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广东佛山禅城新政策:住院费超3万可获90%补贴--亲稳网络舆情监控室
2012-09-14
(广东)佛山禅城在省内率先开展住院大额医疗费用补贴,20万人受惠 (guangdong)Foshan buddhist city in the province carried out the large amount of the hospitalization medical expenses subsidies,200000 people benefit
住院费超3万可获90%补贴 Hospitalization expenses exceeds 30000 can get 90% subsidy
国家近日出台《关于开展城乡居民大病保险工作的指导意见》,要求合理确定大病保险补偿政策,实际支付比例不低于50%。记者了解到,目前佛山市禅城区已在广东省率先做出尝试,从7月1日开始,禅城区实行居民住院基本医疗保险大额医疗费用补贴政策,凡是参加了住院基本医保的居民,住院费用个人负担部分(不含起付标准)累计超过3万元,超过部分可补贴90%。目前,禅城居民每个社保年度累计最高补贴额度为5万元,7、8月两月已有16人享受该项补贴。
Countries recently issued[About urban and rural residents to carry out a serious illness insurance work guiding opinions],Request reasonable serious illness insurance compensation policy,The actual payment proportion is less than 50%.The reporter understands,Foshan chancheng district at present in guangdong province has been their first attempt,Start on the 1st of July,Zen city residents of the basic medical insurance practice in large medical expenses subsidies policy,Those who took part in the hospital basic medical insurance of the residents,Hospitalization expense of individual responsibility(Does not contain the fu biao)Accumulated more than 30000 yuan,More than part can be 90% subsidy.At present,Zen city residents each social security annual accumulated highest subsidy of 50000 yuan,7/August two months have 16 people enjoy the subsidies.
本次禅城出台的居民住院基本医疗保险大额医疗费用补贴,对象包括禅城区户籍中未参加城镇职工基本医疗保险的城乡居民、就读于禅城区行政区域内的大、中专学校(含各类职业技术学校)的非禅城区户籍学生等。目前,上述参保群体在禅城区共有20万人。
The zen city on the introduction of the residents in the basic medical insurance large medical expenses subsidies,Objects including zen city census register does not participate in the urban employee basic medical insurance of urban and rural residents/Enrolled in chancheng district of administrative areas/Technical secondary school(Including all kinds of vocational and technical schools)Not zen city census register for the students, etc.At present,The ginseng protect group in chancheng district of 200000 people.
据介绍,目前,禅城区居民每人每年基本医疗保险的缴费标准为610元,含住院医保和门诊医保两项。其中,490元是住院保险。其中个人负担256元,政府负担354元。本次住院大额医疗费用补贴针对居民的住院医保,即在一个社保年度内(每年7月1日至下一年6月30日),参保居民住院在医保政策范围内,自付住院费用部分(不含起付标准)累计超过3万元的,超出部分可获得90%的补贴。
According to introducing,At present,Zen urban residents per person per year of insurance of primary medical treatment expends standard for 610 yuan,Contain in hospital outpatient medical insurance and medical insurance two.the,490 yuan is hospitalization.The personal burden is 256 yuan,The burden of government is 354 yuan.The large amount of hospitalization medical expenses subsidies for residents of the hospital medical insurance,That is a social security within the year(Every year on July 1, to the next June 30,),Ginseng protect residents in hospital medical insurance policy range,Since the pay part of the hospitalization expense(Does not contain the fu biao)Accumulated more than 30000 yuan,Beyond part can get 90% of the subsidy.
据相关负责人介绍,根据老政策,居民入住一、二、三级医院,个人自付基础上,超出部分分别是按照85%、70%、50%比例来报销的,这实际上表示居民越生大病,报销额度越少。禅城人力资源和社会保障局养老医疗保险科科长李永红表示,大额医疗费用补贴实施后,将力争实现居民住院费用85%都纳入报销范围。
According to relevant controller introduces,According to the old policy,Residents in a/two/Tertiary hospital,Individual out-of-pocket basis,Beyond part are respectively according to 85%/70%/50% of the proportion to submit an expense account,This, in fact, said the people born a serious illness,The less amount of reimbursement.Zen city human resources and social security bureau endowment medical insurance coco long LiYongGong said,Large medical expenses subsidies after implementation,Will strive to achieve residents in hospital cost 85% are integrated into the scope of submit an expense account.
个人自付标准达到3万元,这个标准是如何算出来的?禅城区人力资源和社会保障局相关人士表示,根据佛山市2011年相关数据,佛山居民人均可支配收入为30718元,“这表明,若居民住院,个人负担超过3万元的,会有较大的经济压力。”不过,该局相关人士表示,目前禅城区财力有限,每个社保年度居民累计最高补贴额度只有5万元,“从明年7月1日起,补贴政策将会在佛山全市推广,届时最高补贴额可能会提高。”
Individual out-of-pocket standard reached 30000 yuan,This standard is how to calculate out of?Zen city human resources and social security bureau relevant personage says,In 2011, foshan city, according to the related data,Foshan per capita disposable income for 30718 yuan,"This suggests that,If the residents in hospital,Personal burden more than 30000 yuan,There will be a larger economic pressure."but,The relevant personage says,At present financial co., LTD., chancheng district,Each social security annual residents accumulated the highest amount of subsidy only 50000 yuan,"From next July 1,Subsidies will be in foshan city promotion,The highest BuTieE may improve."
相关人士表示,因相关系统要经过2个月的测试,因此,从10月1日起,禅城区人力资源和社会保障局将主动通知居民办理相关手续。据统计,7、8月禅城共有16人可享受该项补贴。(记者 张闻)
Relevant personage says,Because of the relevant system after 2 months of test,therefore,From October 1,,Zen city human resources and social security bureau will notify the residents through the related formalities.According to the statistics,7/August zen city there are 16 people can enjoy the subsidies.(Reporter zhang smell)
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