Nanjing residents increased 2017 annual Medicare funding criteria-www.kepu.net.cn

Nanjing residents increased 2017 annual Medicare funding criteria yesterday, Nanjing and Social Council and the Nanjing Municipal Finance Bureau jointly issued a notice, the 2017 annual adjustment of urban resident basic medical insurance financing standard, involving four people, elderly residents, residents of other financing standard, children of students, college students, respectively, by 860 yuan, 910 yuan / person years people year, 580 yuan, 550 yuan, and one year, one year, increased to 900 yuan, 960 yuan / person years of people, and 630 yuan, 600 yuan / person years of people, years, part of the increase shall be borne by the financial subsidies. In addition, the quasi newborn can also participate in medical insurance for residents. Modern Express reporter Xiang Fenghua ZAKER of Nanjing new medical insurance fee increase part of the whole of the financial subsidy borne with Nanjing city urban household registration, basic medical insurance system for urban workers and the new rural cooperative medical care is not covered by all kinds of urban residents can apply to participate in medical insurance for urban residents in accordance with the provisions of. Flexible employment personnel and flexible employment status for the pension and retirement procedures, but not able to pay medical insurance premiums for residents, but also participate in urban residents medical insurance. The standard of financing and financial subsidies for residents in 2017 was as follows: the standard of raising funds for aged residents increased from 860 yuan per year to 900 yuan per year, of which the financial subsidy was 500 yuan per year, and the individual contribution was 400 yuan per year. Other residents’ financing standards increased from 910 yuan per year to 960 yuan per year, of which 480 yuan per year and 480 yuan per person. The funding standards for children and children increased from 580 yuan per year to 630 yuan per year, of which 480 yuan per year and 150 yuan per person. The funding standards for college students increased from 550 yuan per year to 600 yuan per year. Among them, the financial aid was 480 yuan per year, and the individual contribution was 120 yuan per year. The individual payment standards of the four groups are the same as those of the 2016 year. Insured residents, enjoy the minimum living allowance, more than two persons with severe disabilities (physical, intellectual, spiritual and blind disabled), focus groups, poor workers children, orphans insurance, individuals do not pay, insurance costs by the government at all levels give full subsidy. Recommended continuous insurance, the highest annual report of 360 thousand, according to the regulations, residents pay medical insurance premiums per year, 2017 annual medical insurance payment time from November 1st to December 25th this year. From January 1, 2017 to enjoy the 2017 annual medical treatment, not paid by the prescribed time or not paid in full, do not enjoy the 2017 annual medical treatment of residents. It is suggested that the insured residents pay the insured premiums in a continuous and timely manner, because the residents’ medical insurance payment period is linked with the treatment level. Insured payment for first years, the hospitalization, outpatient serious illness and outpatient medical expenses, the maximum cumulative payment limit of 290 thousand yuan a year. The annual payment limit of the insured is increased by 10 thousand yuan per 1 years, and the maximum payment can be increased to 360 thousand.

南京提高2017年度居民医保筹资标准   昨天,南京市人社局和南京市财政局联合下发通知,调整2017年度城镇居民基本医疗保险筹资标准,涉及四类人群,老年居民、其他居民、学生儿童、大学生的筹资标准,分别由860元 人・年、910元 人・年、580元 人・年、550元 人・年,提高至900元 人・年、960元 人・年、630元 人・年、600元 人・年,增加的部分均由财政补助承担。此外,准新生儿也可以参加居民医保。   现代快报 ZAKER南京记者 项凤华   新政   医保费增加部分   全由财政补助承担   具有南京市城镇户籍、城镇职工基本医疗保险制度和新型农村合作医疗未覆盖到的各类城镇居民,都可以按规定申请参加城镇居民医疗保险。灵活就业人员及以灵活就业人员身份办理了养老退休手续但无能力缴纳职工医保费的居民,也可参加城镇居民医疗保险。   2017年度居民医保筹资和财政补助标准具体如下:   老年居民筹资标准由860元 人・年提高至900元 人・年,其中,财政补助500元 人・年,个人缴费400元 人・年。   其他居民筹资标准由910元 人・年提高至960元 人・年,其中,财政补助480元 人・年,个人缴费480元 人・年。   学生儿童筹资标准由580元 人・年提高至630元 人・年,其中,财政补助480元 人・年,个人缴费150元 人・年。   大学生筹资标准由550元 人・年提高至600元 人・年,其中,财政补助480元 人・年,个人缴费120元 人・年。   上述四类人群的个人缴费标准均与2016年度相同。   参保居民中,享受最低生活保障待遇、二级以上重度残疾人(肢体、智力、精神及盲残)、重点优抚对象、特困职工子女、孤儿参保,个人不需缴费,参保费用由各级财政予以全额补助。   建议   连续参保,一年最高能报36万   根据规定,居民医疗保险费按年度缴纳,2017年度医保费缴纳时间为今年11月1日至12月25日。2017年1月1日起享受2017年度医保待遇,未按规定时间缴费或未足额缴费的不享受2017年度居民医保待遇。   建议参保居民连续及时足额缴纳参保费,因为居民医保缴费年限与待遇水平是挂钩的。参保缴费第1年,其住院、门诊大病和门诊医疗费用,一年基金累计最高支付限额29万元。参保人员连续缴费每增加1年,基金最高支付限额增加1万元,最高可增加到36万元(至少连续缴8年)。如果中断缴费再次参保的,基金最高支付限额按第一年重新计算。   此外,如果个人的医疗费用负担大,还能享受大病保险,即,在一个自然年度内(大学生为一个学年),发生的基本医疗保险支付范围内的居民医保住院和门诊大病的医疗费用,在享受基本医疗保险待遇基础上,个人自付费用超过大病保险起付标准以上的部分,由大病保险按规定予以支付。大病保险的起付标准现暂定为2万元。对2万元以上的费用实行“分段计算,累加支付”,不设最高支付限额。具体办法如下:2万元以上到4万元部分,支付50%;4万元以上至6万元部分,支付55%;6万元以上到8万元部分,支付60%;8万元以上至10万元部分,支付65%;10万元以上部分,支付70%。   利好   准新生儿也可参加居民医保   今年生孩子的比较多,南京为保障新生儿能及时享受居民医保待遇,专门出了个规定:即将出生的新生儿(怀孕28周或建大卡后,以下简称准新生儿),如父母双方或一方为南京市户籍,且母亲已参加市本级城镇职工基本医疗保险或当年度居民医保的,可到户口所在地或居住地的街道劳动保障所,办理准新生儿的居民医保参保登记手续,产生新生儿临时个人编号。新生儿出生后,如需就医的,凭临时个人编号在具备儿童住院服务范围的定点医疗机构就诊。发生的门诊及住院医疗费用,属个人支付的,由个人与定点医疗机构结算,属于居民医保基金支付的,由市社保中心与定点医疗机构结算,其中符合支付范围的住院费用按实结算。   要注意的是,新生儿临时个人编号的有效期为其出生后三个月。到期后,宝宝如果生病,必须持本人的市民卡就医。相关的主题文章: