New Medical Insurance Policy 1 in 2017: Basically realize the nationwide network of medical insurance in 2017. The Ministry of Human Resources and Social Security held a press briefing on the afternoon of the 13th to announce that the Chinese government won the International Social Security Association’s “Outstanding Achievement Award for Social Security”.
In response to the progress of direct settlement of hospitalization expenses for out-of-town medical treatment, Huang Huabo, deputy director of the Social Insurance Management Center of the Ministry of Human Resources and Social Security, said on the 13th that the Ministry of Human Resources and Social Security and the Ministry of Finance have jointly issued a document. The goal is to basically achieve nationwide networking by the end of 2016 and launch
Direct settlement of hospitalization medical expenses for retirees resettled in different places across provinces; direct settlement of hospitalization medical expenses for retirees resettled in different places across provinces began to be gradually implemented in 2017, and by the end of the year it was expanded to include direct settlement of hospitalization medical expenses for people who meet the transfer regulations.
New medical insurance policy 2 in 2017: Two major breakthroughs have been made in medical treatment in other places. In response to reporters’ questions, the relevant person in charge said that in order to do a good job in directly settling the hospitalization expenses for medical treatment in other places, the Ministry of Human Resources and Social Security established a special working group to formulate
We have formulated a work plan, clarified tasks, set back time, and focused on tackling key problems. We have made some major breakthroughs, mainly in two aspects: On December 9, the Ministry of Human Resources and Social Security and the Ministry of Finance jointly issued the "About Providing Basic Medical Care in Cross-Provincial and Remote Places".
Notice on the direct settlement of medical expenses for hospitalization.
This is the Ministry of Human Resources and Social Security issued No. 120 in 2016.
The document clarifies the objectives and tasks, basic principles, main policies, settlement models, handling procedures, responsibilities of ministerial and provincial platforms, as well as some major issues such as the construction of information systems.
Last week, the national off-site medical settlement system passed preliminary acceptance.
This marks the stage in which this work has shifted from policy decision-making and system construction to policy implementation and trial operation of system ministry-provincial docking.
At the same time, we will strengthen local dispatch in Beijing-Tianjin-Hebei, Shanghai, Guangdong and other places, urging all localities to realize cross-regional medical insurance settlement within the province this year, and to connect with the ministerial-level system to make preparations.
New medical insurance policy 3 in 2017: Direct settlement of medical expenses for non-local medical treatment for compliant personnel by the end of 2017. When will direct settlement of medical expenses for non-local medical treatment be realized? The Ministry of Human Resources and Social Security also gave the answer: National networking will be basically realized in 2016. This is a key
word.
Initiate the direct settlement of hospital medical expenses for retirees resettled in different places across provinces. A key word here is "start".
In addition, there are retirees resettled in different places across provinces, not all retirees.
In 2017, we began to gradually solve the direct settlement of hospital medical expenses for retirees resettled in other places across provinces. This does not mean that it will be completed by the end of 2016. It will be launched at the end of 2016. The direct settlement of medical expenses for retirees resettled in other places will be solved in 2017.
New medical insurance policy 4 in 2017: Resident medical insurance payment policy in 2017. First, individual payment standards will be appropriately adjusted.
As medical consumption levels increase, the state has increased fiscal subsidy funds for resident medical insurance year by year, and the individual payment standards in 2017 will also be appropriately increased.
The payment standards are 60 yuan for students and children, 100 yuan for elderly residents over 60 years old, and 300 yuan for other unemployed urban residents, which will be increased by 10 yuan, 30 yuan, and 100 yuan respectively.
Individuals who are eligible for subsistence allowances, persons with disabilities, and persons with "three no's" still do not have to pay individual contributions.
Second, newborn medical expenses can be reimbursed “retroactively”.
The new policy stipulates that newborns must pay to participate in the resident medical insurance within 90 days (including 90 days) from the date of birth, and the medical expenses for hospitalization for diseases occurring since the date of birth can be paid by the medical insurance fund in accordance with regulations.
Third, the outpatient appointment institution cannot be "bind without authorization".
Starting from January 1, 2017, insured residents only need to go to the selected outpatient appointment institution to go through the appointment procedures with the "Medical Certificate" during the first outpatient visit, and they can enjoy outpatient overall treatment according to regulations.
There is no need to go through the appointment procedures in advance, and outpatient appointment institutions are not allowed to conduct "unauthorized binding" operations against the will of insured residents.
2017 New Medical Insurance Policy 5: 2017 Medical Insurance Reimbursement 1. Scope of 2017 Major Illness Medical Insurance Reimbursement 1. Malignant tumor treatment: including malignant tumor chemotherapy (including endocrine-specific anti-tumor therapy), malignant tumor radiotherapy, isotope anti-tumor therapy, interventional anti-tumor therapy
Cancer treatment and traditional Chinese medicine anti-tumor treatment.
2. Outpatient hemodialysis and peritoneal dialysis treatment for severe uremia.
3. Anti-rejection treatment after kidney transplantation.
4. Treatment of serious mental illnesses: schizophrenia, depression (moderate and severe), mania, obsessive-compulsive disorder, mental retardation accompanied by mental disorders, epilepsy associated with mental disorders, and paranoid psychosis.