英亚体育

2019年12月3日星期二

无障碍 简体| 繁体

名    称 :
英亚体育官方网站 市财政局 市人社局 市税务局 英亚体育做好2021年城乡居民基本医疗保障工作的通知
索   引  号 :
11120000MB17646358/2021-00049
发 布 机 构 :
英亚体育
发 文 字 号 :
津医保局发〔2021〕86号
主    题 :
医疗保障\医保待遇保障
成 文 日 期 :
发 文 日 期 :

gequyibaoju、caizhengju、rensheju、shuiwuju,geyouguandanwei:

weijinyibugongguwanshantongyidechengxiangjuminjibenyiliaobaoxianzhidu(yixiajianchengjuminyibao)hedabingbaoxianzhidu,jianquanchouziyunxinghedaiyubaozhangjizhi,genju《guojiayibaoju caizhengbu guojiashuiwuzongjuyingyatiyuzuohao2021nianchengxiangjuminjibenyiliaobaozhanggongzuodetongzhi》(yibaofa〔2021〕32hao),xianjiuzuohao2021nianyingyatiyuchengxiangjuminjibenyiliaobaozhangyouguangongzuotongzhiruxia:

yi、diaozhengjuminyibaochouzibiaozhun

(yi)diaozhengcaizhengbuzhubiaozhun。canjia2021nianduyingyatiyujuminyibaoderenyuan,caizhengbuzhubiaozhunzaidiaozhengqiangedangbuzhubiaozhunjichushangxinzeng30yuan。duichitianjinshijuzhuzhengdengyouxiaozhengjiancanjiayingyatiyujuminyibaoderenyuan,anyingyatiyujuminxiangtongbiaozhunjiyubuzhu。canjia2022nianduyingyatiyujuminyibaoderenyuan,caizhengbuzhubiaozhunfenweigaodang、didang,jutibiaozhungenjuguojiayaoqiuquedinghouzhixing。xueshengertonganzhaodiaozhenghoudidangjinxingcaizhengbuzhu。

(er)diaozhenggerenjiaofeibiaozhun。canjia2021nianduyingyatiyujuminyibaoderenyuan,gerenjiaofeibiaozhunanzhao《yingyatiyuguanfangwangzhan shicaizhengju shirensheju shishuiwujuyingyatiyuzuohao2020nianchengxiangjuminjibenyiliaobaozhanggongzuodetongzhi》(jinyibaojufa〔2020〕69hao)zhixing。canjia2022nianduyingyatiyujuminyibaoderenyuan,gerenjiaofeibiaozhunfenweigaodang、didang,qizhong,gerenjiaofeibiaozhungaodangweimeirenmeinian950yuan、didangweimeirenmeinian320yuan。xueshengertonganzhaodidanggerenjiaofeibiaozhunzhixing,xiangshougaodangbaoxiaodaiyu。

(san)diaozhengzizhucanbaozhengce。yingyatiyuyiliaojiuzhuduixiang、xiangshoudingqifuxubuzhudeyoufuduixiang(zhixiangshouyiliaobuzhurenyuan)、lixiuganbuwugudingshourudepeiou、xiangshouguojiazhuxuedaikuandegaoxiaoxuesheng、zhongducanjirenzhongdexueshengertong,canjia2022nianduyingyatiyujuminyibao,gerenjiaofeianzhaodidanggerenjiaofeibiaozhunquanebutiecanbao,xiangshougaodangbaoxiaodaiyu。bufuheshangshurenyuanshenfendezhongducanjirencanjia2022nianduyingyatiyujuminyibao,gerenjiaofeianzhaodidanggerenjiaofeibiaozhunquanebutiecanbao,xiangshoudidangbaoxiaodaiyu。anzhaoguojiazhengceyaoqiu,zhubushixianyiliaojiuzhufenleizizhucanbao。

er、zonghetishengyibaodaiyubaozhangshuiping

(yi)tishengmenzhendaiyubaozhangshuiping。zi2022nianqi,yingyatiyujuminyibaocanbaorenyuan(yixiajianchengcanbaorenyuan)zaiyiji、erjihebenrenxuandingde1jiasanjidingdianyiliaojigoumen(ji)zhenjiuyi,nianduqifubiaozhunwei600yuan,zuigaozhifuxianewei4000yuan,gaodangjiaofeicanbaorenyuanzhifubilifenbiewei55%、55%、50%,didangjiaofeicanbaorenyuanzhifubilifenbiewei50%、50%、45%。

