●Students from the date of enrollment procedures and pay the required health insurance premiums, enjoy the corresponding insurance treatment
●Students in the summer and winter vacation in foreign medical treatment, you can choose the local fixed-point medical institutions, in line with the provisions of the cost of the provisions of the payment
●Reimbursement of the level of treatment is not lower than that of the local urban residents
●The implementation of the outpatient medical expenses co-ordination
This newspaper (reporter Zhong Zhenyu) adhere to the principle of voluntary principle. p>
By the News (Reporter Zhong Zhenyu) adhere to the principle of voluntary, the province's millions of college students will be included in the new semester in the fall of this year, the urban residents of the basic health insurance coverage. Yesterday (13), the reporter learned from the provincial government office was informed that "on the inclusion of college students in the implementation of basic medical insurance for urban residents" (hereinafter referred to as "Opinions") has been formally introduced, because college students to participate in the urban insurance to the city where the college (state) for the level of co-ordination, around the development of the specific operational methods.
In accordance with the Opinions, the administrative region of our province, including private colleges and universities, including all types of full-time general higher education, research institutes to receive general higher education in full-time undergraduate (including colleges and universities in the junior college), full-time graduate students, are included in the urban residents of the basic medical insurance system system. Participation standards in accordance with the local primary and secondary school students to participate in the basic medical insurance for urban residents of the corresponding standards.
The settlement year of the basic medical insurance for college students is in principle from September 1 each year to August 31 of the following year, or the natural year for the settlement year; college students enjoy the corresponding insurance treatment from the date of enrollment and payment of medical insurance premiums according to the regulations. Individual contributions in principle by the students themselves and their families, the conditions of colleges and universities can be subsidized for their contributions.
The Opinions call for measures to be taken by local governments to subsidize the basic medical insurance premiums paid by individual college students with family difficulties, as well as the medical expenses that should be borne by them according to the regulations, through the medical aid system, the system of financial assistance for students from economically disadvantaged families, and charitable donations from the society, among other means.
In terms of protection, the medical expenses incurred by university students for hospitalization and outpatient major illnesses that are in line with the scope of the basic medical insurance for urban residents in the co-ordination area shall be included in the basic medical insurance fund for urban residents in the co-ordination area and shall be paid for by the fund, with the level of treatment not lower than that of local urban residents. Outpatient medical expenses are coordinated for college students. During winter vacation, summer vacation, internships in accordance with the regulations of universities and colleges, and during the period of legal absence from school due to illness, college students who seek medical treatment outside the location of their universities and colleges may choose local designated medical institutions for medical treatment, and medical expenses incurred in conformity with the provisions of the basic medical insurance for urban residents shall be paid in accordance with the regulations. The medical expenses incurred in accordance with the provisions of the basic medical insurance for urban residents shall be paid in accordance with the provisions of the relevant regulations.
Labor departments around the world prioritize the inclusion of qualified medical institutions belonging to colleges and universities into the designated scope of basic medical insurance for urban residents. Colleges and universities that do not have the conditions or do not have medical institutions can ensure the outpatient medical needs of college students by entrusting them to the nearest fixed-point medical institutions or community health service organizations.
During the year, the participation (co-operation) rate of urban workers, urban residents and new rural cooperative medical insurance in the province will all reach more than 90 percent, while the participation rate in Chengdu has already reached 90 percent. Pictured is Xinjin County villager Ju Yuying holding a new type of rural cooperative medical card
"All 1.05 million college students are included in the medical insurance for urban residents!" Yesterday, the province held a basic medical insurance for urban residents to start the implementation of the General Assembly, in addition to the implementation of medical insurance for urban residents has been implemented in 13 cities and states, the remaining eight cities and states also began to start the basic medical insurance for urban residents, which marks the urban residents of the province to achieve full coverage of health insurance.
▲Student health insurance
This year's freshmen are all insured
Now the province's various types of college students have 1.05 million people, will be all included in the health insurance. This fall, the new student enrollment will also participate in all urban residents health insurance, including public colleges and universities, private colleges and universities, as well as research institutes to receive students. The maximum limit of reimbursement for insured students is 80,000 yuan.
