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(Reporter Deng, intern Liu, correspondent) Following the successful implementation of outpatient medical insurance by 2.2 million residents, Foshan 1.72 million urban insured workers will soon enjoy this livelihood initiative. Last Friday, the Foshan Municipal Labor and Social Security Bureau issued the Guiding Opinions on Urban Workers' Participation in Residents' Outpatient Basic Medical Insurance in Foshan.

Foshan has implemented the outpatient medical insurance system for urban workers since June 5438+1 October1,and 1.72 million urban workers (including all migrant workers) who have participated in Foshan medical insurance can realize a certain proportion of outpatient reimbursement in designated hospitals in their districts.

Benefit from medical insurance for urban workers

According to reports, the insured object of outpatient medical insurance for urban workers in Foshan is the insured who has participated in the basic medical insurance for urban workers in Foshan. It is reported that at present, there are 6.5438+0.72 million insured persons in this part of our city, mainly including personnel of government institutions, enterprise staff and private individual insured persons, which means that most migrant workers who are not registered in Foshan are included.

Lin Zheng, director of Foshan Labor Bureau, said that at present, all urban workers in Foshan have basically participated in pension, medical care, unemployment, work injury and maternity insurance, and outpatient medical insurance will be bundled into medical insurance as an extension of medical insurance for urban workers. As long as all urban workers participate in medical insurance, it is equivalent to participating in outpatient medical insurance and enjoying the benefits of reimbursement for outpatient medical treatment.

The outpatient service for paying employees is consistent with the outpatient service for residents.

In terms of payment, urban workers need to participate in the basic medical insurance for residents' outpatient clinics in their own (in-hospital) basic medical insurance co-ordination areas, and the payment standard for participation in each co-ordination area is consistent with the current payment standard for basic medical insurance for residents' outpatient clinics in their respective co-ordination areas, that is, per person per year in Chancheng District 120 yuan; Nanhai basic type 100 yuan, improved type 180 yuan; Gaoming district 100 yuan; Sanshui District and Shunde District are both 80 yuan.

In view of the implementation of outpatient medical insurance for residents in Chancheng and Nanhai on July 1, urban workers were also included in the scope of outpatient medical insurance. In this regard, the "Guiding Opinions" stated that urban workers who had participated in the basic outpatient medical insurance for residents before June of 1 year in their household registration places will no longer participate in the insurance in principle, and will no longer participate in the first social security year (June 2008 +08 ~ June 2009).

The standard is per person per year 120 yuan.

According to reports, in terms of fund raising, the basic medical insurance for urban workers in Foshan is based on 1.20 yuan per person per year. The source of funds includes two parts: one is the basic medical insurance fund for urban workers in Foshan; Second, the municipal level plans the balance funds of basic medical insurance for urban workers in various districts before. Among them, the urban workers' basic medical insurance co-ordination fund pays 60 yuan/person-year, and the district balance funds pay 60 yuan/person-year.

"120 yuan can meet the payment standards of most districts. If some areas are insufficient, they can be solved by personal account allocation, personal payment or other means of basic medical insurance for urban employees. " Lin Zheng explained.

The treatment is the same as residents' outpatient medical insurance.

In terms of insurance benefits, the insured person enjoys the basic medical insurance benefits for residents in the insured area. Retirees who have been approved to settle in different places and employees who have been stationed in different places for a long time to participate in the basic medical insurance for residents' outpatients will be included in my basic medical insurance account for urban employees at one time according to the annual payment standard of the insured place.

"The staff of 45,000 institutions directly under the municipal government will participate in the outpatient medical insurance for urban workers in Chancheng District according to the principle of territoriality." Lin Zheng said.

Lin Zheng, director of Foshan Municipal Labor Bureau, said that the establishment of outpatient service system for urban workers is the last step of universal medical insurance in Foshan after the hospitalization medical insurance system for urban workers, the hospitalization medical insurance system for residents and the outpatient medical insurance system. After implementation, Foshan will become the first city in the province and even the whole country to realize universal medical insurance.

Tips: Choose a designated hospital before September 30th.

The insurance year for urban workers to participate in the basic medical insurance for residents' outpatient service is from July 1 day to June 30th of the following year. The first insurance year is from June 1 2008 to June 30, 2009.

The time for urban workers to participate in the basic medical insurance for residents' outpatient clinics is the same as that for residents' outpatient clinics in all districts. The first social security year is 15 from August to September 30th.

Source: Guangzhou Daily

Further reading: How to buy insurance, which is good, and teach you how to avoid these "pits" of insurance.