11月5日佛山市禅城区社保基金管理局召开新闻发布会，宣布从11月1日起，禅城区正式推行居民门诊基本医疗保险补充制度。禅城户籍居民当月补交居民门诊基本医保，下月就可享受门诊医保待遇，预估该项政策将使得禅城10800人受益。

On November 5, chancheng district, foshan city, social security fund administration held a press conference,Announced from November 1,Zen formal implementation of the urban resident basic medical insurance system of outpatient supplement.Zen city census register residents pay that month residents clinic basic medical insurance,Next month can enjoy treatment of outpatient service medical insurance,Estimate the policy will make zen city 10800 people benefit.

　　记者了解到，该项制度规定，办理居民门诊医保中途参保的，保险费按实际参保月数折算，中途参保者也可享受财政补贴，该项政策，无论从方便程度还是财政支持力度上，均在全省处于领先水平。

The reporter understands,The rules,To deal with residents outpatient service medical insurance midway of ginseng,Insurance premium according to the actual ginseng protect months reduced,The participants also can enjoy financial subsidies,The policy,No matter from comfort level or on financial support,In the province are in a leading level.

居民中途参保愿望强烈 Residents midway ginseng protect desire

　　佛山市禅城区居民门诊基本医疗保险制度始于2008年7月1日。该制度规定，以每年7月1日至下一年6月30日为一个社保年度，保险费以上一年社保年度的全额缴费金额为基数，2012年为每人每年120元。

Foshan chancheng district residents outpatient service system of insurance of primary medical treatment began on 1 July 2008.The rules,Every year on July 1, to the next June 30, as a social security annual,Insurance premium of the previous year in social security annual full capture to expend amount for base,In 2012, 120 RMB/per person per year.

　　禅城区社保基金管理局居民保险关系科副科长雷恺表示，随着生活水平的提高，居民对中途参保制度有着更强烈的愿望，因此，从2012年11月1日起，禅城区正式实行“居民门诊基本医疗保险补充规定”，未参加佛山市城镇职工基本医疗保险或已参加佛山市城镇职工基本医疗保险(下简称“城镇职工医保”)但不享受当年度职工门诊待遇的禅城户籍居民，在一年中任何时间补充参与居民门诊医保，即可在下月享受居民门诊基本医保待遇。

Zen city social security fund administration residents insurance relations branch deputy head of the office LeiKai said,With the improvement of living standards,Residents of midway ginseng protect system has more strong desire,therefore,From 2012 on November 1,Chancheng district was officially adopted"Residents clinic basic medical insurance supplementary provisions",Did not attend foshan urban employee basic medical insurance or already participated in foshan urban employee basic medical insurance(Next referred to as"Medical insurance for urban workers")But do not enjoy current year worker outpatient treatment of zen city census register residents,In a year of any time added to participate in outpatient medical residents,In next month can enjoy basic medical insurance treatment of outpatient service residents.

　　雷恺称，本次中途参加居民门诊医保的符合条件为禅城户籍居民，中途参保必须以家庭(同一户口簿)为单位，同一家庭成员必须应参尽参，已参加城镇职工医保的视同已参保。此外，中途参加门诊基本医保，必须同时参加居民住院医保和居民门诊医保，不得选择其中一个险种单独参保。

LeiKai says,The midway attend residents outpatient service medical insurance is in conformity with the conditions for zen city census register residents,Midway ginseng protect must take the family(The same residence booklet)As the unit,The same family members must be and do ginseng,Already in the medical insurance for urban workers shall be regarded as already ginseng protect.In addition,Midway attend clinic basic medical insurance,At the same time must be in hospital outpatient medical residents and residents medical insurance,Shall not choose one planted ginseng alone.

　　在门诊医保待遇生效期上，雷恺表示：“参保人办理居民门诊医保中途参保，参保费用从办理次月起开始折算，待遇报销从参保缴费到账的次月起开始生效。”

In the outpatient service medical treatment on the effective date,LeiKai said:"Ginseng protect people deal with residents outpatient service medical insurance midway ginseng protect,Ginseng protect cost from second month for started reduced,Treatment to submit an expense account from ginseng protect pay cost to account shall become effective on the date of the month."

中途参保可享财政补贴 Midway ginseng protect can enjoy financial subsidies

　　记者了解到，该项制度规定，办理居民门诊医保中途参保的，保险费以当前社保年度的全额缴费金额为基数(2012年社保年度为每人每年120元)，按实际参保月数折算，中途参保者也可享受财政补贴。这是该项政策在全省处于领先之处。

The reporter understands,The rules,To deal with residents outpatient service medical insurance midway of ginseng,Insurance premium to the current social security annual full capture to expend amount for base(In 2012, social security annual 120 RMB/per person per year),According to the actual ginseng protect months reduced,The participants also can enjoy financial subsidies.This is the policy in the leading place.

　　“打个比方，居民在当年11月中途参加门诊基本医保，那他缴纳金额是按照实际参保月数折算，即将一年的参保费用折算成每个月的缴纳费用(120/12=10元/月)，11月距离当年社保年度末(6月30日)尚有7个月，应缴纳7×10=70元。”

"For example,Residents in the November midway attend clinic basic medical insurance,That he pay amount is according to actual ginseng protect months reduced,Is a year of ginseng protect cost reduced into every month to pay expenses(120/12 = 10 yuan/month),November distance when social security at the end of the year(On June 30,)There are seven months,Should pay 7 x 10 = 70 yuan."

　　在财政补贴上，中途办理居民门诊基本医保的居民亦可享受财政补贴，即一般人员所缴纳费用由个人负担50%，区镇(街道)两级财政各负担25%；低保(临界低保)人员由慈善会负担50%，区镇(街道)两级财政各负担25%，个人无需缴费；优抚、重度残疾人员由区镇(街道)两级财政各负担50%，个人无需缴费。

In the financial subsidies,Midway to deal with residents clinic basic medical insurance can also enjoy the inhabitants of financial subsidies,That is the general staff pay expenses to be borne by the individual 50%,Area town(street)The two levels of financial burden 25%;subsidies(Critical low)Personnel by the charity burden 50%,Area town(street)The two levels of financial burden 25%,Personal need not pay cost;optimal/Severe disability personnel by the district town(street)The two levels of financial burden 50%,Personal need not pay cost.

　　雷恺表示，按往年的数据估算，门诊基本医保补充规定实施后，禅城将有10800名居民可享受政策福利，主要是新生儿和新迁入禅城户籍人员。为此，禅城预计将每年再投入财政30余万元。

LeiKai said,According to the usual data estimation,Outpatient service basic medical insurance after the implementation of the supplementary provisions,Zen city will have 10800 people can enjoy the welfare policy,Mainly is the newborn babies and the new settle in zen city census register personnel.therefore,Zen city is expected to again a year in more than 30 fiscal ten thousand yuan.

　　记者了解到，在财政补贴方面，除广东较为贫困的城市医保由国家、省、市大额补贴外，在发达地区佛山禅城区补贴比例处于全省前列。(记者张闻、通讯员吴亮摄影报道)

The reporter understands,In the financial subsidies,In addition to guangdong relatively poor urban medical insurance by the state/province/The large amount of the municipal subsidies,In the developed areas foshan chancheng district subsidy ratio in the front rank.(Reporter zhang smell/WuLiang correspondent reported photography)