Taking Wuhu City as an example, the term of residents' medical insurance is unified from 65438+ 10/0 to 65438+February 3 1. All co-ordination areas should effectively solve the convergence problem of payment and treatment of insured residents, and ensure that the medical insurance benefits of insured residents are not affected. Insured residents meet the general outpatient medical expenses within the policy scope of primary medical institutions, and the fund payment ratio is not less than 50%.
Within the scope of the policy, the proportion of hospitalization medical expenses fund payment is stable at around 75%. It is necessary to further widen the minimum payment standard and payment ratio of different levels of medical institutions, and the focus of fund payment is tilted to primary medical institutions, guiding the insured people to seek medical treatment in primary medical institutions and promoting graded diagnosis and treatment.
Extended data:
Provisions on the relevant requirements of basic medical insurance for urban and rural residents:
1, the designated medical institutions in the city (85%, 80%, 75%, 70% for first-class and below medical institutions, second-class and county-level medical institutions, third-class (municipal) medical institutions and third-class (provincial) medical institutions), and 60% for medical institutions outside the province.
2. The deductible lines of the first-level and below medical institutions, the second-level and county-level medical institutions, the third-level (municipal) medical institutions and the third-level (provincial) medical institutions are 200 yuan, 500 yuan, 700 yuan and 1 000 yuan respectively.
Wuhu Municipal People's Government-Measures for the implementation of basic medical insurance for urban and rural residents