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class="l" href="http://www.iguasha.com/blog/post/9.html">« 物聯(lián)網(wǎng)與安防行業(yè)之間的巧妙關(guān)系</a><a class="r" href="http://www.iguasha.com/blog/post/11.html">北京一卡通遭遇泄密，金山提醒四點(diǎn)建議保護(hù)隱私 »</a></div> <h4 class="post-date">2011-10-11 16:53:42</h4> <h2 class="post-title">六安市將啟用城鎮(zhèn)居民醫(yī)?！耙豢ㄍā鼻逅?/h2> <div id="u8oscgqm0q" class="post-body"><p>六安市將啟用城鎮(zhèn)居民醫(yī)保“一卡通”清算</p><p>為提高統(tǒng)籌水平，增強(qiáng)基金的保障能力，六安市建立了城鎮(zhèn)居民基本醫(yī)療保險(xiǎn)市級(jí)統(tǒng)籌制度，在全市范圍內(nèi)實(shí)行統(tǒng)一的參保范圍和時(shí)間、統(tǒng)一籌資標(biāo)準(zhǔn)、統(tǒng)一待遇保障、統(tǒng)一基金管理、統(tǒng)一管理經(jīng)辦流程和服務(wù)網(wǎng)絡(luò)，并逐步實(shí)現(xiàn)全市范圍內(nèi)“一卡通” 結(jié)算管理。<br /><br />　　參保范圍覆蓋廣。全市范圍內(nèi)不屬于城鎮(zhèn)職工基本醫(yī)療保險(xiǎn)覆蓋范圍的各類在校學(xué)生、少年兒童和其他非從業(yè)城鎮(zhèn)居民都可參加城鎮(zhèn)居民基本醫(yī)療保險(xiǎn)。同時(shí)失地農(nóng)民、企業(yè)職工家屬、“城中村”的農(nóng)村戶籍居民可參加城鎮(zhèn)居民基本醫(yī)療保險(xiǎn)，開發(fā)區(qū)和風(fēng)景區(qū)中屬于農(nóng)業(yè)戶口的居民按照自愿和屬地管理原則參加城鎮(zhèn)居民基本醫(yī)療保險(xiǎn)。另外在校大學(xué)生按照屬地原則統(tǒng)一納入城鎮(zhèn)居民基本醫(yī)療保險(xiǎn)范圍。此外，全市參保登記截止時(shí)間為每年11月30日。<br /><br />　　繳費(fèi)標(biāo)準(zhǔn)有分別。目前統(tǒng)一的繳費(fèi)標(biāo)準(zhǔn)為成年人每人每年120元；在校學(xué)生和18周歲以下未成年人每人每年40元。其中低保、殘疾等困難群體個(gè)人繳費(fèi)可獲一定補(bǔ)助。今后，個(gè)人繳費(fèi)標(biāo)準(zhǔn)視經(jīng)濟(jì)發(fā)展水平和醫(yī)療需求進(jìn)行相應(yīng)調(diào)整，具體由人社部門報(bào)市政府批準(zhǔn)后執(zhí)行。<br /><br />　　醫(yī)療待遇再提高。今后六安市實(shí)行城鎮(zhèn)居民基本醫(yī)療保險(xiǎn)與大病救助保險(xiǎn)相結(jié)合制度。參保居民的醫(yī)療保險(xiǎn)待遇在統(tǒng)一的同時(shí)，待遇水平也進(jìn)一步提高。其他非從業(yè)城鎮(zhèn)居民一個(gè)自然年度內(nèi)基本醫(yī)療保險(xiǎn)與大病救助保險(xiǎn)的合計(jì)最高支付限額從過(guò)去的10萬(wàn)元/人提高到12萬(wàn)元/人；參保居民在一、二、三級(jí)醫(yī)院就診報(bào)銷比例分別提高5%，同時(shí)一級(jí)醫(yī)院的起付標(biāo)準(zhǔn)從200元降至100元；住院費(fèi)用保底報(bào)銷比例由過(guò)去的35%提高至40%；慢性病報(bào)銷比例分別提高5%；提高了生育補(bǔ)助標(biāo)準(zhǔn)，順產(chǎn)補(bǔ)助由400元提高至600元，剖宮產(chǎn)由600元提高至1000元。另外實(shí)施城鎮(zhèn)居民普通門診統(tǒng)籌。設(shè)立門診統(tǒng)籌起付線和封頂線分別為60元和300元。一個(gè)醫(yī)保年度內(nèi)參保人員在基層定點(diǎn)醫(yī)療機(jī)構(gòu)發(fā)生的符合規(guī)定的醫(yī)療費(fèi)用，起付線以下的，由個(gè)人現(xiàn)金支付，起付線至封頂線部分費(fèi)用，城鎮(zhèn)居民報(bào)銷50%。此外，六安市實(shí)行新生兒落地參保。新生兒出生30日內(nèi)辦理參保登記手續(xù)，按照年度繳費(fèi)，參保后享受當(dāng)年度城鎮(zhèn)居民醫(yī)保待遇。還增加了未成年人風(fēng)險(xiǎn)補(bǔ)償。未成年人(含在校大學(xué)生)沒有第三方責(zé)任的意外事故死亡者，由統(tǒng)籌基金一次性支付死亡補(bǔ)償金10000元。</p><p>六安市將啟用城鎮(zhèn)居民醫(yī)保“一卡通”清算</p></div> <h5 class="post-tags">Tags: </h5> <h6 class="post-footer"> 發(fā)布:sha | 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