The government will provide a subsidy of no less than 80 yuan per person per year for college students to participate in the health insurance program. Financial assistance will also be given to students from poor families to participate in the program. In the near future, the province on the college students into the implementation of the medical insurance opinions will soon be issued, and when the provincial implementation of the opinions out, the local will be in accordance with the local urban residents of the medical insurance situation, to develop a specific participation in the payment of fees and enjoyment of the treatment methods.
Local programs
Question 1: How do college students in Chengdu participate in the insurance, how much do they pay? How to be reimbursed?
The provincial labor department: college students medical insurance implementation of localized management, in Chengdu, the ministry, province and municipal colleges and universities to participate in the Chengdu urban residents medical insurance, contributions, treatment and urban residents of Chengdu City, the same individual contribution of 40 yuan, the government subsidy of 80 yuan.
Hospitalization of insured students
The starting standard for hospitalization is:
50 yuan for township hospitals
100 yuan for community health service centers and first-class hospitals
200 yuan for second-class hospitals
500 yuan for third-class hospitals
The starting standard for out-of-city referrals is 1,000 yuan
Reimbursement ratio is:
Township health centers 90%
Community health centers and first-class hospitals 80%
Second-class hospitals 65%
Third-class hospitals 50%
Question 2: Joining the urban residents' medical insurance, the inclusion of this insurance is not a change in the treatment of some of the university students of the public medical care, this standard of treatment will not be reduced?
Provincial Labor Department: First of all, the treatment will not be reduced, in addition, there is a great benefit, the insurance is a major disease co-ordination. The original is only in a school have protection, now through the inclusion of the entire health insurance will have a larger base of participation, can be better to have protection; the original scope of the public health care may be only the school medical institutions, into the new health insurance after the designated medical institutions have a greater range.
▲Urban residents health insurance
Subsidy from next year to reach 120 yuan per person per year
In 2007, the province began in Chengdu, Panzhihua, Guangyuan to carry out the pilot urban residents health insurance, and last year expanded the pilot to 13 cities and states, as of the end of last year, the number of participants in the pilot towns across the province has reached 5,203,700. "This year, the province will launch urban residents' health insurance in the remaining eight cities and states." This marks the realization of full coverage of basic medical insurance for urban residents in the province, said the person in charge of the provincial Labor and Security Department. In addition, within three years, the participation (enrollment) rate of urban workers, urban residents and new rural cooperative medical insurance will all reach more than 90 percent.
In order to reduce the medical burden of the insured, the province's subsidy standard for urban residents' basic medical insurance will also be increased. By 2010, all levels of financial subsidies for urban residents' basic medical insurance and new rural cooperative medical care standard, from the current guaranteed 80 yuan to 120 yuan per person per year.
Cap line for
6 times disposable income
The provincial Department of Finance said that localities can gradually raise the cap line of basic medical insurance for urban residents to 6 times the disposable income of local residents, and gradually increase the reimbursement rate of reimbursement, the reimbursement rate of hospitalized patients should not be less than 50% at the beginning of the launch, and later on the basis of the fund's balance of income and expenditure and a slight savings, the reimbursement rate of the basic medical insurance for urban residents can be increased year by year, and the reimbursement rate can be increased to 50%. Later, on the basis of the fund's excess of income over expenditure and a slight surplus, efforts will be made to increase it year by year. To carry out general outpatient medical expense co-ordination, on the basis of guaranteeing reimbursement for major hospitalized diseases, to gradually realize reimbursement for minor outpatient diseases of the insured, to give full play to the efficiency of the fund, so that the insured can benefit.
Implementation
Different places medical settlement
Currently, Chengdu City has realized the municipal level of integration, within this year, the province's 21 cities and states of medical insurance to realize the municipal level of integration, and the study of the introduction of urban workers, urban residents and the new rural cooperative medical care and other systems of articulation between the system for the different places of medical treatment, can be implemented in the way of different places for medical settlement. For example, Nanchong participants to Chengdu for medical treatment, Nanchong social security agencies can be entrusted to the Chengdu social security agencies to audit, payment, participants can be settled in Chengdu.
▲Data News
Since 1999, when the province began to set up the basic medical insurance system for urban workers, as of 2008, the number of participants in the basic medical insurance for urban workers in the province has reached 9.61 million, covering 84 percent of the number of people who should be insured.
