I compiled the medical insurance policy and reimbursement ratio for urban workers in Liaoning. This article is for reference only. If there is any change, please refer to the announcement of official website. The medical insurance for urban workers shall be coordinated at the municipal level, with unified policies, standards and procedures. Liaoning urban workers' medical insurance policy Urban residents' basic medical insurance reimbursement ratio Urban residents ... Want to know more about Liaoning urban workers' medical insurance policy and reimbursement ratio, let's take a look. The medical insurance policy and reimbursement ratio of urban workers in Liaoning Province are compiled by collating. This article is for reference only. If there is any change, please refer to the announcement of official website. The medical insurance for urban workers shall be coordinated at the municipal level, with unified policies, standards and procedures. Liaoning urban workers' medical insurance policy reimbursement ratio of urban residents' basic medical insurance is a medical insurance system developed relative to urban workers, that is, non-employees. It is subdivided into several types of people when it is implemented, and it is treated differently from the aspects of payment and reimbursement ratio. Minors (-18 years old): If citizens in this range want to participate in the basic medical insurance for urban residents, they need to provide a copy of the information page of the household registration of the head of household and the insured. Under normal circumstances, each person has to pay the insurance fee in 35 yuan every year. Since last year, Chaoyang City has included newborns in the scope of urban residents' medical insurance, and stipulated that newborns who are insured within three months of birth only need to pay the 15 yuan insurance fee every year, and they can enjoy the treatment one month after the payment date. Adults (18-6 years old): If these people are newly insured, they need to provide a copy of their ID card, a copy of the first page of the household registration book and the insured page, and two one-inch photos, and each person needs to pay a premium of 136 yuan per year. Insured persons over the age of 6: The required certificates and premiums are the same as those of adults, but the difference between them lies in the different reimbursement rates of medical expenses, which are 6% for adult insured persons and 7% for insured persons over the age of 6. Insured persons with minimum living allowance: If the insured persons enjoy minimum living allowance, the minors need to pay the premium 25 yuan, the adults need to pay the premium 66 yuan and the insured persons over 6 years old need to pay the 56 yuan every year. Insured persons with severe disabilities (with disability certificate above Grade II): Minors need to pay 15 yuan, adults need to pay 56 yuan, and elderly insured persons over 6 need to pay 56 yuan. The above-mentioned personnel participating in urban basic medical insurance need to bring the above-mentioned documents to the community where they live to go through the relevant formalities and pay the fees at the designated bank. Generally, they can enjoy medical insurance benefits after the waiting period. At present, the reimbursement rate of urban residents' basic medical insurance premium is 6%, of which 7% are insured over 6 years old, and the maximum annual payment is 95, yuan. At present, Chaoyang City, Liaoning Province has included maternity insurance, accident insurance, outpatient service and chronic diseases in the scope of residents' medical insurance, and there is no need to pay extra premiums. Maternity insurance enjoys a normal reimbursement rate, and the reimbursement rate of accident insurance is 5%. Among them, drinking, fighting, traffic accidents, emergencies and accidents without responsible persons are not covered by accident insurance. The first qifubiaozhun for outpatient co-ordination is 4 yuan, the second and above qifubiaozhun for each time is 2 yuan, the qifubiaozhun for outpatient co-ordination in a natural year is 2 yuan, and the highest amount of medical expenses that can be paid by the co-ordination fund in a natural year is 1 yuan per person per year. The proportion of medical insurance reimbursement in Liaoning Province: 8%, 75% and 7% for adults and the elderly; Children and students account for 85%, 8% and 75% respectively. Since May, urban medical insurance participants and employees who have no personal accounts can be reimbursed for outpatient services. Anshan has carried out outpatient co-ordination of basic medical insurance, raised the maximum payment limit of medical insurance co-ordination fund, increased the proportion of hospitalization reimbursement for insured residents, and expanded the scope of reimbursement for special diseases and chronic diseases in urban employees' basic medical insurance outpatient services. A series of new policies for Huimin medical insurance that participants have been waiting for for will be officially implemented on May 1. From May 1st, medical insurance for urban residents and some employees who have no personal accounts can be reimbursed for outpatient medical expenses. The basic medical insurance outpatient service can be reimbursed. In the past, the insured who participated in the medical insurance for urban residents and some employees who did not have personal accounts could only reimburse medical expenses when they were hospitalized, but they could not reimburse medical expenses when they saw common diseases in the outpatient service. It is a long-awaited thing for these people to see a minor illness such as a cold and fever in the hospital outpatient department, and now their wish will finally come true. From May 1st, Anshan residents' medical insurance and employees' medical insurance will include the outpatient medical expenses of common diseases and frequently-occurring diseases into the payment scope of the basic medical insurance fund. The beneficiaries of this policy include all the participants who participate in urban residents' medical insurance and those who have no personal accounts in urban workers' medical insurance, with a total of 54 thousand in the city. Outpatient reimbursement of medical expenses will set a minimum payment