(er)wanshanmenzhentedingjibingbaoxiaodaiyu。zi2022nianqi,zaiyiji、erji、sanjidingdianyiliaojigouyinmenzhentedingjibingjiuyi,gaodangjiaofeicanbaorenyuanzhifubilifenbiewei65%、60%、55%,didangjiaofeicanbaorenyuanzhifubilifenbiewei55%、50%、45%。chixuyouhuagaoxueya、tangniaobingmenzhenyongyaobaozhangjizhi,quebaohuanzheyongyaobaozhanghejiankangguanliquanfugai。

canbaorenyuanzaidingdianlingshouyaodianyinmen(ji)zhen、menzhentedingjibinggouyao,qifubiaozhun、zhifubilihezuigaozhifuxiane,anzhaowaipeichufangdedingdianyiliaojigouxiangguanguidingzhixing。

(san)gongguzhuyuandaiyubaozhangshuiping。zi2022nianqi,zaiyiji、erji、sanjidingdianyiliaojigouzhuyuanjiuyi,gaodangjiaofeicanbaorenyuanzhifubilifenbiewei85%、80%、75%,didangjiaofeicanbaorenyuanzhifubilifenbiewei75%、70%、65%。canbaorenyuanjizhenqiangjiuliuguanbingzhuanzhuyuanzhiliaoqian(hanzhuanzhuyuanzhiliaoqiansiwangdeqingxing)dejizhenqiangjiuyiliaofeiyong,anzhaozhuyuanbaoxiaozhengcezhixing。

(si)jixushishidabingbaoxianqingxiebaoxiaozhengce。jixushishijiangdiyiliaojiuzhuduixiangdabingbaoxianqifubiaozhunzhengce,dabingbaoxianqifubiaozhunjiangzhiputongcanbaorenyuande50%,zhifubilizaiputongcanbaorenyuandejichushangtigao5%,quxiaofengdingxian。xiangshoudingqifuxubuzhudeyoufuduixiang(zhixiangshouyiliaobuzhurenyuan)hezhongducanjirencanzhaoyiliaojiuzhuduixiangxiangshoudabingbaoxianqingxiebaoxiaozhengce。

san、gonggutuozhanyibaotuopingongjianchengguoyouxiaoxianjiexiangcunzhenxingzhanlve

duibiaoduibiaoguojiagongguyibaotuopingongjianchengguoyouxiaoxianjiexiangcunzhenxingzhanlveyaoqiu,zhidingyingyatiyujutishishifangan,jianggongzuozhongxinzhuanruchangtaihuagongzuo。hangshiyiliaojiuzhutuodibaozhanggongneng,yangeluoshi《tianjinshirenminzhengfubangongtingyingyatiyuyinfatianjinshiyiliaojiuzhubanfadetongzhi》(jinzhengbangui〔2021〕5hao)。chixuzuohaoyiliaojiuzhuduixiangdengkunnanqunticanjiajuminyibaogongzuo,youhuadiaozhengzizhucanbaozhengce。jiaqiangjibenyibao、dabingbaoxianheyiliaojiuzhusanzhongbaozhangzhiduxianjie,chongfenfahuizonghebaozhanggongneng。shishimenzhen、zhuyuanhezhongtedajibingyiliaojiuzhu,ticijianqingkunnanquntifudan。jiadamenzhenmanxingbing、teshujibingjiuzhubaozhang,duifuhetiaojiandejiuzhuduixiangjingsanzhongzhidubaozhanghouzhengcefanweineigerenfudanrengranjiaozhongde,tansuojiyuqingxiezhengce。

si、jiaqiangyibaozhifuguanli

(yi)jiaqiangdingdianyiyaojigouguanli。guancheluoshihao《yiliaojigouyiliaobaozhangdingdianguanlizanxingbanfa》he《lingshouyaodianyiliaobaozhangdingdianguanlizanxingbanfa》,jinyibuyouhuayiyaojigouyibaodingdiangongzuo,jishijiangfuhetiaojiandeyiyaojigounaruyibaodingdianfanwei。jiaqianglvxingxieyijixiaokaohegongzuo,wanshandingdianyiyaojigoudongtaidiaozhenghetuichujizhi。

(er)tuijinyibaozhifufangshigaige。qidongshishiquyudianshufazongeyusuanguanli,shixiananjibingzhenduanxiangguanfenzufufei、anbingzhongfenzhifufei、anrentoufufei、anchuangrifufeiheanxiangmufufeidenggezhongfufeifangshidequanfugai。tongchoutuijinanjibingzhenduanxiangguanfenzufufeiheanbingzhongfenzhifufeiguojiashidian,quanmiantuiguangtangniaobingmenzhentedingjibinganrentoufufei。

