Medicare main - non-employment of urban residents can participate in the voluntary
The forthcoming trial of the basic medical insurance for urban residents, who can actually participate in the «
According to the Ministry of Labor and Social Security, the urban workers who do not belong to the basic medical insurance system coverage of the primary and secondary stage of the students (including vocational high schools, technical secondary school, technical school students), children and other non-employment of urban residents can participate in the voluntary The basic medical insurance for urban residents.
The basic medical insurance for urban residents will benefit more than 200 million urban residents of non-practitioners. 1998, the State Council decided to establish urban workers basic medical insurance system, begun in 2002 to establish a new rural cooperative medical system in 2003 to establish urban and rural medical assistance system. The basic medical insurance for urban workers, the number of participants has more than 160 million people, a new type of rural cooperative medical coverage population has more than 700 million people without medical insurance system for the only non-industry town residents. These people mainly rely on family medical expenses, once had more serious, often unbearable. The pilot medical insurance for urban residents, will contribute to a fundamental resolution of the serious illness of their medical costs.
At the same time, the state encouraged working age have the ability to work within the urban residents, in a variety of ways to participate in employment and basic medical insurance for urban workers.
Medicare focus - ill patient and out-patient medical expenses
Participated in the medical insurance for urban residents, medical expenses which can be "reimbursed" » And the different medical insurance for urban workers, residents focus on medical insurance fund for residents of the participants ill patient and out-patient medical expenses. The reason why such requirements, in view of the current lead to some urban residents Yinbingzhipin, returning illness is the main inpatient and outpatient risk of serious illness, should first of all through the social medical insurance system for regulating the functions of the co-ordination to resolve this risk. At the same time, countries of the region gradually encourage qualified medical expenses out-patient trial co-ordination, to explore co-ordinate out-patient cost for urban residents to solve problems.
Pilot areas will be "in order to be with, a balanced budget, a slight savings" to the principle of the use of residents of health insurance funds, development of specific Qifubiaozhun, payment limits and the proportion of the highest paid. Particularly difficult for non-urban residents in employment, all localities will explore appropriate to their economic capacity to bear the cost of medical services and payment methods, to reduce their burden of medical costs.
Payment methods - Family-based pay, the Government grants, at least 40 yuan per capita
Medicare residents are against the employment of non-residents, including a large number of elderly children, how they pay » According to reports, the general principle is family-based pay, the Government give appropriate subsidies.
Enrollment residents in accordance with the regulations to pay the basic medical insurance, enjoy the corresponding treatment, conditional on the employer can pay workers to grant the families of participants. State subsidies to these funds and pay taxes to encourage the development policy.
Taking into account the different groups of people in the risk of disease, medical expenses there are greater differences, the pilot cities for funding standards will be separated from adults and minors identified.
The participants of the pilot cities residents, the annual per capita by not less than 40 yuan for subsidies, which, the central government annually starting from 2007 through special transfer payments, the central and western regions on a per capita 20 yuan for subsidies. On this basis, the minimal needs of the target of severe disability or the student enrollment for children and families to pay the principle of not less than a year and then to grant 10 yuan per capita, the central financial authorities by the central and western regions Five yuan for per capita subsidies; minimal needs of other objects, loss of working ability of people with severe, low-income families over the age of 60 elderly residents of difficulties for participants pay part of the family, then no less than the annual per capita 60 Yuan for subsidies, the central finance for the central and western regions on a per capita 30 yuan for subsidies. The central government for the eastern region pilot cities reference to the new rural cooperative medical care subsidies to give appropriate subsidies.
Financial assistance funds to be included at all levels of government financial budget.
Pilot goals - and strive to fully open the 2010
According to the plan, the basic medical insurance for urban residents this year in the province conditional choice 2-3 start pilot cities, in 2008 to expand the pilot, the pilot cities for 2009 reached more than 80 percent, in 2010 the country fully open, and gradually cover all cities and towns Non-business residents. Joint Office should be organized before the end of an investigation and inspection of the guide, complete control of the pilot regions and cities, by January next year, the pilot of the 2007 evaluation report and 2008 to expand the pilot scheme.
Pilot started to take low-level principle that the pilot in the initial stage, from China's economic and social development level of real national situation, according to the parties to bear the ability to determine funding levels and security standards, focusing on protection of inpatient and outpatient serious illness. With economic and social development, and will gradually raise the security level, expanding the benefits of the system, efforts to achieve wide coverage.
