In 20 13 years, the focus of rural medical security in China will shift to serious illness. 20 kinds of diseases such as lung cancer and gastric cancer are all included in the scope of serious illness protection, and the actual reimbursement rate of hospitalization expenses for seriously ill patients is not less than 70%, and the highest can reach 90%.
20 diseases included in critical illness protection: childhood leukemia, congenital heart disease, end-stage renal disease, breast cancer, cervical cancer, severe mental illness, drug-resistant tuberculosis, AIDS opportunistic infection, hemophilia, chronic myeloid leukemia, cleft lip and palate, lung cancer, esophageal cancer, gastric cancer, type I diabetes, hyperthyroidism, acute myocardial infarction, cerebral infarction, colon cancer and rectal cancer.
Urban residents' medical insurance is a medical insurance system with urban minors and unemployed residents who have not participated in urban workers' medical insurance as the main participants.
Among them, the individual payment standard for students and children is adjusted from 100 yuan per person per year to 160 yuan per person per year; The elderly in cities and towns are adjusted from 300 yuan to 360 yuan per person per year. Unemployed residents are adjusted from 600 yuan to 660 yuan per person per year, and unemployed disabled residents and 7- 10 disabled soldiers are adjusted from 300 yuan to 360 yuan per person per year.
In 20 15 years, the payment time for urban residents' medical insurance is from September 20 14 to the end of165438+10. Insured residents should go through the insurance formalities in time according to the new standards, and fully prepare the insurance payment funds.
At present, the reimbursement policy for residents' medical insurance outpatient service requires continuous participation 1 year or more. If you don't go through the formalities of insurance payment on time, your payment may be cut off, which will affect the outpatient reimbursement of the insured person next year.