In 2002, the State Council decided to implement a new type of rural cooperative medical care system funded by the government and voluntarily participated by farmers, and the province began to establish this system in 2003. By the end of 2008, the new rural cooperative medical care system had covered 61.41 million farmers in the province, covering 90% of the people who should be insured.
In 2007, the State Council issued the "Guiding Opinions on Carrying Out the Pilot Urban Residents' Basic Medical Insurance", proposing the "establishment of a basic medical insurance system for urban residents with a focus on the coordination of major illnesses", and requesting the province to launch the pilot urban residents' basic medical insurance. Our province in Chengdu, Panzhihua, Guangyuan three cities to carry out the pilot.
In 2008, the province expanded the pilot program in 10 cities (states), including Leshan, Mianyang, Zigong, Neijiang, Deyang, Nanchong, Ziyang, Meishan, Aba and Ganzi.
By the end of December 2008, the 13 cities and states had covered 5.2037 million people. Reporter Huang Xuyang
▲Related News
Provincial Price Bureau: continue to reduce the price of some medicines
(Reporter Luo Qu) A few days ago, the Provincial Price Bureau released the "on the full use of price leverage to promote the stable and rapid development of the economy's views". Among them, the Price Bureau proposed to improve the medical services, drugs, medical supplies price announcement and hospitalization and outpatient one-day list and settlement list system; continue to reduce the price of some of the contradictions in the drug prices, reduce the price of large-scale medical equipment inspection; strengthen the management of medical supplies prices, and gradually reform the way of charging for medical services to reduce the burden on the patients, and so on.
▲Related News
Domestic reimbursement drugs are hard to find
15 Chengdu children's parents
Jointly apply for reimbursement of imported "life-saving clotting factor"
(Reporter Gong Xueyan intern Li Shimin) Yesterday, 15 Chengdu boys suffering from hemophilia, parents wrote a good application letter. Parents wrote a good application letter, urgently hoping that imported clotting factors can be included in the scope of medical reimbursement. Today, the parents will deliver this application to the city and the relevant state departments.
The reporter learned that these parents come from 15 different families, all of whom have a son with hemophilia (99 percent of hemophiliacs are boys). The youngest boy is only 1 year and 4 months old, the oldest is more than 10 years old, their lives and a called "clotting factor" life-saving drugs are tightly linked. If the conditions, as long as the children twice a week transfusion "clotting factor", can effectively prevent bleeding, the children can grow up peacefully. But parents told reporters that for the children, this is simply impossible to realize the dream! "First of all, the shortage of drugs, and secondly, too high a financial burden, so that we can hardly afford. The introduction of this new health care reform program, re-emphasizing the topic of 'public welfare', we desperately hope that 'imported clotting factors' can be included in the scope of medical reimbursement!"
The reporter learned from the city's Children's Hospital, Western China Hospital of Sichuan University, the provincial hospital, three hospitals, the city's hospitals are very little stock of coagulation factors, often a few months have not been a drug situation. The city's blood center has no clotting factor products at all, only its alternatives - cold precipitation and plasma.
Xu Ming, director of the hematology department at the city's Children's Hospital, said domestic clotting factor products have long been out of stock, leaving patients with no choice but to use expensive imported products. Its price of 1,320 yuan per bottle is more than four times that of domestic products. Ms. Liu, the mother of a child, said hemophiliacs must rely on clotting factors to live a normal life. She gave the reporter a calculation, if you want to ensure that the child to live a normal life, at least 10,000 yuan a month to spend more than 10,000 yuan of medication, more than 120,000 yuan a year, "the cost of this cost is spread all over the family, it is what a heavy burden ah!"
Yesterday, the reporter contacted the relevant person in charge of the Municipal Health Insurance Bureau. The person in charge said, domestic coagulation factor is included in the scope of reimbursement, but the reimbursement rate is in accordance with the patient's cost list. Although there are precedents of reimbursement of the cost of imported drugs, but its reimbursement premise is that the drug can not be produced in the country itself. If you want to be reimbursed for the use of imported clotting factors, you need to wait until they are included in the National Drug List. The newspaper will continue to follow the matter.
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