The forthcoming trial of the basic medical insurance for urban residents, who can actually participate in the «
According to the Ministry of Labor and Social Security, the urban workers who do not belong to the basic medical insurance system coverage of the primary and secondary stage of the students (including vocational high schools, technical secondary school, technical school students), children and other non-employment of urban residents can participate in the voluntary The basic medical insurance for urban residents.
The basic medical insurance for urban residents will benefit more than 200 million urban residents of non-practitioners. 1998, the State Council decided to establish urban workers basic medical insurance system, begun in 2002 to establish a new rural cooperative medical system in 2003 to establish urban and rural medical assistance system. The basic medical insurance for urban workers, the number of participants has more than 160 million people, a new type of rural cooperative medical coverage population has more than 700 million people without medical insurance system for the only non-industry town residents. These people mainly rely on family medical expenses, once had more serious, often unbearable. The pilot medical insurance for urban residents, will contribute to a fundamental resolution of the serious illness of their medical costs.
At the same time, the state encouraged working age have the ability to work within the urban residents, in a variety of ways to participate in employment and basic medical insurance for urban workers.
Medicare focus - ill patient and out-patient medical expenses
Participated in the medical insurance for urban residents, medical expenses which can be "reimbursed" » And the different medical insurance for urban workers, residents focus on medical insurance fund for residents of the participants ill patient and out-patient medical expenses. The reason why such requirements, in view of the current lead to some urban residents Yinbingzhipin, returning illness is the main inpatient and outpatient risk of serious illness, should first of all through the social medical insurance system for regulating the functions of the co-ordination to resolve this risk. At the same time, countries of the region gradually encourage qualified medical expenses out-patient trial co-ordination, to explore co-ordinate out-patient cost for urban residents to solve problems.
Pilot areas will be "in order to be with, a balanced budget, a slight savings" to the principle of the use of residents of health insurance funds, development of specific Qifubiaozhun, payment limits and the proportion of the highest paid. Particularly difficult for non-urban residents in employment, all localities will explore appropriate to their economic capacity to bear the cost of medical services and payment methods, to reduce their burden of medical costs.
Payment methods - Family-based pay, the Government grants, at least 40 yuan per capita
Medicare residents are against the employment of non-residents, including a large number of elderly children, how they pay » According to reports, the general principle is family-based pay, the Government give appropriate subsidies.
Enrollment residents in accordance with the regulations to pay the basic medical insurance, enjoy the corresponding treatment, conditional on the employer can pay workers to grant the families of participants. State subsidies to these funds and pay taxes to encourage the development policy.
Taking into account the different groups of people in the risk of disease, medical expenses there are greater differences, the pilot cities for funding standards will be separated from adults and minors identified.
The participants of the pilot cities residents, the annual per capita by not less than 40 yuan for subsidies, which, the central government annually starting from 2007 through special transfer payments, the central and western regions on a per capita 20 yuan for subsidies. On this basis, the minimal needs of the target of severe disability or the student enrollment for children and families to pay the principle of not less than a year and then to grant 10 yuan per capita, the central financial authorities by the central and western regions Five yuan for per capita subsidies; minimal needs of other objects, loss of working ability of people with severe, low-income families over the age of 60 elderly residents of difficulties for participants pay part of the family, then no less than the annual per capita 60 Yuan for subsidies, the central finance for the central and western regions on a per capita 30 yuan for subsidies. The central government for the eastern region pilot cities reference to the new rural cooperative medical care subsidies to give appropriate subsidies.
Financial assistance funds to be included at all levels of government financial budget.
Pilot goals - and strive to fully open the 2010
According to the plan, the basic medical insurance for urban residents this year in the province conditional choice 2-3 start pilot cities, in 2008 to expand the pilot, the pilot cities for 2009 reached more than 80 percent, in 2010 the country fully open, and gradually cover all cities and towns Non-business residents. Joint Office should be organized before the end of an investigation and inspection of the guide, complete control of the pilot regions and cities, by January next year, the pilot of the 2007 evaluation report and 2008 to expand the pilot scheme.
Pilot started to take low-level principle that the pilot in the initial stage, from China's economic and social development level of real national situation, according to the parties to bear the ability to determine funding levels and security standards, focusing on protection of inpatient and outpatient serious illness. With economic and social development, and will gradually raise the security level, expanding the benefits of the system, efforts to achieve wide coverage.
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