1, Interpretation of Beijing's medical insurance policy in 2020, which stipulates that:
The inspection expenses incurred by urban and rural residents during hospitalization in designated hospitals (single time) are directly included in the proportion of reimbursement within 200 yuan (including 200 yuan); 200 yuan above to 1000 yuan (including 1000 yuan) part of the individual pays10%; /kloc-After 20% is paid by some individuals above 0/000 yuan, the rest will be included in the proportional reimbursement. Special medical materials used by urban and rural residents during surgery are within the scope of reimbursement, and less than 2,000 yuan (including 2,000 yuan) is included in the reimbursement ratio; Domestic special medical materials
2,000 yuan to 1 10,000 yuan (including 1 10,000 yuan), and after the personal burden is 20%, the rest will be reimbursed in proportion; 50% of the domestic special medical materials are more than 654.38 million yuan, and the imported or joint-venture special medical materials are more than 2,000 yuan, and the rest are reimbursed in proportion. All kinds of pacemakers are subject to price limit settlement. At the time of settlement, the price limit is 66,000 yuan, and the part within the price limit will be reimbursed in proportion according to the above provisions, and the part above the price limit will be borne by the individual.
2. Interpretation of Beijing's medical insurance policy in 2020. The policy stipulates that "two diseases" refer to hypertension and diabetes.
Anyone who participates in the basic medical insurance for urban and rural residents in our city and pays the medical insurance premium on time, is diagnosed as hypertension and diabetes, and needs to take physical intervention treatment in the clinic, and the insured patients of urban and rural residents in our city can be included in the scope of "two diseases" general outpatient service. Who participate in the basic medical insurance for urban and rural residents in our city, patients with "two diseases" submit a written application, which can be included in the treatment scope of "two diseases" after being diagnosed by doctors with the diagnosis qualification of "two diseases" in public hospitals at or above the regional level as a whole, signed and sealed by the medical insurance department of the medical institution where they are located, and confirmed and filed in the medical insurance information system of the medical insurance agency (or insurance company undertaking chronic diseases handling business).
Limit of reimbursement for "two diseases" general outpatient service
According to the policy, within one year, the fund payment limit of general outpatient expenses incurred by patients with hypertension and diabetes is 300 yuan per person, and the fund payment limit of general outpatient expenses incurred by patients with hypertension and diabetes is 600 yuan per person, which will be settled after one year and will not be carried forward.
Friendly reminder: The above interpretation of Beijing's medical insurance policy in 2020 comes from the Internet for reference only! The specific policies are mainly based on the standards given by the Medical Insurance Bureau, Finance Bureau, People's Social Security Bureau, Education Commission and designated medical institutions.
Beijing enterprise medical insurance reduction and exemption policy in 2020
In 2020, Beijing's enterprise medical insurance reduction and exemption policy will extend the period of phased reduction and exemption of enterprise social insurance premiums;
1, the policy of exempting small and medium-sized enterprises (including individual industrial and commercial households insured by the company) from basic old-age insurance, unemployment insurance and work-related injury insurance (hereinafter referred to as the three social insurances) was extended to 65438+the end of February 2020.
2, large enterprises and other insured units (excluding institutions) three social insurance units to pay part of the collection policy, extended to the end of June 2020.
3. Insured units with serious difficulties in production and operation affected by the epidemic can continue to hold over three social insurance premiums until the end of 65438+February in 2020, and the late payment fee will be exempted during the holding over period.
Insured units and employees can negotiate to hold over the individual contributions withheld and remitted at the same time. During the holdover period, the individual account of the enterprise's basic old-age insurance does not bear interest, and the insured unit pays the fee in time before the expiration.
During the holdover period, in case of employees receiving basic pensions, they shall handle inter-provincial transfer, apply for unemployment insurance benefits and settle accounts. , the insured units need to handle the payment procedures for employees separately.
3. In 2020, the basic old-age insurance and unemployment insurance will continue to implement the 20 19 personal contribution base lower limit standard, and the upper limit of personal contribution base will be adjusted normally according to regulations.
4. Individual industrial and commercial households and all kinds of flexible employees who participate in the basic old-age insurance for enterprise employees in their personal capacity may voluntarily defer payment if it is really difficult to pay the basic old-age insurance premium in 2020. Payment can be continued in 202 1 year, and the payment period is calculated cumulatively; In the unpaid month of 2020, the payment can be made before the end of 20021,and the payment base can be selected independently within the upper and lower limits of the individual payment base in this city.
New medical insurance regulations for one old and one small in Beijing in 2020
In order to ensure the healthy and sustainable development of the basic medical insurance for urban and rural residents in this Municipality, with the consent of the municipal party committee and municipal government, the new provisions of the medical insurance for one old and one small in Beijing in 2020 are now adjusted, and the relevant policies are notified as follows:
1.In 2020, the individual payment standard of basic medical insurance for urban and rural residents in this city will be adjusted to: 300 yuan for urban and rural elderly and students and children per year, and 520 yuan for working-age residents per year.
2. In 2020, the government subsidy standard for the basic medical insurance for urban and rural residents in this city will be adjusted to: 4 180 yuan per urban and rural elderly person per year, including the municipal financial subsidy 1860 yuan and the district financial subsidy of 2,320 yuan; Students and children per person per year 16 10 yuan, of which the municipal financial subsidy is 575 yuan and the district financial subsidy is 1035 yuan; Residents of working age are 2 150 yuan per person per year, of which the municipal financial subsidy is 845 yuan and the district financial subsidy is 1305 yuan.
3. From June 65438+1 October1day in 2020, the proportion of reimbursement for medical expenses incurred by urban and rural residents in district hospitals, district Chinese medicine hospitals and other district-level designated medical institutions increased from 75% to 78%.
4. From June 65438+1 October1day in 2020, the first consultation system will be implemented for the elderly and working-age residents in urban and rural areas of this city. The designated medical institutions for the first visit are grassroots designated medical institutions and designated medical institutions in various districts (sponsored by the district and town governments). Without the first diagnosis of designated medical institutions referral to other designated medical institutions for medical treatment, the outpatient (except emergency) medical expenses, urban and rural residents medical insurance fund will not pay. The insured shall be transferred to the designated medical institution and the same designated medical institution for medical treatment by the referral certificate issued by the first-visit designated medical institution, and the effective time for the first-visit referral is 180 days.
5. Other policies are still implemented according to the Measures for Basic Medical Insurance for Urban and Rural Residents in Beijing and the Detailed Rules for the Implementation of the Measures for Basic Medical Insurance for Urban and Rural Residents in Beijing.
Friendly reminder: In 2020, the new medical insurance regulations for one old and one small in Beijing will come from the Internet for reference only! The specific policies are mainly based on the standards given by the Medical Insurance Bureau, Finance Bureau, People's Social Security Bureau, Education Commission and designated medical institutions.
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