城镇居民医保办法出台 150万居民将享门诊报销

城镇居民医保办法出台 150万居民将享门诊报销 Beijing human resources and Social Security Bureau held a press conference this afternoon, announced that from January 1st next year, the city's 1 million 500 thousand urban residents will enjoy outpatient reimbursement treatment, to achieve medical treatment card, immediate settlement. To this end, the municipal government increased financial subsidies, the annual investment of 690 million yuan, to ensure that "one old, one small" and "unemployed residents" door (urgent) diagnosis and hospitalization expenses reimbursement. Solve the urban residents no outpatient reimbursement and subsidies are two major problems In order to further deepen the reform of medical insurance system, the municipal government proposed to accelerate the establishment of a unified social security system, the integration of the "new" and "old and small, unemployed residents medical insurance system, promote the integration of urban and rural residents' medical security system. In 2007, the city launched a "one old one small" serious illness medical insurance, in 2008 started the unemployed residents serious illness medical insurance, in 2009 established the "one old" outpatient reimbursement system. This year, according to municipal Party Committee on accelerating the establishment of a unified social security system integration requirements, "one old one small and unemployed residents medical insurance system, the introduction of the" measures "of Beijing City, the basic medical insurance for urban residents, urban residents did not solve outpatient reimbursement system and the government subsidy level is low. The medical insurance system for urban residents is an important part of the overall health insurance system for urban and rural residents, creating conditions for the establishment of a unified medical insurance system for urban residents. According to reports, the current system is in accordance with the children of students and unemployed residents of the three groups of urban elderly, and the security benefits, in order to solve the hospitalization expenses; the financing is based on the different populations were raised; in insurance, a "small" is based on the annual insurance premium. "The old and unemployed residents according to the nature of the annual premium payment. System operation for three years, the number of insured increased year by year, the beneficiary groups continue to expand, the insured personnel fully recognized the system, to a certain extent eased the masses difficult to see a doctor, expensive problem. Up to now, the total number of insured reached 1 million 480 thousand people. In the past three years, the total income of medical insurance funds was 1 billion 227 million yuan, accounting for 154 thousand and 300 people, paying 1 billion 124 million yuan for medical treatment. Students, children and unemployed residents set up outpatient reimbursement system for the first time The urban residents medical insurance system, for the first time for "a small" and unemployed residents established outpatient reimbursement system, the maximum payment of 2000 yuan. According to the medical insurance fund financing for urban residents, urban elderly, children of students and unemployed residents outpatient reimbursement standard is 650 yuan, Qifubiaozhun above the urban residents' basic medical insurance fund to pay 50%, medical insurance in a year, the cumulative maximum amount paid 2000 yuan to support. The medical insurance system for urban residents has unified the financial subsidy standard, which is subsidized by 460 yuan per person per year. The current financial subsidy is based on different standards for the population. "One year old" grants 1500 yuan per person per year: "a small" subsidy of 50 yuan per person per year; unemployed residents receive 100 yuan per person per year, and the average income per person in the three categories is 240 yuan. This adjustment is no longer divided by the crowd, but by the unified standards to be subsidized, that is: 460 yuan per person per year subsidy. Fiscal year increased by 320 million yuan, subsidies amounted to 690 million yuan. Unified insurance payment time this year from December 6th to February 28, 2011 The medical insurance system for urban residents has unified the insurance payment time. In the future, urban elderly, unemployed residents and students children's insurance payment time adjustment for each year from September 1st to November 30th to pay medical insurance premiums for next year, since January 1st the following year to enjoy basic medical insurance for urban residents. Insured more than the insured payment period, no longer apply for payment procedures insured. Since this year is the first year of the implementation of the "measures", so the insurance payment this year's time from December 6, 2010 to February 28, 2011, during which the insured can enjoy the residents' basic medical insurance in January 1, 2011. One elderly, one small and unemployed residents are entitled to free treatment According to reports, unemployed residents in persons with severe disabilities and individual contributions paid by the residual premium in the current system, the urban elderly children and students in persons with severe disabilities and individual contributions paid by individuals. After the implementation of the medical insurance system for urban residents, persons with severe disabilities and individual contributions paid by the unified residual premium, individuals do not pay can enjoy medical insurance benefits, further reducing one old and one small personal burden of severe disability. In order to ensure the timely payment policy staff can enjoy free insurance, the "measures" provisions: enjoy the city's urban residents minimum living security and hardship allowance treatment of urban elderly, children of students, unemployed urban residents, seven to ten disabled soldiers, urban special assistance, courageous staff, by the county civil affairs department is responsible for the organization unified handle insurance payment procedures. Urban residents medical insurance system stipulates that "an old" individual payment of 300 yuan per year; unemployed residents pay 600 yuan per person per year: "a small" individual contributions, 100 yuan per year, compared with the original policy increased by 50 yuan. "One year old" and unemployed residents carry out the community first visit system In order to further promote the development of community health services, provision of medical insurance system for urban residents, the establishment of outpatient reimbursement system, the elderly and the unemployed urban residents outpatient service to community health service institutions and the implementation of the first diagnosis referral system. As community health services do not currently have children's clinics, student children are temporarily suspended. Provisions of the medical insurance system for urban residents, the insured in accordance with the nearest medical treatment, convenient management "principle, can choose the nearest 3 hospitals and 1 community health service institutions in the city within the scope of the designated medical institutions, medical institutions designated as my. After the insured has been receiving social security card, I test the medical social security card. After the insured did not receive social security card, medical treatment is required with the social insurance agency issued the "Beijing urban medical security for the elderly medical insurance handbook", "Beijing city unemployed urban residents medical insurance handbook", "Beijing city children medical insurance handbook".