To the crowd: universal coverage
As long as they are residents of Guangzhou, where workers health insurance and flexible employment outside of Medicare, can be insured.
● city primary and secondary schools, various colleges and universities, secondary vocational technical schools and technical schools students studying full-time (hereinafter referred to collectively as "students at school")
● urban household registration with the city residents of the following: pre-school children under 16 years old and the other non-school personnel (hereinafter referred to collectively as "minor");
● men and the age of 16 years to 60-year-old woman the age of 16 years to 55-year-old non-employees (collectively, the "employment of non-residents");
● men aged 60 and above, women over the age of 55-year-old, can not enjoy the monthly pension treatment of staff ( "elderly residents")
(With the Guangzhou school students on the trip, even if it is suspended, can pay according to participants)
Payment standards: the participants were government-funded
According to reports, in view of residents to participate in medical insurance personnel are no income groups, therefore, the city medical insurance for urban residents to take individual contribution and all levels of government subsidies to raise funds.
● minors and students in the school's standard fee of 100 yuan / person-years, of which, by individuals to pay 20 yuan / person-years, all levels of government-funded 80 yuan / person-years;
● non-residents of the payment industry standard of 600 yuan / person-years, of which, by individuals to pay 550 yuan / person-years, all levels of government-funded 50 yuan / person-years;
● elderly residents of the standard fee of 800 yuan / person-years, of which, by individuals to pay 300 yuan / person-years, all levels of government-funded 500 yuan / person-years.
(Residents medical insurance will pay the standard annual one-time charge in full. Additional staff should be on an annual enrollment fee residents pay standard medical insurance. The targets included ensuring minimum living, low-income families, severe disability minors Years, the loss of working ability of people with severe, personal medical residents should pay the insurance premiums from the Government to set up a social medical aid to pay the subsidies. Practitioners to guide non-residents as full employment, payment of government subsidies to its less. But For that and other reasons can not be physically employment, a heavy burden of medical expenses, medical aid funds from the community to resolve.)
Registered participants: to encourage the participants
According to the draft of the settings, all types of residents who wish to join the staff needed medical insurance to the relevant agencies for participants to register.
● the first time for residents to participate in medical insurance should carry valid identification cards and social insurance agencies the information requested, to nurseries in the minors, in the corresponding school students from schools or nurseries in the area to the location of the Social Insurance Fund Management Centre for enrollment registration procedures;
● other residents to the streets of Labor and Social Security services for participants registered. Follow-up years, residents have joined the medical insurance in the new year without re-enrollment registration procedures, the residents of automatic renewal of relations between the medical insurance; need to change the enrollment information or to stop residents to participate in medical insurance, from nurseries in schools Or individual participants back to the original registration department.
(Each insured person has a health insurance card in hand, the health insurance Pingka to enjoy medical insurance institutions designated treatment, but medical insurance for urban residents did not have a personal account, that is, health insurance card does not have money)
Treatment of participants: students can enjoy out-patient treatment
● beginning and end: medical insurance to residents of that year on October 1 to September 30 the following year for an insurance year. Participants from the payment of the corresponding year, began to enjoy the medical insurance benefits; payment of the new year did not stop to enjoy the corresponding year of medical insurance benefits.
Newborns at birth within three months after the payment procedures for participants, from the time of birth began to enjoy the appropriate medical treatment for more than three participants on the procedures for payment from the payment of the corresponding month began to enjoy medical treatment.
● enjoy: the participants, including staff enjoy diseases, accidents and family planning policies and regulations in line with the termination of pregnancy or childbirth-patient, out-patient specific projects and specific medical treatment of chronic diseases such as the content. In addition, minors and school students also enjoy the general out-patient medical treatment.
(Enrollment management and staff of the medical expenses for medical treatment billing, payment methods, in accordance with the city of basic medical insurance for urban workers of the relevant regulations.)
Limit standards: Annual up to 72,648 yuan
Residents of the medical insurance fund to pay the basic medical insurance costs of the scope of the city in accordance with the basic medical insurance for urban workers, "the three directories" and the relevant regulations. Enrollment staff with the family planning policy of termination of pregnancy or childbirth in hospital medical costs, according to city workers maternity insurance companies pay the medical expenses of the project and directories and the "measures" the implementation of the required standards.
At the same time, residents have set up a medical insurance fund to pay an aggregate annual limit of this standard. In accordance with the policy settings, participants hospital staff, out-patient specific projects, specified chronic disease and general Mun (radical) attending the basic medical expenses, medical insurance fund for residents in an aggregate payment limit for the city last year, workers in urban units of 2 times the average wage To 2008 as an example, the standard limit can be reached 72,648 yuan / year.
Cover ratio: one-time reimbursement of up to 80%
● non-residents and business Qifubiaozhun were elderly residents of the city by urban workers, retirees basic medical insurance in-patient and out-patient medical expenses of the project-specific standards; minors and students at school by the basic medical insurance Qifubiaozhun 50 % Implementation.
● Qifubiaozhun reached after what happened to enter the medical expenses of individuals and funds to pay a total of stage, the proportion of the funding will be paid in accordance with the participants for the first time participants and staff to distinguish between two types of treatment. For the first time enrollment fee, inpatient and outpatient medical expenses specific projects, the proportion of residents in Medicare funds to pay for: 50% of three hospitals, two hospitals 60 percent, 70 percent of a hospital; enrollment fee for two years Above: 60% of three hospitals, two hospitals 70 percent, 80 percent of a hospital.
(Guangzhou, the current basic medical insurance for urban workers, the participants were hospitalized Qifubiaozhun: a hospital for 500 yuan, 1,000 yuan for the two hospitals, three hospitals to 2,000 yuan, according to retired officers more than the 70 percent standard set .)
