Ji'nan adjusts the annual payment limit for residents' health insurance policy to 150 thousand yuan.
Author: Ma Yunyun Xing Zhenyu
recently, the Ji'nan municipal government issued a "notice on the adjustment of the basic medical insurance policy for urban residents". The notice requires that from January 1st next year, the annual maximum payment limit for resident medical insurance is adjusted to 150 thousand yuan from 90 thousand yuan, and the medical expenses will be included in the coverage of the residents' medical insurance fund, including the items such as antenatal inspection fee, delivery fee, operation fee, hospitalization fee and medicine fee.
according to the notice, since January 1, 2012, the maximum payment limit for medical expenses (including a certain proportion of a certain proportion) of the resident medical insurance participants in the 1 medical years in hospital and outpatient medical insurance in accordance with the coverage of the medical insurance fund is adjusted to 15 from 90 thousand yuan to 15. Ten thousand yuan. Since September 1, 2011, the maximum payment limit for medical expenses (including a certain proportion of a certain proportion) of the medical insurance fund in the 1 medical years, which is in the hospital and outpatient medical insurance, is adjusted to 150 thousand yuan from 120 thousand yuan.
in addition, since January 1, 2012, the residents' medical insurance participants were adjusted to the medical insurance fund and the standard of individual sharing according to the medical insurance fund payment scope stipulated in the hospitalized or outpatient medical insurance. The standard of resident medical insurance fund and individual sharing is: in the first level medical institution (including community health service machine) Medical insurance, the medical insurance fund is paid by the resident medical insurance fund 80%, the individual burden 20%; in the two level medical institution medical treatment, the resident medical insurance fund pays 65%, the individual burden 35%; in the three level medical institution medical treatment, the resident medical insurance fund pays 55%, individual burden 45%.
notification requirements, since January 1, 2012, the residents of medical insurance participants in hospital childbirth due to childbirth medical expenses, including antenatal inspection fee, delivery fee, operation fee, hospitalization fee, medicine fee and so on into the coverage of the residents' medical insurance fund. The medical insurance expenses of the residents of the residents' medical insurance are fixed, and the residents' medical insurance fund is paid by the standard by the standard: 800 yuan, 1000 yuan for the vaginal operation and 1900 yuan in the cesarean section.
the insured person to enjoy the former treatment, must comply with the family planning policy, and when the insured person is hospitalized, the insured has been paid more than 1 years to the resident medical insurance in accordance with the provisions (in the medical year). The insured should give birth to the designated health care institutions in Ji'nan, except for first aid, rescue and other special cases.