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published in(发表于) 2014/8/12 4:12:51
Full implementation before the end of serious illness in Guangdong province health insurance, reimbursement up to 430,000

Full implementation before the end of serious illness in Guangdong province health care reimbursement up to 430,000 | health care _ news

Reporter learned yesterday from the provincial Office of human resources and social, currently being implemented in the province has 19 municipalities got seriously ill health insurance, is stepping up efforts to develop a new regulator in Guangzhou and Shenzhen programme, Guangzhou has developed specific approaches and open for comments. All cities will be fully implemented by the end of catastrophic illness.


Nunn news reporter Liu Qian's yue ren Xuan yesterday learned from the Taiwanese Chamber, currently being implemented in the province has 19 municipalities got seriously ill health insurance, is stepping up efforts to develop a new regulator in Guangzhou and Shenzhen programme, Guangzhou has developed specific approaches and open for comments. All cities will be fully implemented by the end of catastrophic illness.


Provincial Office of society services that in 2013, according to the national unified deployment, in 2013, the provincial government issued the sickness insurance scheme of urban and rural residents (for trial implementation) (GDETO letter (2013), 134th), further defined the catastrophic illness coverage of urban and rural residents, funding criteria, standards of treatment and service management requirements. When the end of, the province's urban and rural residents in 16 municipalities issued catastrophic illness insurance scheme, officially implemented in 14 municipalities. According to statistics, in 2013, a total of 14 of the province's urban and rural residents ' health care funds allocated 8. RMB 900 million catastrophic illness, serious illness treatment expenses 8.400 million Yuan, benefiting passengers 20.40,000 people, seriously ill patients ' inpatient reimbursement rate by an average of 10 8%.


Policy interpretation



Who can enjoy medical insurance?


Insurance object is currently seriously ill Medicare insured for urban and rural residents. Our province's Zhuhai, Foshan, Huizhou, Shanwei, Chaozhou and other active exploration established workers and urban and rural residents covered by sickness insurance system, synchronizing insurants and level of protection of both urban and rural residents.


Serious illness insurance to pay it?


Sickness insurance is based on the basic medical insurance, in conformity with the provisions of the serious illness occurs in patients with higher medical costs for "second reimbursement" System. Insured persons do not need to pay separately, participate in both urban and rural residents enjoyed large directly health-care insurance benefits.


What conditions may benefit from serious illness insurance?


The current catastrophic illness pay standards of urban and rural residents in the province averaged about 15,000 yuan. Catastrophic illness pay standards set by municipalities in principle from the local per capita annual net income of rural residents last year, and no higher than the per capita annual disposable income of local urban residents. Insured persons suffering from a serious illness in conformity with the provisions of its individual annual burden after hospitalization expenses after the payment standard is reached, serious illness insurance including "secondary claims" range, and basic health care be implemented a "one-stop" real time.


Annual maximum reimbursement cost?


Catastrophic illness insurance scheme provides national and provincial, catastrophic illness, "secondary claims" no less than 50%, and low sectional make payments of medical expenses can, in principle, medical costs higher payout percentage is higher. In 2013, the top line of catastrophic illness in the province averaged about 180,000 yuan, plus basic medical insurance, annual maximum limit up to 430,000 yuan.

06:39 on August 12, 2014 The Southern Metropolis daily


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