Xi'an civil servant medical insurance policy

"Xi'an municipal national civil servants medical insurance individual account crediting ratio and medical subsidies" by the municipal government of the 117th mayor's office meeting agreed, is issued to you, please comply with the implementation.

Xi'an national civil servants medical insurance individual account crediting ratio and medical assistance

Article 1 In order to protect the city's national civil servants to participate in the basic medical insurance after the reasonable medical needs, according to the "State Council on the establishment of the basic medical insurance system for urban workers decision" (Guofa 〔1998〕 No. 44) and the "Xi'an municipal basic medical insurance system for urban workers Interim Measures" (municipal development [1999〕 No. 138) and "the basic medical insurance system for urban workers" (municipal development [1999] No. 138). [1999] No. 138) of the relevant spirit, with reference to the "Shaanxi Provincial People's Government on the issuance of provincial organs and institutions of the notice of the pilot program of reform of the health care system" (Shaanqi Zheng Fa [2000] No. 30) the provisions of the document, combined with the city's civil servants the actual situation of medical care, and hereby formulate the measures.

Article II adhere to the basic medical insurance for civil servants personal account and the level of medical subsidies and the city's financial capacity, medical subsidies and the basic medical insurance system, to maintain the same level of medical care for civil servants in the same city. Reasonable medical treatment for civil servants is guaranteed to remain basically unchanged. Adhere to the principle of income and expenditure, rational use, special management, balance of payments.

Article 3 The scope of the municipal national civil service medical insurance, including: municipal party and government organs, people's organizations and financial institutions fully funded staff and retirees.

Article IV municipal state civil servants medical insurance personal account amount and medical subsidies, according to the actual financial capacity of the city, included in the annual budgetary arrangements.

Article V establishment of civil servants medical insurance personal account. Individual accounts to implement the grades of subsidies, personal control, overspending not to make up for the savings retained in the management approach. Medical insurance personal account funds by the basic medical costs and subsidized medical costs of the two parts of the composition of the specific proportion is based on the different age groups of employees, according to my salary income of the first four (the same below) of a certain percentage, monthly. That is:

1-10 years of service, 6% (2.7% of basic medical expenses, 3.3% of subsidized medical expenses);

11-20 years of service, 8% (3% of basic medical expenses, 5% of subsidized medical expenses);

21-30 years of service, 8% (3% of basic medical expenses, 5% of subsidized medical expenses);

21-30 years of service, 8% (3% of basic medical expenses, 5% of subsidized medical expenses);

21-30 years of service, 8% (3% of basic medical expenses, 5% of subsidized medical expenses) For those with 21-30 years of service, 11% (3.6% for basic medical expenses and 7.4% for subsidized medical expenses);

For those with 31-40 years of service, 15% (4.5% for basic medical expenses and 10.5% for subsidized medical expenses);

For those with 41 years of service or more, 20% (5.5% for basic medical expenses and 5.5% for subsidized medical expenses);

For those with 41 years of service or more, 20% (5.5% for basic medical expenses and 5.5% for subsidized medical expenses);

For those with 5 years of service or more, 20% (5.5% for basic medical expenses and 5.5% for subsidized medical expenses). Basic medical expenses are credited 5.5%, subsidized medical expenses are credited 14.5%);

Retirees are credited 20% of their pensions, (5.5% for basic medical expenses and 14.5% for subsidized medical expenses).

Article VI municipal state civil service medical subsidies are mainly used for the following expenditures: individual account subsidized medical expenses, medical assistance, medical assistance above the cap line.

Article 7 civil servants suffering from long-term chronic diseases (hepatitis B, hepatitis C, cirrhosis, kidney dialysis, strong infectious diseases, etc.), in a statistical year, the reasonable outpatient medical expenses and should be borne by the individual reasonable inpatient medical expenses exceeded more than 50% of their annual salary income, resulting in difficulties in their own lives or family life, can be applied by the person himself, after the unit review and approval with my application, the designated medical institutions, medical records, prescriptions, medical records, medical records, medical records, medical records, medical records, medical records, prescriptions, medical records, medical records, medical records and medical records. The application can be submitted by the applicant, after examination and approval by the unit, together with his/her application, the medical records of the designated medical institution, prescriptions, settlement certificates and the report form to the municipal medical insurance agency. Municipal health insurance agency review and submit to the financial sector, depending on the funds to determine the amount of subsidies, and allocated to the applicant unit, and then paid by the unit to the person.

Article 8 The maximum payment limit of the basic medical insurance for municipal civil servants is four times the average salary of employees in the city in the previous year. Medical expenses exceeding the maximum payment limit of the basic medical insurance shall be reimbursed by the applicant by filling in the application form and attaching the relevant documents, and submitting the application form to the municipal medical insurance agency for review, and the agency shall settle the bill with the designated medical institution where he/she seeks medical treatment at the rate of 80%, and the burden on the individual shall be 20%. 20%.

Article IX municipal state civil servants medical subsidies by the municipal health insurance agency in accordance with the provisions of the establishment of a special account separate accounting, carry forward the use of surplus funds, shortfalls by the financial underwriting. To establish and improve the budget system and the expenditure system, the expenditure of medical subsidies should be strictly audited and then paid.

Article 10 municipal state civil servants in the retired cadres, the old Red Army, the second class B above the revolutionary disabled soldiers original medical treatment remains unchanged, do not enjoy the provisions of this approach to medical assistance.

Article 11 The districts and counties can take into account the actual situation of their own, to formulate their own state civil servants of the medical subsidies.

Article 12 These Measures shall be interpreted by the Municipal Bureau of Labor and Finance.

Article XIII of these measures shall come into force on September 1, 2001 onwards. The Interim Measures on Medical Benefits for National Civil Servants of Xi'an Municipality shall be repealed at the same time.

Article 13 This Measures shall come into force on September 1, 2001.