Saturday, June 29, 2013

Tianjin issues the endowment insurance and medical insurance and stipulates the implementing regulation formally

Tianjin issues the endowment insurance and medical insurance and stipulates the implementing regulation formally
29 days, Tianjin issue formally" Tianjin urban and rural residents support parents, ensure regulation basically " " the basic medical insurance regulation, urban and rural residents of Tianjin, " ' Hereafter referred to as " Two is dangerous " )Implementing regulation. " two is dangerous " Implementation,it is rural for realization Tianjin social security system to go from cities and towns to, from worker to residents, from the whole cover of personnel and foreigner to work of people outsidely of Tianjin, have realized the goal that everybody enjoys the social security.According to dispose, basic medical insurance, urban and rural residents of Tianjin, effect an insurance, pay the fees, work, start on will it be September this year, the intersection of student and children enjoy the intersection of medical insurance and treatment, work, implement synchronously on September too; Urban and rural residents basically support parents and ensure the system to begin to collect the work in September of this year. It is reported, the implementation of these two systems indicates there is great progress on the social security system in urban and rural areas of the pool in Tianjin, take the lead in, realize resident basically support parents, basic the intersection of medical insurance and provincial pool in the whole country. Three unified principles of reciprocal, doing things within the limits of one's own resources, system that two items of insurance follow the right and obligation, confirm, ensure standard according to personal financial endurance, government pay help on the basis that individual pays the fees, it is not a welfare type system that totally relies on the government. The intersection of urban and rural residents and student, children and other to belong to urban the intersection of worker and basic the intersection of medical insurance and the intersection of system and coverage, obtain employment urban and rural residents basic medical insurance, that is to say original the intersection of urban residents and the intersection of medical insurance and range of effecting an insurance and join and equal to person and all include in and ensure the range jointly while being agricultural while being new, it is up to 5,550,000 to cover the number of people. The basic endowment insurance of urban and rural residents is mainly in supporting parents and ensuring the foundation of the method in the original countryside, include urban old person in ensuring the range, revise completely, is mainly formed by basic endowment insurance and the elderly's system of subsistence allowance.Basic medical insurance system1.Range of effecting an insurance. Urban residents, rural resident and students children besides basic medical insurance system coverage of urban worker all belong to the range of effecting an insurance of this system. 2.Standard of raising funds. The intersection of student and the intersection of children and 100 for each person every year, individual pay the fees 50 yuan among them, the government subsidizes 50 yuan; Severe deformity, personnel and the students of the special difficult family children who enjoys the treatment of low insurance, individual does not pay the fees, is subsidized fully by the government. Other urban and rural residents raise funds the standard is divided into three shelves, personnel choose to participate in voluntarily effecting an insurance. One is 560 yuan for each person every year, among them individual pays 330 yuan, the government subsidizes 230 yuan. Two shelves are 350 yuan for each person every year, among them individual pays 160 yuan, the government subsidizes 190 yuan. Three shelves are 220 yuan for each person every year, among them individual pays 60 yuan, the government subsidizes 160 yuan. Severe disabled person, personnel, special difficult family personnel and the elderly over the urban low-income household 60 who enjoys the treatment of low insurance, individual does not pay the fees, is subsidized fully by the government.3.Treatment standard. Including being in hospital ' Serious disease of clinic) , door the intersection of emergency call and large the intersection of volume and hospitalization cost subsidize, bear treatment and the intersection of student and the intersection of unexpected injury and the intersection of additional insurance and 4 items of treatment. First, the treatment of medical insurance in hospital. The intersection of student and children it pays limits to be 180,000 at most, it wipes out proportions to be 60% on average. Adult residents paid the fees according to the fund-raising standard of 560 yuan, it is 110,000 yuan to pay the limit at most, it wipes out proportions to be 60% on average; Pay the fees according to 350 the intersection of fund-raising and standard, it pays limits to be 90,000 at most, it wipes out proportions to be 55% on average; Pay the fees according to 220 the intersection of fund-raising and standard, it pays limits to be 70,000 at most, it wipes out proportions to be 50% on average. The aforesaid submits an expense account in the standard, the first class hospital (including the medical organization of the community) Not having one pair of standards, one pair of standards is 300 yuan that second hospital gets up, one pair of standards is 500 yuan that the tertiary hospital gets up. Second, the large volume hospitalization cost of emergency call of the door is subsidized. Within one year, urban and rural residents seek medical advice hospitalization cost of emergency call of door taking place in first class hospital and the intersection of community and medical organization, one pair of standards is 800 yuan to get up, it is 3000 yuan to pay the limit at most, level of the grade according to paying the fees, subsidize 40%, 35% and 30% separately. Third, student's unexpected injury additional insurance treatment. On the basis of basic medical insurance of urban and rural residents, set up to unified students children's unexpected injury additional insurance, solve students children and compensate and subsidize the problem with the wounded or disabled, death because of the hospitalization cost taking place in unexpected injury. Fourth, bear the treatment. Pregnant and parturient women accord with and plan to bear children in child-bearing policy to effect an insurance, it gives birth in hospital expenses are submitted an expense account according to the regulation by basic Medical Benefits Funds of urban and rural residents, enjoy at the same time and was born in a person for the standard birth allowance of 100 yuan each time. Basically support parents and ensure the system" two is dangerous " New characteristicUrban and rural residents basically support parents and ensure the system to have four characteristics: First, innovative system mode. Combine with basic pension the personal account, replenish the original rural resident's endowment insurance when peasants pays replenishing to change into getting the treatment to urban and rural residents in paying the fees when effects an insurance, the treatment level of supporting parents of improvement urban and rural residents by a wide margin, has also reduced the current period expenditure of the financial fund like this; Second, expanded and ensured the range. Include the personnel without social security of cities and towns in ensuring the range, especially the elderly in city 60, also can enjoy the living allowance; Third, improved the treatment standard. Have increased the basic pension of the financial subsidy on the basis of personal account pension of original rural residents; Fourth, realized the system is connected. To the ones that participate in the basic endowment insurance, agricultural book worker's basic endowment insurance, urban enterprise worker's basic endowment insurance of urban and rural residents, can connect each other, and enjoy the corresponding treatment of supporting parents.Basic medical insurance systems of urban and rural residents have four characteristics: One is a system, pool of the whole city. Every have the intersection of Tianjin and all rural resident, cities and towns of household register obtain employment resident, and rural worker children, nonlocal household register and foreign students children studying in Tianjin, all include in and ensure the range, carry out a system in unison, implement the pool at city level; Second, many shelves are chosen, treatment hook. Based on different income levels of resident of urban and rural areas, have made a plurality of grade of effecting an insurance, urban and rural residents choose to pay the fees independently, pay the fees a lot of treatment is relatively high, the treatment of paying the fees and lacking is relatively low; Third, adhere to community's direction, explore that sets up the door emergency call of urban and rural residents to subsidize the system. The new system effects an insurance clearly personnel seek medical advice and does not have one pair of standards in first class hospital and the community health Center in hospital, wipe out proportion, higher than two, tertiary hospital; Fourth, manage and handle in unison, give full play to the street community and work and ensure serving the function of the platform.1.Range of effecting an insurance. Include two kinds of colonies, first, have agricultural household register of Tianjin, are engaged in working in farming, forestry, husbandary and fishing, the rural residents reaching the age of 18, under 60, second, not possess the condition of effecting an insurance of the urban enterprise worker's basic endowment insurance and not have employment ability
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