Medical assistance reflects the temperature of society. The reporter learned from the Beijing Municipal Medical Security Bureau on the 16th that in order to give full play to the role of medical assistance as a backstop, multiple departments in Beijing have issued policies to further improve the Beijing medical assistance system. Family medical assistance, increase the proportion and ceiling of medical assistance payment, and keep the bottom line of preventing poverty due to illness.
Recently, the Beijing Medical Insurance Bureau, in conjunction with relevant units, has successively issued the "Implementation Opinions on Improving the Medical Insurance and Assistance System for Severe and Serious Diseases", "Notice on Further Improving the Work of Medical Assistance for Families of Patients with Poverty and Severe Diseases" and other medical services. Measures to help and benefit the people, and consolidate the comprehensive security system of the triple basic system of basic medical insurance, serious illness insurance, and medical assistance.
Improving medical assistance for poor families due to illness. The Beijing Municipal Medical Insurance Bureau stated that residents with registered permanent residence in Beijing who do not enjoy social assistance and their family members who live together spend medical expenses in a natural year. After medical insurance, insurance and assistance, the compliant medical expenses borne by the family exceed the family's ability to bear , Those who have serious difficulties in basic life and meet the relevant identification requirements of the family impoverished due to illness can enjoy medical assistance for the impoverished family due to illness, and can only apply once in the same natural year.
Incorporate basic medical insurance reimbursement expenses into the scope of medical assistance. Outpatient and inpatient medical expenses borne by individuals within the scope of basic medical insurance reimbursement are all included in the coverage of medical assistance. Cancel the restrictions on the types of assistance for major diseases, include assistance for major diseases and hospitalization, and increase the level of protection for inpatient assistance. All social assistance objects participating in employee medical insurance and resident medical insurance will be given outpatient assistance.
Increase the proportion and ceiling of Medicaid payment. There is no deductible line for medical assistance, the proportion of hospital assistance payment has been increased from 80% to 85%, and the annual assistance ceiling has been raised from 80,000 yuan to 160,000 yuan; the annual assistance ceiling for poor families due to illness has been increased from 80,000 yuan To 150,000 yuan, 30% below 30,000 yuan (inclusive), 40% from 30,000 yuan to 50,000 yuan (inclusive), and 50% above 50,000 yuan will be given medical assistance in stages. The burden of medical expenses for medical assistance recipients can be reduced by about 330 million yuan throughout the year.
Implement the "one-stop" real-time settlement of basic medical insurance, serious illness insurance and medical assistance. In accordance with the principle of "insurance first, assistance later", individual self-paid medical expenses will no longer be deducted from the unit's supplementary medical insurance and medical assistance. Social assistance recipients participating in Beijing's basic medical insurance can immediately enjoy medical assistance after treatment in a designated medical institution for basic medical insurance.
微信扫一扫打赏
