Guangzhou residents health care treatment of a serious illness to improve

by:Celecare     2020-05-20
On January 8th January 2, guangzhou city, guangzhou city health bureau, in a news release by medical insurance bureau, jointly issued by the guangzhou bureau of finance on adjusting the guangzhou urban and rural residents insurance of social medical insurance and urban and rural residents medical treatment of a serious illness to the relevant provisions of the notice, Hereinafter referred to as the 'notice') Has been formally implemented on January 1. Based on the 'notice', the standard of welfare, management of orgnaization of service, a serious illness insurance fund-raising adjustments. A serious illness insurance pay scale, difficult group benefits, convenient to handle. Highlight a serious illness insurance pay raise 'notice' pointed out that in the urban and rural residents health care within the year, ginseng protect personnel in the hospital or outpatient specific project in the treatment of primary medical treatment expenses, belong to the individual out-of-pocket medical expenses paid by a serious illness insurance funds according to the following standards: 1 treatment of annual accumulative total. More than 80000 yuan ( Contains no 1. 80000 yuan) , 3. 60000 yuan and the following part, by a serious illness insurance fund pays 60%; 3 treatment of annual accumulative total. More than 60000 yuan, urban and rural residents medical insurance plan as a whole fund is top pay limitation and the following section, by a serious illness insurance fund pays 75%. Before the policy adjustment, the two reimbursement ratio was 60%. For example: ginseng after xiao li was in the hospital, see entire annual total cost plus when the discharge, the settlement when his personal out-of-pocket medical expenses reached 100000 yuan, more than 1. Part of the 80000 yuan can submit an expense account again. According to the original policy, can submit an expense account amount is: ( 10 - 1. 8) × 60% = 4. 920000 yuan; After the implementation of the 'notice', it can be reimbursement amount is: ( 3. 6 - 1. 8) × 60% + ( 10 - 3. 6) × 75% = 5. 880000 yuan, the adjustment before raised nearly 10000 yuan. Highlight 2 difficult groups treatment to improve the 'notice' pointed out that belongs to enjoy treatment of medical treatment in the city of ginseng to keep staff, annual accumulated more than 3500 yuan ( Do not contain 3500 yuan) , urban and rural residents medical insurance plan as a whole fund is top pay limitation and the following part, by a serious illness insurance fund pays 80%. That is to say, for those who enjoy treatment of medical treatment in the city, as long as more than 3500 yuan to a serious illness insurance reimbursement ratio of up to 80%. Highlight 3 difficult groups faster implementation safeguard 'notice' pointed out that in the urban and rural residents health care new object of medical treatment in the city within the year, since the complete urban and rural residents health ginseng can enjoy from the date of registration, completes the identity of the corresponding urban and rural residents health care treatment. For the new object of medical treatment, without according to the regulations of the original policy to protect capture zhang began to enjoy the benefits of urban and rural residents health care after the second month, but in the ginseng of complete registration after good identity identification can enjoy. Now there are almost 5 million people take part in guangzhou urban and rural residents health care, after the implementation of the 'notice' will benefit.
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