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重庆将降低医保住院费报销门槛 最高降幅达50%--亲稳网络舆情监测室
2012-08-23

  重庆市近日出台办法,从明年起,调整城镇职工基本医疗保险住院起付线和在职职工住院费用支付比例,以提高参保人员医保待遇。此举将惠及480万职工。

Chongqing recently issued way,Starting from the next year,Adjust the urban employee basic medical insurance in hospital up pay line and on-the-job worker be in hospital cost payment proportion,In order to improve the ginseng protect personnel to pay medical insurance。The move would help up to 4.8 million workers。

  市人社局相关负责人称,一级及以下医院住院起付线(即报销费门槛)由400元降至200元,降幅达到50%;二级医院由640元降至440元,降幅31.25%;而三级医院维持不变,仍是880元。

City people club bureau relevant officials say,Level 1 and the following hospital up pay line(That is to submit an expense account fee threshold)By 400 yuan down to 200 yuan,Fell to 50%;Secondary hospital from 640 yuan down to 440 yuan,A drop of 31.25%;And tertiary hospital remain unchanged,Still is 880 yuan。

  同时,在一级、二级社区卫生服务机构住院的,其报销门槛费也分别降至160元、400元。

At the same time,In the level、Secondary community health service agencies in the hospital,The threshold to submit an expense account fee also dropped to 160 yuan respectively、400 yuan。

  此外,新办法还规定,一年内多次住院的,每增加1次其住院起付在上述标准基础上降10%。降低后,三级医院不得低于620元/次,二级医院不得低于260元/次,一级医院不得低于100元/次。此前,全市15万特病患者有每年只付一次“门槛费”的照顾。

In addition,The new method also provides,Many times a year in hospital,Every increase 1 times the hospital up to pay in the above standard basis drop 10%。reduced,Tertiary hospital is not less than 620 RMB/time,Secondary hospital is not less than 260 RMB/time,Level 1 hospital is not less than 100 RMB/time。after,The city's 150000 patients each year have pay only once“Threshold fee”care。

  按照新办法,各级医院的报销比例也有所调整:过去所有医院的报销比例均为85%,而现在二级定点医疗机构的住院报销比例提高到87%,一级定点医疗机构住院的报销比例提高到90%,三级医院维持不变。

According to the new way,At all levels of hospital reimbursement ratio will be adjusted:In the past all the hospital to submit an expense account for 85% of all proportion,And now secondary fixed-point medical institutions in proportion to submit an expense account increased from 87% to,Level 1 fixed-point medical institutions in the hospital reimbursement ratio increased from 90% to,Tertiary hospitals remain unchanged。

  另外,城镇职工医保最高报销额度为7.1万;凡超过限额的,可需动用大额医疗互助基金支付,最高可报销50万元。(记者吴新伟)

In addition,The highest amount of medical insurance for urban workers to submit an expense account for 71000;All exceed limit,May need to use the large amount of mutual medical fund pays,The highest can submit an expense account is 500000 yuan。(Reporter Christian d)


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