The basic medical insurance for urban residents is an integral part of social medical insurance. The government-led medical insurance system, with individual (family) contributions as the main contribution and moderate government subsidies as the supplement, is adopted to provide medical needs for urban residents in accordance with the principle of consistent payment standards and treatment levels.
1, the urban residents' basic medical insurance fund is mainly used to pay the medical expenses of insured residents for hospitalization and outpatient serious illness and outpatient rescue, and the scope and standard of payment are implemented according to the list of drugs, diagnosis and treatment items and medical service facilities of urban residents' basic medical insurance.
2, Qifubiaozhun (also known as the threshold fee) is the same as the basic medical insurance for urban workers, that is, three-level 980 yuan, two-level 720 yuan and one-level 540 yuan.
3. Medical treatment management: the system of fixed-point first consultation and two-way referral shall be implemented for the residents insured by the basic medical insurance for urban residents. The first-visit medical institutions are designated as community health service centers, specialized hospitals, hospital-store cooperation, secondary and below medical institutions, and some tertiary comprehensive and specialized medical institutions are designated as fixed points. When insured residents seek medical treatment, they should first seek medical treatment in the first-visit medical institution. If it is really necessary to be referred for treatment due to illness, the first-time medical institution shall issue a referral certificate before being transferred to the designated referral hospital for hospitalization. (That is to say, once you get sick, you must go to the designated community service center hospital or the designated small hospital to see a doctor. If these small hospitals don't look good, you can transfer to a big hospital with the certificate of the small hospital. When you get better, you should turn back to live immediately. )