standard and a maximum payment limit, and relevant departments will announce specific reimbursement standards in the near future. Raising the maximum payment limit to 6 thousand and the maximum reimbursement standard is the most concerned issue for patients when they seek medical treatment. Previously, the maximum payment limit of the overall fund for basic medical insurance for urban employees and basic medical insurance for residents in Anshan was 5, yuan. In order to ensure the basic medical needs of the insured, from May 1 this year, the maximum payment limit of the urban workers' basic medical insurance and the urban residents' basic medical insurance pooling fund was adjusted to 6, yuan per year. Only by this policy adjustment, the medical insurance fund will spend 16 million yuan more each year. Reimbursement ratio The medical insurance reimbursement ratio will increase by 2% This year, the Anshan Municipal Government will increase financial subsidies for residents' medical insurance, and the specific subsidy standard will be raised from 12 yuan last year to 25 yuan, with a very large increase. On this basis, the reimbursement rate of urban residents' medical insurance will also be greatly improved. At present, the hospitalization reimbursement rates of Anshan urban residents' basic medical insurance are 6% in first-class hospitals, 55% in second-class hospitals and 5% in third-class hospitals respectively. From May 1, the hospitalization reimbursement rates of adults and elderly residents who participate in residents' medical insurance will increase by 2 percentage points, and the hospitalization reimbursement rates of minor residents and various students will increase by 25 percentage points. After the adjustment of hospitalization reimbursement ratio, the hospitalization reimbursement ratio in the first, second and third level hospitals can reach 8%, 75% and 7% for adults and elderly residents, and 85%, 8% and 75% for minor residents and various students. After the medical insurance reimbursement rate of Anshan urban residents is increased, the reimbursement rate will be higher than the new requirements of the state and the province for the reimbursement rate to reach more than 7%. There are 17 kinds of outpatient special chronic diseases. At present, there are 13 kinds of outpatient special chronic diseases reimbursed by Anshan urban workers' medical insurance, including psychosis, cancer radiotherapy, chemotherapy, renal dialysis for severe uremia, liver transplantation, kidney transplantation, taking anti-rejection drugs after bone marrow transplantation and coronary heart disease (old myocardial infarction or cardiac insufficiency above grade 3); Sequela of cerebrovascular accident (cerebral hemorrhage or cerebral infarction); Myasthenia gravis; Aplastic anemia; Chronic hepatitis B and its compensated cirrhosis (antiviral therapy); Chronic hepatitis C and its compensated cirrhosis (antiviral therapy); Hemophilia. From May 1st, 17 kinds of chronic diseases will be added to the medical insurance for urban workers. After the increase, there will be 3 kinds of special and chronic diseases in the medical insurance for urban workers in Anshan. Specifically, 17 new chronic diseases in outpatient department are: diabetic complications, polymyositis and dermatomyositis, systemic lupus erythematosus, psoriasis, myelodysplastic syndrome, polycythemia vera, Behcet's disease, hyperthyroidism, hypothyroidism, rheumatoid arthritis, Parkinson's disease and Parkinson's syndrome, chronic renal insufficiency (non-dialysis treatment), pituitary adenoma prolactin tumor, primary thrombocytosis and motor neuron disease. In addition, the medical insurance fund will also tilt towards patients with serious diseases, expand the scope of reimbursement for outpatient chronic diseases, and include the laboratory expenses and some adjuvant therapeutic drugs for cancer, renal dialysis, kidney transplantation, liver transplantation, bone marrow transplantation, heart transplantation and stent. This policy adjustment has also raised the maximum payment limit of the overall fund for chronic hepatitis B and chronic hepatitis C, and adjusted the original maximum payment limit of 4,8 yuan per person per year to 3,5 yuan per person per month. At present, there are some retirees in Anshan. Their units originally participated in the basic medical insurance for urban workers, but their insurance coverage was terminated due to the reasons of their units. There are more than 2,6 people who meet this condition. Because the previous policy was to stop insurance, these people have been unable to enjoy medical insurance benefits. After this adjustment, this part of retirees can refer to the implementation measures of medical insurance for retirees of state-owned bankrupt enterprises and collectively difficult enterprises in Anshan, and each person pays 18 yuan a year to enjoy normal medical insurance benefits except personal accounts. Reporter Staff Medical Insurance Outpatient Chronic Diseases Designated Hospital Anshan Central Hospital Anshan Second Hospital Anshan Third Hospital Anshan Infectious Diseases Hospital Anshan Iron and Steel General Hospital Anshan Tiexi Hospital Anshan Shuang Shan Hospital Anshan Shuguang Hospital Outpatient Special Chronic Diseases There are 13 kinds of diseases: psychosis, cancer radiotherapy, chemotherapy, renal dialysis for severe uremia, liver transplantation, kidney transplantation, anti-rejection drugs after bone marrow transplantation and coronary heart disease (old myocardial infarction or complicated cardiac insufficiency above grade 3); Sequela of cerebrovascular accident (cerebral hemorrhage or cerebral infarction); Myasthenia gravis; Aplastic anemia; Chronic hepatitis B and its compensated cirrhosis (antiviral therapy); Chronic hepatitis C and its compensated cirrhosis (antiviral therapy); Hemophilia. 17 new species: diabetic complications, polymyositis and dermatomyositis, systemic lupus erythematosus, psoriasis, myelodysplastic syndrome, polycythemia vera, Behcet's disease, hyperthyroidism, hypothyroidism, rheumatoid arthritis, Parkinson's disease and Parkinson's syndrome, chronic renal insufficiency (non-dialysis treatment), pituitary adenoma prolactin tumor, primary thrombocytosis, motor neuron disease and heart transplantation.