Beijing unified urban and rural medical insurance financial per capita subsidy standard increased by 40%
On December 13th, the Measures of Beijing Municipality on Basic Medical Insurance for Urban and Rural Residents was officially promulgated, which broke through the geographical barriers between urban and rural areas, realized the unification of the system and ensured that urban and rural residents enjoyed social security rights fairly. Du Yan photo
BEIJING, Beijing, December 13 (Reporter Du Yan) The Measures for Basic Medical Insurance for Urban and Rural Residents in Beijing was officially announced today, which broke through the geographical barriers between urban and rural areas, broke the identity differences between urban and rural areas, and made it clear that the unified medical insurance system for urban and rural residents will be implemented from January 1, 2018, in which the urban and rural elderly and working-age residents will implement the "first consultation at the grassroots level" system. At the same time, the per capita financial subsidy standard was raised from the original 1000 yuan and 1,040 yuan to 1,430 yuan, an increase of 40%.
Breaking the dual structure of urban and rural residents’ medical insurance
Today, the relevant person in charge of the Beijing Municipal Bureau of Human Resources and Social Security said at a press conference that the "Measures for Basic Medical Insurance for Urban and Rural Residents in Beijing" announced this time completely broke the urban-rural dual structure of Beijing residents’ medical insurance and achieved a unified system; At the same time, it also marks the comprehensive unification of the social security system between urban and rural areas in Beijing, and ensures that urban and rural residents enjoy social security rights fairly.
According to reports, the unified medical insurance system for urban and rural residents has achieved the six unified requirements of "coverage, financing policy, guaranteed treatment, medical insurance catalogue, fixed-point management and fund management" put forward by the state.
Coverage has been further expanded.
No longer distinguish between urban and rural household registration, covering all urban and rural residents in Beijing who have not participated in the basic medical insurance for urban workers, including the elderly, residents of working age and students and children. Spouses and children of Beijing household registration personnel from other places who have no other basic medical insurance can also participate in the medical insurance for urban and rural residents in this city.
Financial per capita subsidy standard increased by 40%
The per capita financial subsidy standard was raised from the original 1000 yuan and 1,040 yuan to 1,430 yuan, an increase of 40%. From December this year to the end of February 2018, urban and rural residents in Beijing can go through the formalities of insurance payment at the social security office of their domicile or residence, and the students in school are responsible for insurance; Individual contributions of students, children and the elderly are paid in 180 yuan per person per year, and individual contributions of working-age residents are paid in 300 yuan per person per year. The individual contributions of 13 categories of urban and rural residents with difficulties, such as subsistence allowances, poverty relief, low-income assistance and disability, are fully subsidized by the government.
The highest reimbursement rate for outpatient and inpatient services has increased.
According to the measures, the reimbursement standard will be tilted towards primary medical institutions, and the role of medical insurance will be actively played to promote the construction of Beijing’s graded diagnosis and treatment system. After the implementation of the new system, the medical insurance benefits of urban and rural residents have been improved in an all-round way. The highest reimbursement rate for outpatient clinics has reached 55%, an increase of 5 percentage points over the original, and the annual cap line for outpatient clinics has been unified at 3,000 yuan. The highest reimbursement rate for hospitalization reached 80%, an increase of 5-10 percentage points over the original, and the annual hospitalization ceiling line was raised to 200,000 yuan.
The scope of medical treatment has been further expanded
The original new rural cooperative medical system and designated medical institutions for urban residents’ medical insurance have all been brought into the unified agreement management of designated medical institutions for urban and rural residents’ medical insurance, and the number of designated medical institutions will increase to more than 3,000, and the scope of medical treatment for insured personnel will be significantly expanded.
In addition, the insured should choose 3 hospitals and 1 community health service institution as their designated hospitals within the designated medical institutions in the city; There are 19 Class A designated hospitals such as Concord, Renmin, China-Japan Friendship, Third Hospital of Beijing Medical University, 144 specialist designated hospitals such as Cancer Hospital, Fuwai Cardiovascular Hospital, Stomatology Hospital and Anding Hospital of Chinese Medicine, and 124 Chinese medicine designated hospitals such as Dongzhimen, Guang ‘anmen Hospital and Beijing Chinese Medicine Hospital.
Implement the system of "first diagnosis at the grass-roots level"
Urban and rural elderly and working-age residents implement the system of "first consultation at the grass-roots level", and they need to go to the grass-roots hospitals designated by themselves or jointly. After the first consultation and referral, they can go to their designated hospitals and hospitals designated by Class A, Chinese medicine and specialties for medical treatment. The effective time limit for a referral is 180 days.
The new system also unifies the medical insurance drug list, diagnosis and treatment service items and medical service facilities for urban and rural residents, and the types of drugs that can be reimbursed for medical insurance for urban and rural residents will be expanded from the current 2,510 to more than 3,000, which is consistent with employee medical insurance.
Social security cards issued by rural residents will be officially opened next year.
Beijing will also issue social security cards to rural residents, so that rural residents can settle their medical bills in real time when they seek medical treatment, without the need for individuals to advance medical expenses, further reducing the financial burden of rural residents on medical treatment.
It is reported that the social security card for rural residents in Beijing will be distributed centrally in the near future, and it will be officially launched from January 1, 2018. (End)