(san)jiaqiangyibaomuluguanli。yangeluoshi《jibenyiliaobaoxianyongyaoguanlizanxingbanfa》、《guojiajibenyiliaobaoxian、gongshangbaoxianheshengyubaoxianyaopinmulu(2020nian)》,guancheluoshi《yingyatiyujianliwanshanguojiayibaotanpanyaopin“shuangtongdao”guanlijizhidezhidaoyijian》(yibaofa〔2021〕28hao),jianquantanpanyaopinluodijiancejizhi,wanchengdierpi40%zengbupinzhongdexiaohuagongzuo。

wu、jiaqiangyaopinhaocaijizhongdailiangcaigouhejiageguanli

zuohaoguojiaheyingyatiyuzuzhiyaopinheyiyonghaocaijizhongdailiangcaigouluodishishigongzuo,tuijinyaopinjizhongdailiangcaigougongzuozhiduhua、changtaihua。luoshihaojizhongdailiangcaigouzhijiejiesuan、jieyuliuyongdengpeitaozhengce,zuohaocaigouxieyiqimanhoudexuyuegongzuo。yituoguojia、jingjinjiheyingyatiyuzuzhiyiyonghaocailianhecaigoupingtai,luoshihaoguanmaizhijiajizhongdailiangcaigourenwu,jianggengduogaozhiyiyonghaocainarucaigoufanwei。luoshiyiyaojiagehezhaocaixinyongpingjiazhidu,tuidongxinyongpingjiazhiduluodijianxiao,wanshanyiliaofuwujiagedongtaidiaozhengjizhi。

liu、jiaqiangyiliaobaozhangjijinjianduguanli

qieshizhuahao《yiliaobaozhangjijinshiyongjianduguanlitiaoli》guancheluoshi,zuohaoxuanchuanjieduhepeixungongzuo。jiadajijinjiandujianchalidu,kaizhandajiqizhapianbaozhuanxiangzhengzhixingdong,zhongdiandajiyiliaobaozhanglingyujiabingren、jiabingqing、jiapiaoju“sanjia”dengqizhapianbaoxingwei。tuidongdashujuyingyong,youhuawanshanyibaozhinengjianguanzixitong。jiaqiangzonghejianguan,qianghuayibaoxingzhengjianguanyujingbanguanligongzuoxianjie。jiaqiangyibaoyuweishengjiankang、gongan、shichangjianguandengbumenhezuo,jianquanzonghejianguanjizhi。shishiqizhapianqujijinxingweijubaojianglibanfa,jiadagongkaipuguanglidu,yingzaoweihujijinanquandelianghaofenwei。

jiaqiangjijinshouzhiyunxingfenxi,kaizhanjijinshiyongjixiaopingjia,wanshanshouzhiyusuanguanli,jianquanfengxianyujing、pinggu、huajiejizhijiyuan。tansuozongherenkoulaolinghua、manxingbingdengjibingpubianhua、yiliaozhichushuipingzengzhangdengyinsu,kaizhanjijinzhichuyucefenxi。

qi、jiaqiangyibaogonggongguanlifuwu

chixuzuohaojuminyibaocanbaokuomiangongzuo,yangeluoshichijuzhuzhengdengyouxiaozhengjiancanjiajuminyibaozhengce。jixuzuohaoxinguanfeiyanhuanzheyiliaofeiyongjiesuanhekuashengjiuyiyibaofeiyongqingsuangongzuo,renzhenzuohaoxinguanfeiyanyimiaojijiezhongfeiyongcesuanheyibaozijinbaozhang。

wanshanxinjiuyexingtaicongyerenyuandenglinghuojiuyerenyuancanbaojiaofeifangshi。jiaqiangbumenshujubiduihedongtaiweihu,fangzhi“loubao”、“duanbao”,bimianzhongfucanbao,youhuacanbaojiaofeifuwu,yashixiangzhenjiedaocanbaozhengjiaozeren。jianchixianshangyuxianxiajiehe,tuijincanbaorenyuanbanlicanbaodengji、shenbaojiaofei、chaxunxinxideng“yicibuyongpao”。

jianliyidijiuyixietongguanlixitong,kaitongyidijiuyibeianxiaochengxu。peihejinxingyidijiuyijiesuanxitongliandiaoceshiheshujuyanzhenggongzuo。jiakuaituijinjingjinjiyidimenzhenzhijiejiesuangongzuojincheng,jinyibuwanshanzhongxinduanxitonggongneng,jiakuaiyiyuanduanxitonggaizao,kuodazhijiejiesuanyiyuanfanwei。

ba、zuohaozuzhiluoshi

yingyatiyugejiyiliaobaozhang、caizhengheshuiwubumenyaoqieshijiaqiangzuzhixiediao,yashigongzuozeren,tuidonggexiangyibaozhengcecuoshiluodijianxiao。yaojinyibujiadazhengcexuanchuanlidu,pujiyiliaobaoxianhuzhugongji、zerengongdan、gongjiangongxiangdelinian,zengqiangqunzhongcanbaojiaofeiyishi,heliyindaoshehuiyuqi。yaojiaqiangtongchouxiediao,jianlijianquanbumenxinxigoutonghegongzuoxietongjizhi,yudaozhongdaqingkuangjishianyaoqiubaogao。

bentongzhiziyinfazhiriqishixing,youxiaoqi5nian。

?

fujian: