1. Medical Subsidy for Civil Servants

(1) Outpatient Clinic:

In-service insured persons 1. First pay in the personal account of the current year, if the personal account has insufficient funds in the current year For the payment part, the full amount is paid by personal cash, including payment from previous years' accounts, and expenditures are made from previous years' accounts first. 3. When the cumulative cash payment (including accounts over the years) reaches the outpatient threshold of 1,000 yuan, the medical subsidy funds for civil servants and individual civil servants will be shared in proportion. 80% of the medical subsidy funds for civil servants will be paid, and 20% will be borne by the individual. If you have to pay an additional 500 yuan above the deductible, 90% of the above portion will be reimbursed by the unit.

Retired (retired) insured personnel 1. First pay in the personal account for the current year. If the personal account has insufficient funds to pay for the current year, the full amount shall be paid by personal cash. Among them, there are previous account payments. First, the account expenses for the previous years shall be paid. . 3. When the cumulative cash payment (including accounts over the years) reaches the outpatient payment threshold of 700 yuan, the medical subsidy funds for civil servants and individual civil servants will be shared in proportion. 85% of the medical subsidy funds for civil servants will be paid and 15% will be paid by individuals. Participants participated before the founding of the People's Republic of China. For veteran workers who worked in the revolution, 95% of the medical subsidy for civil servants will be paid, and 5% will be paid by individuals. 4. When you have to pay an additional 500 yuan above the threshold, 95% of the above part will be reimbursed by the unit.

(2) Inpatient hospitalization and outpatient services for specified diseases: 1. Medical expenses below the minimum payment standard shall be paid first in the personal account over the past years. The part with insufficient funds in the personal account over the years shall be paid from the civil servants’ medical subsidy funds and the civil servants’ account. Individuals share proportionally, 80% of the employees are paid by the civil servant medical subsidy funds, 20% are paid by the individual, 85% by the retired (retired) personnel, 85% are paid by the civil servant medical subsidy funds, and 15% are paid by the individual. Old workers who participated in revolutionary work before the country are paid by the civil servants. 95% of the subsidy is paid, and 5% is paid by the individual. 2. In one year, the total personal burden (including hospitalization deductibles) is up to 1,000 yuan for current employees and 800 yuan for retired (retired) personnel. The excess part will be subsidized by the employer (in full).

2. Retired cadres:

Retired cadres do not have self-responsibility, that is to say, they take care of themselves and pay for themselves. Self-care used to be paid in advance by oneself and returned to the unit for reimbursement. The current operation is that the hospital directly accounts for it, and the hospital settles the bill with the medical insurance center. The self-pay part is still borne by the self.

The use of medical subsidy funds in Article 4 of the "Opinions on the Implementation of Medical Subsidy for National Civil Servants". Medical subsidy funds are mainly used for medical expense subsidies above the maximum payment limit of the basic medical insurance pooling fund and in compliance with the basic medical insurance drug use, diagnosis and treatment scope, and medical service facility standards; within the payment scope of the basic medical insurance, individuals pay more than a certain amount of medical expenses out of pocket Expense subsidies: Medical expenses stipulated by the central and provincial people's governments for those who enjoy medical care during medical treatment and hospitalization. The specific use methods and subsidy standards for subsidy funds shall be stipulated by each locality in accordance with the principle of balancing revenue and expenditure.