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昆山農民醫療保障與城里人接軌

醫案日記 2023-06-14 17:12:27

昆山農民醫療保障(zhang)與城里(li)人(ren)接軌

本(ben)報訊(記者楊麗佳(jia)周(zhou)傳章)從2月1日起,江蘇省昆(kun)山市(shi)行(xing)政區域內(nei)的(de)所有(you)農村(cun)常住人口,將與城鎮居民(min)(min)一(yi)樣(yang)享有(you)基本(ben)醫療保險,長期困擾廣(guang)大農民(min)(min)的(de)因(yin)病致(zhi)貧(pin)、因(yin)病返貧(pin)問題可望從根本(ben)上得到(dao)解決(jue)。

昆山市的農村(cun)(cun)居民基(ji)(ji)(ji)本醫療保(bao)險(xian)(xian)由(you)住院風險(xian)(xian)統籌、大病救助(zhu)、個(ge)人(ren)(ren)(ren)賬戶(hu)及門診補(bu)(bu)償(chang)四個(ge)部分(fen)組(zu)成,實行(xing)(xing)市級統籌。保(bao)險(xian)(xian)費用(yong)由(you)市、鎮(zhen)兩級財(cai)政(zheng)(zheng)(zheng)、村(cun)(cun)集(ji)體經濟(ji)組(zu)織和參(can)(can)保(bao)個(ge)人(ren)(ren)(ren)共同負擔(dan)。農村(cun)(cun)居民基(ji)(ji)(ji)本醫療保(bao)險(xian)(xian)以村(cun)(cun)為基(ji)(ji)(ji)本單位(wei),以戶(hu)為基(ji)(ji)(ji)本單元(yuan),個(ge)人(ren)(ren)(ren)年(nian)均(jun)負擔(dan)50元(yuan),由(you)鎮(zhen)合管(guan)所(suo)在村(cun)(cun)民委(wei)協助(zhu)下(xia)進行(xing)(xing)籌集(ji),到位(wei)基(ji)(ji)(ji)金存入各(ge)鎮(zhen)財(cai)政(zheng)(zheng)(zheng)專用(yong)賬戶(hu)。村(cun)(cun)集(ji)體經濟(ji)組(zu)織按村(cun)(cun)參(can)(can)保(bao)人(ren)(ren)(ren)口(kou)數(shu)年(nian)人(ren)(ren)(ren)均(jun)20元(yuan)標(biao)準(zhun)進行(xing)(xing)補(bu)(bu)助(zhu),由(you)鎮(zhen)經濟(ji)服(fu)務中心(xin)、合管(guan)所(suo)負責籌集(ji),所(suo)籌集(ji)基(ji)(ji)(ji)金存入各(ge)鎮(zhen)財(cai)政(zheng)(zheng)(zheng)專用(yong)賬戶(hu)。各(ge)鎮(zhen)財(cai)政(zheng)(zheng)(zheng)按轄(xia)區(qu)內(nei)農村(cun)(cun)人(ren)(ren)(ren)口(kou)數(shu)年(nian)人(ren)(ren)(ren)均(jun)65元(yuan)標(biao)準(zhun)實行(xing)(xing)財(cai)政(zheng)(zheng)(zheng)補(bu)(bu)助(zhu),納入年(nian)度預算(suan),在下(xia)一(yi)醫保(bao)年(nian)度(為1月1日至12月31日)前一(yi)次性撥(bo)款(kuan)至鎮(zhen)財(cai)政(zheng)(zheng)(zheng)專用(yong)賬戶(hu)。市財(cai)政(zheng)(zheng)(zheng)按全市農村(cun)(cun)人(ren)(ren)(ren)口(kou)數(shu)年(nian)人(ren)(ren)(ren)均(jun)65元(yuan)標(biao)準(zhun)實行(xing)(xing)財(cai)政(zheng)(zheng)(zheng)補(bu)(bu)助(zhu)。

