7 kinds of difficult masses in Jiangsu can obtain medical rescue
The intersection of medical rescue and system and the intersection of resident and medical insurance with equal to while being agricultural while being new " Have not sewn " Connect, settle account when the whole province realizes medical rescue is real by 2010, reduce or cancel medical rescue and get up in one pair of lines progressively, the medical fee pays the part for itself and is subsidized and lower than 30%. This is by province Bureau of Civil Affairs recently, province General Office of Finance, the intersection of province and people assuare drawing room and save the intersection of department of public health and the intersection of " the suggetion on further improving the system of medical rescue in urban and rural areas " and goal that get out of that four department issue jointly, the system of this succour will benefit 2 million difficult masses in the whole province.
Succour the target: 7 kinds of difficult masses such as low insurance family,etc.
In effectiveness, difficult medical rescue demands and medical rescue resources of masses for considering the system of medical rescue synthetically but on the foundation of factor of endurance,etc., Jiangsu confirms the medical rescue target range as: The lowest living guarantee target in urban and rural areas, rural five guarantees target, live and succour the great serious illness patient in the target temporarily, enjoy civil affairs department fixed quantitative life simplify, resign from office worker the sixties in allowance, destitute worker that key entitled groups, federations of trade unions of cities and counties authorized and 7 kinds of difficult masses of personnel out of service of ginseng core,etc. qualified to succour.
It is reported, Jiangsu will include the special difficult personnel whom great serious illness patient and local government stipulate in other low-income financial difficulties families in the medical rescue range progressively, realize the system of medical rescue in urban and rural areas is covered to all difficult families in the whole province. "Define the standard specifically, the regional civil affairs department unites related departments such as the finance,etc., raise factors such as situation, difficult masses' solvency and basic medical demand,etc. to confirm according to local economic condition and medical relief fund, and is submitted to people's government at the same level for approval. " The relevant person of Bureau of Civil Affairs of province says.
Succour the standard: The medical fee is paid for itself and subsidized and is at least 30%
" opinion " is clear, to all kinds of targets qualified to succour, include in the medical rescue database directly after checking that is put on record. According to relevant regulation, subsidy it participate in urban residents (worker) Basic medical insurance or new rural cooperative medical service, guarantee to succour 100% of target to include in urban residents (the worker) Basic medical insurance or new rural cooperative medical service, and pay the expenses for itself to the basic medical treatment that its individual afforded, succour according to the regulation. That is to say, succouring the targets will all enter the medical insurance, participate in worker's medical insurance, resident's medical insurance, new agricultural expenses shut, mainly born by finance.
The expenses about making a diagnosis, the relevant person points out, should reduce or cancel getting up one pair of lines progressively, presume rationally that binds the line and subsidizes the proportion, and slope to the succour target of suffering from serious disease. After the target succouring it enjoys the basic medical insurance to compensate, are subsidized different proportions according to the target type by the hospitalization cost that is born personally, subsidize proportion lower than local the intersection of urban and rural residents and medical insurance individual pay 30% of expense for itself compensate. For example some difficult personnel diagnose the illness, spend 10,000, basic medical insurance wipe out 6000 yuan, 4000 yuan left is that individuals pay the part for itself, still can enjoy at least 30% of the medical rescue, namely offer 1200 yuan again, really need only 2800 yuan at one's own expense.
Succour the procedure: The medical fee is settled immediately
At present, many places adopt the method paid afterwards in succouring target's subsidy of hospitalization cost, succour hospitalization costs taken place need individuals to pay first first after the ill target, then go to the civil affairs department to apply to enjoy medical rescue according to the relevant certificate or material. Succour the target to give up and treat partly because of not understanding concrete going through procedure and procedure or unable to pay individuals and pay for the expenses first, have influenced succouring the result to a great extent.
" opinion " issued newly stipulates, should further simplify the procedure, give full play to the role of swift emergency convenient for people of medical rescue, namely medical rescue target hospitalization cost taken place to seek medical advice succour and subsidizing settling with urban medical insurance, new agricultural contract step immediately in the fixed medical organization according to the relevant regulation each time. The civil affairs department appropriates the medical relief fund the local medical insurance from the special family of the finance and shuts the fund account newly and agriculturally regularly together with the financial department, handled the organization to settle with medical organization according to the relevant regulation by the medical insurance, pursue medical treatment compensating, medical rescue and individual to pay for itself in an all-round way " A form is clear " Settlement service.
The reporter knows, Jiangsu had already issued the relevant method of settling account immediately last year, the pilot project that but odd district go ahead of the rest only, Suzhou is as one of the pilot cities, realized the system of medical rescue at the beginning of this year " Integrate " ,Include the medical rescue target of dispersing management in departments such as hygiene, civil administration, federation of trade unions, Association for the Handicapped,etc. in the social insurance department in unison, succour and connect several effectively. It is difficult for masses to block according to one medical insurance, while seeing the doctor in the fixed medical organization, exempt from ordinary the intersection of clinic and registration fee and make a diagnosis fee, hospitalization costs happened, should be paid by medical insurance fund and medical rescue, the fixed medical organization settles account immediately, it only needs to pay and pay the part for itself to succour the target. In the future, this method of Suzhou will be popularized in the whole province progressively.
In addition, in succouring the content, Jiangsu will be according to succouring target's different medical demands, launch medical rescue serve, insist on succouring in hospital, ordinary clinic, special clinic (cancer, dialyse, put chemotherapy etc.) , need long-term medicine keep, treat etc., make a diagnosis event make overall plans. Carry out basic medical insurance medicines catalogue and relevant regulation of the service item of making a diagnosis strictly. Staff reporter Qi QingYan
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