In accordance with the unified deployment of the State,
2022 residents' health insurance per capita financial
subsidy standard added 30 yuan,
to reach no less than 610 yuan per person per year;
individual contributions synchronized with the addition of 30 yuan,
to reach an average of no less than 350 yuan per person per year.
Residents of major medical insurance is still according to the original standard financing.
"Notice" put forward, level of financial subsidies to the municipalities in accordance with the provisions of the city, the city, county (city, district) financial should be arranged in accordance with the provisions of the full amount of financial subsidies and timely disbursement of funds in place. The implementation of new employment form employees and other flexible employment personnel to participate in the insurance policy is not subject to household registration restrictions. For those holding residence permits to participate in local residents' health insurance, financial resources at all levels shall provide subsidies in accordance with the same standards as those for local residents. A policy of categorizing and subsidizing the participation of people in difficulty is being implemented, with full subsidies being given to people in special hardship, and fixed subsidies being given to low-income insurance recipients, people who have returned to poverty and become impoverished, and members of families on the fringe of the low-income insurance system, as well as to recipients of monitoring and assistance in preventing the return of poverty. Individual contributions paid by all levels of finance through medical assistance funds on behalf of eligible persons are unified by the medical insurance department pushing special contribution documents, the financial department allocating funds, and the tax department collecting them. Starting from the new semester enrollment in the fall of 2022, the policy of one-time pontoon payment of personal contributions during the school period for school students will be abolished, and the unified payment and enjoyment of treatment will be made according to the natural year.
Combining the effectiveness of basic medical insurance, major disease insurance and medical assistance, and consolidating and improving the level of medical insurance treatment for residents. Conditional cities can further increase the proportion of hospitalization expenses paid within the scope of the residents' health insurance policy by moderately increasing the proportion of residents hospitalized or reducing the level of personal burden of Class B drugs and high-value medical consumables. Establish and improve the outpatient protection mechanism, by the end of 2022 to fully establish the residents of the general outpatient coordination system, do a good job in urban and rural residents of hypertension, diabetes, "two diseases" outpatient medication protection work, unified the province's outpatient slow special disease basic types and identification standards. Reasonably increase the level of coverage for maternity medical expenses in the residents' health insurance, support the three-child birth policy for insured residents, and promote the long-term balanced development of the population.
The Notice makes it clear that the consolidation of the national collection, provincial collection, inter-provincial joint mining drugs and consumables landing results, to carry out the province's third batch of drugs (proprietary Chinese medicine special), medical consumables collection, leading the implementation of inter-provincial alliance procurement of traditional Chinese medicine tablets, to alleviate the burden on the masses, and to promote the high-quality development of the traditional Chinese medicine industry. 2022 end of the national and provincial (inter-provincial alliance) collection of the number of varieties of drugs cumulative total of not less than 350, medical supplies varieties. 350, and the cumulative number of varieties of medical consumables reaches more than 18 categories. Continuing to implement the policy of retaining the balance of medical insurance funds, comprehensively promote the collection of selected drugs, medical supplies direct settlement of payments, enhance the enthusiasm of medical institutions, pharmaceutical enterprises to participate in the reform.
Shandong will accelerate the province, city, county, township, village five-level health insurance management and payment service system construction, by the end of 2022 to realize the health insurance workstation (point) township (street) full coverage. At the same time, combined with local practice, actively and steadily to the village (community), "two" organizations, financial institutions, enterprises, schools and other extensions, and strive to create a "15-minute medical insurance service circle. It has comprehensively promoted service modes such as online office, palm office, self-help office, nearby office, and help-agent office, and vigorously implemented service modes such as "one-key pass", "one-form clear", and "no-questions-asked" for policy consultation. The province's health insurance SMS service platform has been built, and the "one SMS" working method has been implemented to push health insurance service information to the public in a timely manner, gradually realizing that the public can consult online. Strengthen the standardized construction of medical insurance service windows, promote the implementation of the first-ask responsibility, acceptance of shortcomings, proof of matters informed of the commitment and other systems to achieve the standardized management of medical insurance service halls above the county level full coverage.
Optimizing insurance payment services and enhancing the level of payment facilitation. On the basis of the offline medical insurance tax "one hall", with the help of the provincial integrated government service platform, love Shandong APP, love Shandong Qing e office and other channels, to realize the registration of participants, payment function online "one window". Actively promote the urban and rural residents to participate in insurance payment "one thing" theme integrated services and birth medical certificates, children's vaccination, hukou registration, urban and rural residents to participate in insurance registration, social security card application and other "birth one thing" joint office.