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江苏提高居民医保人均财政补助标准

2021-08-24 15:50:43   来源:本站   作者:本站    浏览人数:

江苏省(sheng)医保局发(fa)布消息,今年(nian)江苏将继(ji)续提高城乡居(ju)民(min)基(ji)本医疗保险筹(chou)资水(shui)平,巩(gong)固(gu)完善居(ju)民(min)医保待遇。

基本医疗保险 居民医保

2021年(nian),江苏全(quan)省城乡居民医保(bao)人(ren)(ren)均(jun)财(cai)政(zheng)补(bu)(bu)助标(biao)准新增30元(yuan),达(da)到每人(ren)(ren)每年(nian)不低(di)(di)于(yu)610元(yuan)。江苏省统(tong)筹(chou)(chou)中央(yang)资金按规定对地方实行分档补(bu)(bu)助,各(ge)级财(cai)政(zheng)要按规定足额(e)安排财(cai)政(zheng)补(bu)(bu)助资金并(bing)(bing)及时拨(bo)付到位。落实持居住证参加当(dang)地居民医保(bao)并(bing)(bing)享受同等财(cai)政(zheng)补(bu)(bu)助政(zheng)策(ce)。同步提高居民医保(bao)个(ge)人(ren)(ren)缴费标(biao)准40元(yuan),达(da)到每人(ren)(ren)每年(nian)不低(di)(di)于(yu)320元(yuan)。各(ge)统(tong)筹(chou)(chou)地区要着眼优化居民医保(bao)财(cai)政(zheng)补(bu)(bu)助和个(ge)人(ren)(ren)缴费结构,合(he)理确定筹(chou)(chou)资标(biao)准。根据城乡居民大(da)(da)病保(bao)险运行情况,在不降低(di)(di)现有筹(chou)(chou)资水(shui)平(ping)的基础上(shang),统(tong)筹(chou)(chou)考虑确定大(da)(da)病保(bao)险筹(chou)(chou)资标(biao)准。

充分发挥(hui)基(ji)本医保(bao)(bao)、大病保(bao)(bao)险和医疗(liao)(liao)救助(zhu)三重保(bao)(bao)障(zhang)(zhang)功能,巩(gong)固稳(wen)定(ding)(ding)住院待遇(yu)保(bao)(bao)障(zhang)(zhang)水(shui)平,政策范(fan)(fan)围内住院医疗(liao)(liao)费(fei)用(yong)基(ji)金支付比例稳(wen)定(ding)(ding)在70%左(zuo)右。持续深化高血(xue)压、糖尿病门(men)诊用(yong)药(yao)和健康管(guan)(guan)理(li)专(zhuan)项(xiang)行动(dong)(dong),按要求落实(shi)并开展专(zhuan)项(xiang)行动(dong)(dong)示范(fan)(fan)城市(shi)活(huo)动(dong)(dong),确保(bao)(bao)2021年(nian)10月底前,实(shi)现(xian)基(ji)层医疗(liao)(liao)卫生机构(gou)规(gui)范(fan)(fan)化管(guan)(guan)理(li)的“两病”用(yong)药(yao)患者全部享受(shou)待遇(yu)。落实(shi)国(guo)家谈判药(yao)“双(shuang)通道”管(guan)(guan)理(li)机制(zhi),参保(bao)(bao)人(ren)员使用(yong)单独支付药(yao)品,居民医保(bao)(bao)实(shi)际报销比例不(bu)低于60%,并做好与现(xian)行待遇(yu)政策的衔接。

未(wei)在(zai)(zai)规定时间内办理(li)居(ju)(ju)(ju)民(min)(min)医(yi)保(bao)(bao)参(can)(can)(can)(can)保(bao)(bao)缴费(fei)手续(xu)的(de),经本(ben)人申(shen)请(qing),可(ke)补办当(dang)年(nian)度参(can)(can)(can)(can)保(bao)(bao)缴费(fei)手续(xu),补缴其全年(nian)个人缴费(fei)部(bu)分,并(bing)在(zai)(zai)缴费(fei)到账且(qie)待遇等待期满后开(kai)始(shi)享受居(ju)(ju)(ju)民(min)(min)医(yi)保(bao)(bao)待遇。对居(ju)(ju)(ju)民(min)(min)医(yi)保(bao)(bao)在(zai)(zai)集中(zhong)参(can)(can)(can)(can)保(bao)(bao)期内参(can)(can)(can)(can)保(bao)(bao),职工医(yi)保(bao)(bao)中(zhong)断(duan)3个月以(yi)内参(can)(can)(can)(can)加居(ju)(ju)(ju)民(min)(min)医(yi)保(bao)(bao),户口迁移(yi)后首次参(can)(can)(can)(can)保(bao)(bao)、新生(sheng)(sheng)(sheng)儿、农村低收入(ru)人口、退役军人及其随军未(wei)就业(ye)配偶、当(dang)年(nian)未(wei)就业(ye)的(de)大(da)中(zhong)专毕业(ye)生(sheng)(sheng)(sheng)(含全日(ri)(ri)(ri)制研(yan)究生(sheng)(sheng)(sheng))以(yi)及刑满释(shi)放人员等群体当(dang)年(nian)度参(can)(can)(can)(can)加居(ju)(ju)(ju)民(min)(min)医(yi)保(bao)(bao)的(de)不(bu)设待遇等待期,其中(zhong),原则(ze)上新生(sheng)(sheng)(sheng)儿在(zai)(zai)出生(sheng)(sheng)(sheng)后90日(ri)(ri)(ri)内参(can)(can)(can)(can)保(bao)(bao)的(de),自出生(sheng)(sheng)(sheng)之日(ri)(ri)(ri)起享受待遇。

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