As long as they are residents of Guangzhou, where workers health insurance and flexible employment outside of Medicare, can be insured.
● city primary and secondary schools, various colleges and universities, secondary vocational technical schools and technical schools students studying full-time (hereinafter referred to collectively as "students at school")
● urban household registration with the city residents of the following: pre-school children under 16 years old and the other non-school personnel (hereinafter referred to collectively as "minor");
● men and the age of 16 years to 60-year-old woman the age of 16 years to 55-year-old non-employees (collectively, the "employment of non-residents");
● men aged 60 and above, women over the age of 55-year-old, can not enjoy the monthly pension treatment of staff ( "elderly residents")
(With the Guangzhou school students on the trip, even if it is suspended, can pay according to participants)
Payment standards: the participants were government-funded
According to reports, in view of residents to participate in medical insurance personnel are no income groups, therefore, the city medical insurance for urban residents to take individual contribution and all levels of government subsidies to raise funds.
● minors and students in the school's standard fee of 100 yuan / person-years, of which, by individuals to pay 20 yuan / person-years, all levels of government-funded 80 yuan / person-years;
● non-residents of the payment industry standard of 600 yuan / person-years, of which, by individuals to pay 550 yuan / person-years, all levels of government-funded 50 yuan / person-years;
● elderly residents of the standard fee of 800 yuan / person-years, of which, by individuals to pay 300 yuan / person-years, all levels of government-funded 500 yuan / person-years.
(Residents medical insurance will pay the standard annual one-time charge in full. Additional staff should be on an annual enrollment fee residents pay standard medical insurance. The targets included ensuring minimum living, low-income families, severe disability minors Years, the loss of working ability of people with severe, personal medical residents should pay the insurance premiums from the Government to set up a social medical aid to pay the subsidies. Practitioners to guide non-residents as full employment, payment of government subsidies to its less. But For that and other reasons can not be physically employment, a heavy burden of medical expenses, medical aid funds from the community to resolve.)
Registered participants: to encourage the participants
According to the draft of the settings, all types of residents who wish to join the staff needed medical insurance to the relevant agencies for participants to register.
● the first time for residents to participate in medical insurance should carry valid identification cards and social insurance agencies the information requested, to nurseries in the minors, in the corresponding school students from schools or nurseries in the area to the location of the Social Insurance Fund Management Centre for enrollment registration procedures;
● other residents to the streets of Labor and Social Security services for participants registered. Follow-up years, residents have joined the medical insurance in the new year without re-enrollment registration procedures, the residents of automatic renewal of relations between the medical insurance; need to change the enrollment information or to stop residents to participate in medical insurance, from nurseries in schools Or individual participants back to the original registration department.
(Each insured person has a health insurance card in hand, the health insurance Pingka to enjoy medical insurance institutions designated treatment, but medical insurance for urban residents did not have a personal account, that is, health insurance card does not have money)
Treatment of participants: students can enjoy out-patient treatment
● beginning and end: medical insurance to residents of that year on October 1 to September 30 the following year for an insurance year. Participants from the payment of the corresponding year, began to enjoy the medical insurance benefits; payment of the new year did not stop to enjoy the corresponding year of medical insurance benefits.
Newborns at birth within three months after the payment procedures for participants, from the time of birth began to enjoy the appropriate medical treatment for more than three participants on the procedures for payment from the payment of the corresponding month began to enjoy medical treatment.
● enjoy: the participants, including staff enjoy diseases, accidents and family planning policies and regulations in line with the termination of pregnancy or childbirth-patient, out-patient specific projects and specific medical treatment of chronic diseases such as the content. In addition, minors and school students also enjoy the general out-patient medical treatment.
(Enrollment management and staff of the medical expenses for medical treatment billing, payment methods, in accordance with the city of basic medical insurance for urban workers of the relevant regulations.)
Limit standards: Annual up to 72,648 yuan
Residents of the medical insurance fund to pay the basic medical insurance costs of the scope of the city in accordance with the basic medical insurance for urban workers, "the three directories" and the relevant regulations. Enrollment staff with the family planning policy of termination of pregnancy or childbirth in hospital medical costs, according to city workers maternity insurance companies pay the medical expenses of the project and directories and the "measures" the implementation of the required standards.
At the same time, residents have set up a medical insurance fund to pay an aggregate annual limit of this standard. In accordance with the policy settings, participants hospital staff, out-patient specific projects, specified chronic disease and general Mun (radical) attending the basic medical expenses, medical insurance fund for residents in an aggregate payment limit for the city last year, workers in urban units of 2 times the average wage To 2008 as an example, the standard limit can be reached 72,648 yuan / year.
Cover ratio: one-time reimbursement of up to 80%
● non-residents and business Qifubiaozhun were elderly residents of the city by urban workers, retirees basic medical insurance in-patient and out-patient medical expenses of the project-specific standards; minors and students at school by the basic medical insurance Qifubiaozhun 50 % Implementation.
● Qifubiaozhun reached after what happened to enter the medical expenses of individuals and funds to pay a total of stage, the proportion of the funding will be paid in accordance with the participants for the first time participants and staff to distinguish between two types of treatment. For the first time enrollment fee, inpatient and outpatient medical expenses specific projects, the proportion of residents in Medicare funds to pay for: 50% of three hospitals, two hospitals 60 percent, 70 percent of a hospital; enrollment fee for two years Above: 60% of three hospitals, two hospitals 70 percent, 80 percent of a hospital.
(Guangzhou, the current basic medical insurance for urban workers, the participants were hospitalized Qifubiaozhun: a hospital for 500 yuan, 1,000 yuan for the two hospitals, three hospitals to 2,000 yuan, according to retired officers more than the 70 percent standard set .)
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