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珠海补充医疗保险正式启动 外来工纳入保障范围--亲稳网络舆情监控室
2013-03-14
中新网珠海3月12日电(冒韪 陈彦儒)12日,珠海市人力资源和社会保障局在此间召开新闻通气会宣布,该市补充医疗保险正式启动,补充医疗报销对象为全体参保人员,异地务工人员及其在珠海就读的子女也纳入了保障范围。
Addition to zhuhai 3 dec(Take Wei Chen Yanru)12,,Zhuhai human resources and social security bureau announced in the press TongQiHui here,The city's supplementary medical insurance,Supplementary medical reimbursement for all ginseng protect personnel to object,Foreign workers and school children in zhuhai is also included.
据该局官员介绍,珠海市补充医疗保险是在基本医疗保险的基础上,着重解决重特大疾病医疗费用个人负担问题。与中国其他城市出台政策不同,该市出台的政策不仅将城镇居民和农民纳入保障范围,还将31.9万名异地务工人员,及包括在珠海上学的异地务工人员子女在内的27.9万未成年人纳入补充医疗保险保障范围。
According to the bureau official said,Zhuhai subsidiary medical insurance is on the basis of the basic medical insurance,Major workplace disease burden of medical expenses individual problems to solve.With the different policies to other cities in China,The city policies not only to urban residents and farmers into the protection scope,Will also be 319000 foreign workers,And including school children of migrant workers from different areas in zhuhai, 279000 minors in supplementary medical insurance coverage.
据了解,补充医疗保险是在社会基本医疗保险报销的基础上,对原社会基本医疗保险未报销的部分进行再报销。记者当天在珠海社保中心服务窗口采访到一位申请报销的刘阿姨,她去年发现患了卵巢癌,治疗过程花了19万元人民币,其中4.4万元属于自付和自费部份,按新出台的规定:“职工医疗保险参保人在社保年度内发生的住院医疗费用累计自付10000元以上的部分、城乡居民医疗保险参保人累计自付20000元以上的部分,由补充医疗保险资金报销70%”,刘阿姨这部分费用还可以再报销一部分。
We have learned,Supplementary medical insurance is on the basis of the social basic medical insurance reimbursement,On the original social insurance of primary medical treatment is not part of the expenses for reimbursement.Reporter interviewed on the same day at zhuhai social security center service window to an application for reimbursement of liu's aunt,She suffered from ovarian cancer found last year,Treatment process spent 190000 RMB,Which part belongs to pay and at his own expense of $44000,According to the new regulations:"Staff of medical insurance in social security within the annual hospitalization medical expenses incurred since pay 10000 yuan of above parts/Urban and rural residents medical insurance pays 20000 yuan of above parts,By 70% of reimbursement for the subsidiary medical insurance funds",Aunt liu this part could cost reimbursement part of you again.
据珠海市社会保险基金管理中心主任郑道池介绍,职工参保人员住院每年可报销的额度最高可达62万元,城乡居民参保人住院每年可报销的额度最高可达52万元。”(完)
According to zhuhai Zheng Daochi, director of the social insurance fund management center,Ginseng protect personnel in the hospital worker can reimbursement limit of up to $620000 a year,Urban and rural residents of hospitalization reimbursement limit of up to 520000 yuan every year."(After the)
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