Tengzhou's medical assistance protection fee for serving workers was adjusted to 96 yuan per person per year

theadjustment of the medicalmutual assistance
guarantee fee for active
employees in Tengzhou is 96 yuan per person per year
release date: 2014-July 21
Source: People's Networks
Author:Responsibility Editor: Liu Xue recently, reporters from Tengzhou City General Trade Union was informed that, since July 2014, Tengzhou City will be in-service workers in hospital mutual assistancemedicalprotection feeadjustedto 96 yuan per person per year, where the renewal, new personnel are in accordance with this standardIt is reported that this fee in accordance with the voluntary principle, paid in full by the unit, the staff in the medical insurance treatment, the out-of-pocket part of the second reimbursement, greatly reducing the financial burden of inpatient workers "The medical mutual assistance guarantee for working workers is the platform of mutual assistance set up by the trade union system to alleviate the economic burden of sick and hospitalized workers and alleviate the problem of workers' 'difficult to see a doctor, expensive to see a doctor', and is an effective supplement to the basic medical security system, which is known as the 'second medical insurance ' According to the head of the Tengzhou City General Trade Union Mutual Aid Association, all enterprises and institutions, party and government organs, people's organizations, private non-enterprise sons and employees who have participated in the basic
medical insurance of our city's employees are included in the scope of insurance activities for in-service medical mutual assistance protection activities for in-service employees The funds of this activity are mainly raised through the unit welfare funds, trade union funds and other channels, in principle, as far as possible by the administrative fee, so that the benefit of workers, after the approval of the financial department at the same level included in the cost According to the introduction, after insurance into the basic medical co
-ordination fund payment scope of the cost, in the basic medical insurance payment line above, the maximum payment limit, the medical insurance reimbursement after the individual out-of-pocket part, the operating institutions pay the guarantee according to 60% of
the proportion; If the operating institution pays the guarantee payment at a rate of 70%, if the basic medical co-ordination fund pays more than the maximum amount, within the maximum payment limit of the medical aid fund for the major diseases, and meets the reimbursement conditions of the medical aid fund for major diseases, the operating institution shall pay the guarantee amount of 70% in proportion to the medical expenses of the insured workers who exceed the maximum limit of medical assistance for major diseases and meet the difficult conditions, and the trade union shall provide appropriate living assistance at the end of the year the reimbursement conditions of the
medical aid fund for major diseases Tengzhou City General Trade Union staff to the reporter calculated an account: if a unit of in-service staff hospital expenses of 100,000 yuan, medical insurance after the full overall reimbursement of the remaining 20,000 yuan for the individual out-of-pocket part, if the employee participated in mutual medical security activities, its self-payment part can be in accordance with 60% of the proportion of the second reimbursement, the individual will eventually only bear a few thousand yuan "Many workers live in poverty, often because their family members are ill, so participation in mutual health care activities for active workers is necessary to minimize their financial burden "Staff members said that in the reimbursement of expenses, by the staff of the unit or I carry the social medical insurance fixed point or the operating institution issued by the medical expenses settlement documents, identity cards and medical certificate copies and other relevant information, to the Municipal People's Social Bureau medical insurance service hall for reimbursement procedures, on the spot can receive the protection payment." (Liu Xin) declassified "long-term mechanism" real estate China Forum decrypting long-term mechanism responsibility editor: Liu Xue "first time" " more" "" "more" Wuhan "to housing old-age" pilot will be launched in the year the first insurance products
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