Next year, kindergarten and primary and secondary school students’ personal medical insurance paymen-borderland
Next year the kindergarten and primary students’ personal Medicare payment increased to 300 yuan before the Shaoxing City Social Insurance Administration held between urban and rural residents (students) the basic medical insurance payment training session. This means that the announcement issued by the municipal government of the people’s Government of Shaoxing Municipality on the establishment of a unified urban and rural residents basic medical insurance system has officially entered the actual operation stage. To implement the Municipal Committee on accelerating the integration development of the three areas of the decision to deploy, according to the provisions of the basic medical insurance policy relevant superior departments of urban and rural residents, combined with the actual city, before the municipal government issued the "notice" of Shaoxing Municipal People’s Government on the establishment of the basic medical insurance system for urban and rural residents of urban unity, decided from 2017 onwards in the urban areas (in the city, Keqiao District, Shangyu District) the implementation of a unified urban and rural residents basic medical insurance. Reporters learned from the training meeting, the urban and rural residents medical insurance system adjustment is mainly reflected in the financing standards, general outpatient treatment, hospitalization and special diseases outpatient treatment three aspects. In terms of financing standards, the annual financing standards for urban and rural residents (including kindergartens, primary and secondary school students) in 2017 were 1000 yuan per person per year, of which 300 yuan was paid by individuals and 700 yuan by financial aid. In addition, the standard of financing for students studying in urban ordinary universities is 580 yuan per person per year, of which 100 yuan is paid by individuals and 480 yuan by financial aid. In the aspect of general outpatient treatment, medical insurance in a year, the insured in the designated medical institutions (including general outpatient emergency) Qifubiaozhun for 80 yuan; the insured in the basic medical and health institutions (including general outpatient emergency) more than Qifubiaozhun policy within the scope of the cost of funds, reimbursement of 50% of them Chinese herbal medicine and traditional Chinese medicine diagnosis and treatment project cost reimbursement funds increased from 50% in 2016 to more than 60%; the insured occurred in the urban general outpatient medical institutions other Qifubiaozhun policy within the overall fund expenses, reimbursement of 15%, the Chinese herbal medicine and Chinese medicine treatment project cost reimbursement funds increased from 20% in 2016 to 25%; cumulative net reimbursement increased from 500 yuan to 800 yuan in 2016. In the aspect of hospital and special disease outpatient treatment, in a year of medical insurance, hospitalization in the designated medical institutions Qifubiaozhun: three medical institutions of 1000 yuan, and the following two medical institutions (not including the basic medical and health institutions) 600 yuan, 300 yuan of basic medical and health institutions. Special disease outpatient Qifubiaozhun is still 400 yuan. The maximum payment limit increased from 200 thousand yuan in 2016 to 280 thousand yuan. The above insured hospital and outpatient special disease occurrence Qifubiaozhun to the maximum payment policy within the scope of the cost, in the basic medical and health institutions medical, funds for reimbursement of 85%, in other designated medical institutions for medical reimbursement fund, 75%. It is worth noting that the insured persons in urban areas are hospitalized in Shaoxing, and the self care rate is not set. Because of illness need to transfer outside the city of Shaoxing designated medical institutions hospitalization, must apply for transfer procedures, did not apply for transfer procedures, the proportion in the original provisions based medical care to outside.