According to the provisions of the national, provincial and municipal documents, the related matters of Ningxian 202 1 basic medical insurance for urban and rural residents are announced as follows:
First, the insured.
Medical insurance for urban and rural residents refers to all urban and rural residents in the administrative area of our county, including rural residents and urban non-employed residents (including primary and secondary school students and preschool children), except those who should be insured for basic medical insurance for employees. Urban and rural residents who have lived in our county for more than 6 months can participate in the basic medical insurance for urban and rural residents in our county according to their own wishes.
Second, the payment time.
September 20201-February 3, 20201. Third, the payment standard. In 20021year, the individual payment standard of basic medical insurance for urban and rural residents is 280 yuan/person. The individual contributions of special groups are subsidized by the government, in which the full-funded individuals do not pay, and the fixed-funded individuals pay in full, and the government subsidizes according to regulations:
1. Give full subsidies to a class of rural minimum living security objects, urban full-time security objects, destitute dependents and orphans;
2. The second-class rural residents shall be given a fixed subsidy according to the standard of 60%, namely 168 yuan;
3. The third and fourth categories of rural minimum living allowances, urban minimum living allowances, poverty-stricken people with filing cards (the poverty-stricken people with filing cards do not coincide with key relief targets) and urban poor people are given fixed subsidies according to the standard of 100 yuan.
Third, the treatment enjoyment period.
202 1 year 1 month 1 day-2021year1February 3 1 day. Enjoy the basic medical insurance benefits according to the regulations, mainly including: general outpatient treatment (60 yuan per person per year), basic medical insurance benefits for hospitalization, serious illness insurance benefits, special drug guarantee benefits for "two diseases" (hypertension and diabetes) outpatient treatment, medical treatment for chronic special diseases and medical assistance treatment.
First, the scope of reimbursement for accidental injuries is that all medical expenses arising from accidents can be insured. Accident insurance includes three parts:
1. unexpected medical treatment: outpatient and inpatient medical expenses caused by accidents generally have a deductible line of 100 yuan, and the part exceeding 100 yuan will be paid 80%.
2. Accidental disability: For accidental disability, the insured amount shall be paid according to the disability grade of 1- 10. For example, the first-level disability is full compensation, and the sixth-level disability is 40% compensation.
3. Accidental death: insured amount 100%.
2. Accidental injury insurance cannot cover accidental injuries and specially insured accidental injuries.
(1) Uninsurable accidental injuries generally include:
1. Accidental injuries suffered by the insured in criminal activities.
2. Accidental injury suffered by the insured in the fight.
3. The accidental injury of the insured after being drunk, taking (or injecting) drugs (such as heroin, opium, marijuana, morphine and other narcotic drugs, stimulants and hallucinogens).
4. Injuries caused by the insured's suicidal behavior. Uninsurable accidental injuries should be clearly listed as exclusions in accident insurance clauses.
(II) Accidental injury of special insurance The accidental injury of special insurance includes:
1. Accidental injuries suffered by the insured due to war.
2. The insured suffers accidental injuries in strenuous sports activities or competitions such as mountaineering, skydiving, skiing, racing, boxing, rafting and wrestling.
3. Accidental injury caused by nuclear radiation.
4. Accidental injuries caused by medical accidents (such as doctors' misdiagnosis, pharmacists' medication errors, injuries caused during inspection, and surgical site errors). ).