Noticias

In order to continuously improve and enhance the level of people's livelihood security and further reduce the burden of medical expenses for serious and extraordinarily serious diseases of the people in difficulty, since January 1 this year, the medical insurance and assistance system for serious and extraordinarily serious diseases in our city has been officially implemented, and the people in need can enjoy assistance in the process of insurance and medical treatment, and medical assistance has achieved all-round support. As of the end of April, the city had enjoyed 7,335 medical assistance, medical expenses within the policy scope of 32.9349 million yuan, and the overall fund paid 29.5832 million yuan, with a reimbursement ratio of 89.8% within the policy scope.
Cobertura de subsidio de seguro "plus". Ampliar el alcance del subsidio de seguro, además de las personas extremadamente pobres, los huérfanos, los beneficiarios de subsidios de subsistencia y las personas que han regresado a la pobreza y se han convertido en pobres, las personas rurales que son vulnerables a regresar a la pobreza y la pobreza (hogares inestables que alivian la pobreza, hogares marginales vulnerables a la pobreza, Y los hogares con dificultades repentinas graves incluidos en el alcance del subsidio de seguro. Se proporcionarán subsidios completos a las contribuciones individuales de las personas que viven en la pobreza extrema y los huérfanos, y se otorgarán subsidios fijos a los beneficiarios del subsidio de subsistencia, la población rural vulnerable a volver a caer en la pobreza y la pobreza incluida en el alcance de monitoreo del departamento de revitalización rural, Individual de la población que ha vuelto a la pobreza y a la pobreza, determinado por el departamento de revitalización rural. En 2023, 498674 personas en el seguro médico básico de la ciudad para residentes urbanos y rurales estaban aseguradas, con una tasa de participación del 97.4%, y el 100% de las personas que han salido de la pobreza y los objetivos de monitoreo estaban aseguradas.
　　The object of medical assistance is "plus". Expand the scope of medical assistance, in addition to the extremely poor people, orphans, subsistence allowance recipients, and marginalized family members, rural people who are vulnerable to returning to poverty and seriously ill who incur high medical expenses as determined by the rural revitalization department are also included in the scope of medical assistance. After the inpatient expenses and outpatient chronic disease expenses incurred by the target within the policy scope of the designated medical institution are reimbursed by basic medical insurance and serious illness insurance, the personal out-of-pocket expenses within the scope of the policy shall be provided assistance in accordance with the regulations.
　　Medical assistance limit "plus". The limit of basic medical assistance has been raised from no less than 20,000 yuan to no less than 30,000 yuan. Newly added secondary assistance, for those who standardize referral and seek medical treatment in the province, if the personal burden within the scope of the policy is still heavy after the comprehensive guarantee of the triple system, the secondary assistance will be given after the application is approved according to the procedure. If the cumulative amount of out-of-pocket medical expenses paid by the individual within the scope of the three-fold system comprehensive guarantee exceeds 10,000 yuan in the current year, the second assistance will be given according to the proportion of 50%, and the annual assistance limit is 20,000 yuan.
　　The medical assistance process is "minus". Simplify medical assistance procedures, break down data barriers between departments, share information with civil affairs and rural revitalization departments, and regularly push the details of personnel from special hardship groups identified by the two departments to the medical insurance department. Fully rely on the national unified medical security information platform, fully realize the "one-stop" settlement and "one-window" handling of basic medical insurance, serious illness insurance, and medical assistance in the province, so that data can "run more roads" and the masses "run less errands", and maximize the convenience of settlement services.
　　The Municipal Medical Insurance Bureau will deeply study and implement the spirit of the 20th National Congress of the Communist Party of China and the important instructions of General Secretary Xi Jinping's important speech, conscientiously implement the medical insurance and relief system for serious and extraordinarily serious diseases, ensure that policies such as categorical subsidy for insurance, inpatient assistance, and outpatient assistance are effective, and weave a dense and tight medical security net, effectively reduce the burden of medical treatment for people in difficulty, and truly realize that people in need have "medical support".