in p>223, the latest policy of Kunming's employee medical insurance is: employee medical insurance and resident medical insurance will be merged into one basic medical insurance for urban residents, and the payment standard for insured personnel will be unified at 12%.
According to official website, the Health and Health Commission of Kunming, starting from April 1, 223, the medical insurance for employees and residents in Kunming will be merged into one basic medical insurance for urban residents. This reform plan aims to improve the efficiency of medical insurance fund, reduce the operating cost of medical insurance system and optimize medical insurance service. According to the plan, the new basic medical insurance for urban residents will implement a unified payment standard, that is, the proportion of employees' contributions will be adjusted from 1% to 12%, and the proportion of residents' contributions will also be adjusted to 12%. In addition, the price of diagnosis and treatment in primary medical institutions will be appropriately raised to better support and maintain primary medical services. For the insured, the plan also stipulates specific policies and measures such as the scope of reimbursement, deductible line and reimbursement ratio. At the same time, a unified medical insurance information platform will be established to strengthen supervision through technical means such as informationization and big data analysis.
after the implementation of the new policy, what changes will happen to the medical insurance benefits of employees and residents? After the implementation of the new policy, the medical insurance benefits of employees and residents will be managed in a unified way, thus better solving the medical service problems of the insured. Specifically, the new policy will adjust the payment standard, merge employee medical insurance and resident medical insurance, and establish a unified medical insurance information platform to provide all-round medical insurance services to the insured. In addition, the price of diagnosis and treatment in primary medical institutions will also be appropriately raised to support and maintain primary medical services.
The latest policy of employee medical insurance in Kunming in 223 is: employee medical insurance and resident medical insurance will be merged into one basic medical insurance for urban residents, and the payment standard for insured personnel will be unified at 12%. This policy aims to improve the efficiency of the use of medical insurance funds, reduce the operating cost of the medical insurance system, and optimize medical insurance services, so as to better provide medical services and guarantees for the insured.
legal basis:
article 23 of the social insurance law of the people's Republic of China * * * employees shall participate in the basic medical insurance for employees, and the employer and employees shall pay the basic medical insurance premiums in accordance with the state regulations. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees in the employer and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.