time postgraduates, full-time graduates, vocational high schools, secondary schools and technical schools), young children and other non employed urban residents in private colleges and universities and scientific research institutes Urban residents should be integrated into the city level of basic medical insurance for urban residents.
urban staff and urban staff basic medical insurance city level overall project mainly includes the overall fund and the large amount of medical expenses subsidies, the conditions of the city can be integrated into the municipal level of individual account funds. The urban residents' basic medical insurance project mainly includes the overall fund, the city can refer to the basic medical insurance method of urban workers, establish the large medical cost subsidy and incorporate the municipal level, and can gradually integrate the general outpatient medical expenses into the municipal level.
each city shall, according to the requirements of the relevant regulations, unify the policies of the payment base, the proportion of payment, the years of payment, the minimum payment life, the actual payment years, and the reasonable determination of the payment ratio of the employers and workers and the contributions of all kinds of insured persons in accordance with the regulations. The cardinal number. In combination with the local medical consumption level and the basic medical needs of the insured, the standard of payment for the general outpatient, outpatient, inpatient and large medical expenses should be unified, including the proportion of individual accounts, the overall fund starting and payment line, the top line, the proportion of the individual, the drug catalogue and the diagnosis and treatment items. The policy of personal payment in proportion to the individual.