Starting from September 1, Nanjing will increase the financial subsidy standards and medical insurance benefits for the 2011 Urban Resident Basic Medical Insurance.

Increased financial subsidy standards Reporters learned yesterday from the Nanjing Municipal Human Resources and Social Security Bureau that the financial subsidy standard for resident medical insurance for students and children (including college students) has been increased from 150 yuan per person per year last year to 200 yuan per person per year.

The financial subsidy standard for "other residents" has been increased from 180 yuan per person per year to 200 yuan per person per year.

Reimbursement for outpatient serious illness will be increased by 10%. Similarly, there will be a corresponding improvement in the benefits of residents’ medical insurance: the payment ratio of outpatient serious illness fund will be increased.

For outpatient serious medical expenses incurred by insured students and children in designated medical institutions, the fund payment ratio will be increased from 75% to 85%; the fund payment ratio for elderly residents and other residents will be increased from 70% to 80%.

The hospitalization reimbursement ratio is increased by 5%-10%. The fund payment ratio for hospitalization medical expenses within the specified range is increased.

For hospitalization expenses incurred in secondary and primary medical institutions, the payment ratio of insured students and children's funds will be increased from 85% and 90% to 90% and 95% respectively; for elderly residents and other residents, the payment ratio will be increased from 70% and 75% to 80% respectively.

%, 85%.

The medical insurance benefits for construction migrant workers have been increased accordingly. At the same time, the serious illness medical insurance benefits for migrant workers in the construction industry have also been increased accordingly: the outpatient critical illness fund payment ratio has increased from 75% to 85%.

Increase the proportion of fund payment for hospitalization medical expenses within the prescribed range. For hospitalization expenses incurred in secondary and primary medical institutions, the fund payment proportion will be increased from 85% and 90% to 90% and 95%.

The lump sum standard for outpatient medical expenses for college students has been increased. In addition, the lump sum standard for outpatient medical expenses for college students has also been increased: the lump sum standard for outpatient medical expenses for college students has been increased from the original 50 yuan per person per year to 60 yuan per person per year. This amount is allocated from the municipal medical insurance fund to

The university where the student is enrolled will pay the insured college student’s medical expenses such as general outpatient services and personal accident injuries.

Nanjing will introduce residents' medical insurance outpatient co-ordination measures in the third quarter of this year, gradually realizing that insured residents' expenses for minor illnesses in community hospitals can also be reimbursed by the medical insurance fund, with the reimbursement ratio not less than 50%.

(Dong Wanyu) For example>> Mr. Wang, an elderly man in Gulou District, was ill and was staying in a first-level hospital. The hospitalization expenses totaled 3,800 yuan, of which the personal (self-pay) part of the hospitalization expenses was 1,000 yuan.

According to the new document: "Increase the proportion of fund payment for hospitalization medical expenses within the specified range. For hospitalization expenses incurred in secondary and primary medical institutions, the elderly residents and other residents will increase from 70% and 75% to 80% and 85% respectively.

%", Lao Wang's basic medical reimbursement range is 3800-1000 = 2800 yuan, and the individual needs to share the "individual minimum payment standard of 400 yuan for the first hospitalization".

For example, if calculated according to the old policy: the individual sharing ratio of first-level hospitals is 25%, that is, (2800-400)

)×15%=360 yuan.

Then Lao Wang’s personal burden is now reduced by 240 yuan.