The four types of difficult groups in Xinjiang can get medical rescue individuals to pay for their own medical expenses for the maximum ratio of not less than 80%

Author:Tianshan.com Time:2022.08.18

Pomegranate/Xinjiang Daily (Reporter Ren Chunxiang Report) On August 18, the reporter learned from the Medical Security Bureau of the Autonomous Region that the autonomous region recently issued the "Implementation Opinions on Implementation of Medical Insurance and Rescue System for Medical Insurance and Rescue of Extraordinary Diseases" (hereinafter referred to as "Implementation Opinions for Implementation Opinions "), Effectively reduce the burden of medical expenses for the major diseases of the people in difficulties, and strengthen the comprehensive guarantee of basic medical insurance, major illness insurance, and medical assistance.

The "Implementation Opinions" clarify that the target of medical assistance is four types of personnel with Xinjiang household registration or participating in the basic medical insurance of the autonomous region. The first type of rescue target is the target and orphans of the urban and rural areas; The third type of rescue target is a member of the family members of the subsistence allowances of urban and rural difficulties and the rural areas incorporated into the scope of monitoring. In addition to the above -mentioned three types of personnel, patients who have a serious illness in the basic life of the family due to high medical expenses have a serious illness.

Han Hongcai, director of the treatment security department of the Autonomous Region Medical Security Bureau, introduced that in terms of policy treatment, the "Implementation Opinions" clearly clearly participated in the basic medical insurance in accordance with the law, and enjoyed the rights and interests of the triple protection of basic medical insurance, major illness insurance, and medical assistance.

Comprehensively implement the financial subsidy policy of the basic medical insurance participation in urban and rural residents, give classification funding for the people who have difficulties in personal payment, give full funding for the first type of rescue target, provide a fixed funding for the second type of rescue objects, and provide the third category of assistance to the third category of assistance In the transitional period of rural areas, the rural areas can return to the poor and poverty -stricken population can enjoy a certain period of subsidy policy according to the actual situation.

The implementation of the policies of the major illness insurance tilt protection policies, the standard for the starting payment standard for the first and second types of rescue objects is 50%compared to ordinary insured, the payment percentage is increased by 5 percentage points, and the ceiling line of major illness insurance is canceled.

Strengthening the support function of medical assistance, in accordance with the principles of "first insurance and then assistance", the rescue objects that are still heavy after paying for basic medical insurance and major illness insurance are still implemented in accordance with regulations. Among them, the first and second categories of rescue objects are directly rescued. There is no annual rescue starting standard. The proportion of individual self -payment medical expenses within the scope of the policy is not less than 70%, and the four prefectures in the southern Xinjiang are not less than 80%. ; For the third and fourth categories of rescue targets, set up payment standards for about 10%and 25%of the per capita disposable income of residents in the previous year, respectively. %.

Han Hongcai said that in order to optimize the application for the application for rescue application, the first, second, and third types of rescue objects were systematically identified, and dynamic adjustments were implemented, and the "one -type" settlement of the triple system was included. Application, review, and rescue payment process. In order to improve the convenience of medical insurance policies, the "first -diagnosis and treatment" is implemented, and the first and second categories of rescue targets for standardized referrals and the hospitalization of designated medical institutions in the overall area can fully exempt their hospital deposits.

The "Implementation Opinions" also proposes that our district should establish and improve the long -acting mechanism for preventing and resolving poverty due to illness, establish and improve the warning and monitoring mechanism of high medical expenses expenditure, and encourage social forces to participate in rescue guarantees, support the development of charity assistance, encourage development Medical assistance and commercial health insurance.

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