醫(yi)(yi)(yi)療(liao)(liao)保(bao)險(xian)(xian)(xian)(xian)基(ji)(ji)(ji)(ji)(ji)金(jin)(jin)(jin)(jin)主要(yao)用(yong)(yong)于建立(li)住(zhu)院(yuan)風(feng)險(xian)(xian)(xian)(xian)統(tong)籌(chou)基(ji)(ji)(ji)(ji)(ji)金(jin)(jin)(jin)(jin),用(yong)(yong)于參(can)(can)(can)保(bao)人(ren)(ren)(ren)(ren)員發生的(de)3萬元(yuan)(yuan)以(yi)下部(bu)分(fen)住(zhu)院(yuan)醫(yi)(yi)(yi)療(liao)(liao)費(fei)用(yong)(yong)的(de)補(bu)(bu)償;建立(li)大(da)病(bing)救助(zhu)基(ji)(ji)(ji)(ji)(ji)金(jin)(jin)(jin)(jin),按全(quan)市(shi)(shi)(shi)(shi)(shi)(shi)農(nong)村人(ren)(ren)(ren)(ren)口(kou)數年(nian)(nian)人(ren)(ren)(ren)(ren)均10元(yuan)(yuan)標準劃出,統(tong)籌(chou)使(shi)用(yong)(yong),用(yong)(yong)于參(can)(can)(can)保(bao)人(ren)(ren)(ren)(ren)員發生的(de)3萬元(yuan)(yuan)以(yi)上(shang)部(bu)分(fen)住(zhu)院(yuan)醫(yi)(yi)(yi)療(liao)(liao)費(fei)用(yong)(yong)的(de)補(bu)(bu)償及(ji)為全(quan)市(shi)(shi)(shi)(shi)(shi)(shi)農(nong)村低(di)保(bao)人(ren)(ren)(ren)(ren)員代交保(bao)險(xian)(xian)(xian)(xian)基(ji)(ji)(ji)(ji)(ji)金(jin)(jin)(jin)(jin)的(de)個人(ren)(ren)(ren)(ren)負擔部(bu)分(fen);建立(li)社(she)區門診費(fei)用(yong)(yong)補(bu)(bu)償基(ji)(ji)(ji)(ji)(ji)金(jin)(jin)(jin)(jin),按全(quan)市(shi)(shi)(shi)(shi)(shi)(shi)農(nong)村人(ren)(ren)(ren)(ren)口(kou)數年(nian)(nian)人(ren)(ren)(ren)(ren)均10元(yuan)(yuan)標準劃出,統(tong)籌(chou)使(shi)用(yong)(yong),用(yong)(yong)于參(can)(can)(can)保(bao)人(ren)(ren)(ren)(ren)員在(zai)社(she)區衛(wei)生服務機構(gou)(包(bao)括(kuo)鄉(xiang)鎮衛(wei)生院(yuan))就診時門診費(fei)用(yong)(yong)的(de)補(bu)(bu)償;建立(li)60歲(sui)以(yi)上(shang)參(can)(can)(can)保(bao)人(ren)(ren)(ren)(ren)員個人(ren)(ren)(ren)(ren)賬戶,保(bao)險(xian)(xian)(xian)(xian)基(ji)(ji)(ji)(ji)(ji)金(jin)(jin)(jin)(jin)為每(mei)位參(can)(can)(can)保(bao)人(ren)(ren)(ren)(ren)員每(mei)年(nian)(nian)注入150元(yuan)(yuan),用(yong)(yong)于在(zai)社(she)區衛(wei)生服務機構(gou)(包(bao)括(kuo)鄉(xiang)鎮衛(wei)生院(yuan))門診消費(fei)時直接使(shi)用(yong)(yong)。該市(shi)(shi)(shi)(shi)(shi)(shi)規(gui)定(ding),市(shi)(shi)(shi)(shi)(shi)(shi)財政(zheng)設立(li)農(nong)村居民(min)基(ji)(ji)(ji)(ji)(ji)本醫(yi)(yi)(yi)療(liao)(liao)保(bao)險(xian)(xian)(xian)(xian)基(ji)(ji)(ji)(ji)(ji)金(jin)(jin)(jin)(jin)專戶。各鎮財政(zheng)設立(li)保(bao)險(xian)(xian)(xian)(xian)基(ji)(ji)(ji)(ji)(ji)金(jin)(jin)(jin)(jin)過渡賬戶,用(yong)(yong)于存儲個人(ren)(ren)(ren)(ren)繳(jiao)納(na)、村集(ji)體(ti)經濟組織補(bu)(bu)助(zhu)和鎮財政(zheng)補(bu)(bu)助(zhu)的(de)基(ji)(ji)(ji)(ji)(ji)本醫(yi)(yi)(yi)療(liao)(liao)保(bao)險(xian)(xian)(xian)(xian)基(ji)(ji)(ji)(ji)(ji)金(jin)(jin)(jin)(jin),并在(zai)農(nong)村居民(min)基(ji)(ji)(ji)(ji)(ji)本醫(yi)(yi)(yi)療(liao)(liao)保(bao)險(xian)(xian)(xian)(xian)下一年(nian)(nian)度(du)前及(ji)時上(shang)劃至市(shi)(shi)(shi)(shi)(shi)(shi)財政(zheng)保(bao)險(xian)(xian)(xian)(xian)基(ji)(ji)(ji)(ji)(ji)金(jin)(jin)(jin)(jin)專戶。住(zhu)院(yuan)風(feng)險(xian)(xian)(xian)(xian)統(tong)籌(chou)、大(da)病(bing)救助(zhu)、個人(ren)(ren)(ren)(ren)賬戶及(ji)門診補(bu)(bu)償四個部(bu)分(fen)基(ji)(ji)(ji)(ji)(ji)金(jin)(jin)(jin)(jin)統(tong)籌(chou)使(shi)用(yong)(yong),基(ji)(ji)(ji)(ji)(ji)金(jin)(jin)(jin)(jin)出險(xian)(xian)(xian)(xian)部(bu)分(fen)由(you)市(shi)(shi)(shi)(shi)(shi)(shi)、鎮兩級財政(zheng)共同承擔。

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