From December 1, 2006, Changsha City will adjust the relevant benefits of city-level medical insurance. The proportion of retirees' personal accounts will be increased from the current 3.4% to 4%. The insured person will be hospitalized for the first time within a medical settlement year.

The minimum payment standard has been reduced by 200 yuan.

Late-stage cancer patients, vegetative patients, etc. who really have difficulty in medical treatment and hospitalization can apply to the Municipal Medical Insurance Center to open a home hospital bed. After the application is approved, the standard limit of 50 yuan/day will be used, and the overall fund will pay 90%, and the insured person will bear 10% to open a home hospital bed.

During this period, outpatient medical treatment for special diseases will be stopped.

The minimum payment standard for hospitalization will be comprehensively lowered. The minimum payment standard for the first hospitalization of insured persons within a medical settlement year will be comprehensively lowered. The first, second and third-level hospitals will be reduced from the original 686.4 yuan, 858 yuan and 1115.4 yuan to 486.4 yuan and 658 yuan respectively.

yuan, 915.4 yuan.

For hospitalization for the second time, the minimum payment standard will be 50% of the adjusted new standard; for hospitalization for the third and subsequent times, the minimum payment standard will be 30% of the new standard.

The new policy of critical illness medical mutual aid for those with hospitalization expenses exceeding RMB 30,000 has adjusted the payment range and payment ratio of the critical illness medical mutual aid fund.

The starting point for mutual aid payment for serious illness medical treatment has been lowered from the original 40,000 yuan to 30,000 yuan, and the ceiling for serious illness has been adjusted from 110,000 yuan to 150,000 yuan.

Within the limit of mutual aid payment for serious illness medical expenses, the proportion of personal responsibility is reduced from the original 10% to 6%.

Relevant staff of the Changsha Medical Insurance Center pointed out that this measure can make the critical illness medical mutual aid fund play a greater protection role. If hospitalization expenses exceed 30,000 yuan, insured patients can immediately enjoy the protection of the critical illness medical mutual aid fund.

The personal accounts of retirees are more substantial. According to reports, an important measure to adjust the benefits of basic medical insurance this time is to make the personal accounts of retirees more substantial. The proportion of medical insurance co-ordination funds transferred to the personal accounts of retirees has been increased from the current 3.4% to 4%.

%%.

At present, there are 206,000 retirees at this level in this city. Calculated based on the current transfer base, the average monthly transfer per capita is 36.1 yuan. Without considering the growth factors of the number of retirees and the transfer base, the increase is 0.6%, and the annual increase per person is 76 yuan.

The medical insurance pooling fund needs to increase expenditure by approximately 15.66 million yuan.

7 diseases are included in special outpatient medical diseases. Some patients with special diseases require long-term medication and treatment, which imposes a heavy burden. In order to solve the practical difficulties of these people, this time, central nervous system demyelinating diseases, myasthenia gravis, pituitary tumors,

Seven diseases, including hepatolenticular degeneration, systemic sclerosis, Crohn's disease, and epilepsy, are included in special outpatient medical diseases. Within the special disease outpatient medical payment limit, insured patients are responsible for 20% of the personal responsibility, and the medical overall fund

Pay 80%%.

At the same time, the outpatient medical payment limits for four diseases including hypertension, coronary heart disease, Parkinson's syndrome, and mental illness will be raised.

After transplantation, the original limit on drug types is changed to a limit on the amount of reimbursement: 4,500 yuan per month within half a year after the operation, and 4,000 yuan per month for more than half a year.