What Books Deal with Domestic Medicare 5

Article 18 The persons participating in the resident medical insurance are collectively referred to as the insured residents. The financing standard of resident medical insurance shall be reasonably determined by the overall planning area according to the local economic and social development level and the affordability of all aspects, of which the individual contribution of residents shall not be higher than 40%, and the rest shall be subsidized by the government. (1) The payment standard for medical insurance for residents in Suzhou is 550 yuan.

Among them, the elderly residents shall pay 200 yuan per year by individuals, and the financial department will subsidize 350 yuan per person per year; After January 1, 2007, the elderly residents who have moved into the city for less than 10 years and have no pension and medical security can participate in the resident medical insurance, and the medical insurance premiums are paid in full by the individual. (B) land acquisition maintenance personnel by the land management department in the land acquisition of 10,000 yuan per person standard one-time allocation from the cost of land acquisition. (3) The reciprocated and retired personnel shall be paid in a lump sum by the employer according to the capital channels specified by the employer at the standard of 10,000 yuan per person.

4) The unemployed shall be paid in full by the individual according to the payment standard of domestic medical insurance. The overall planning area should establish a resident medical insurance system, and actively promote the transition from a new type of rural cooperative medical insurance system to the resident medical insurance system, and the specific implementation measures shall be formulated by the overall planning area. Article 19 Insured residents who seek medical treatment in designated community medical institutions selected by themselves and meet the requirements of outpatient medical expenses incurred can enjoy 50% of the medical subsidy of the resident medical insurance within 600 yuan.

Article 20 The medical expenses of specific outpatient items that meet the requirements incurred in the outpatient clinic during the settlement year of the insured residents shall be paid by the resident medical insurance** in the following proportions: (1) The cost of uremia dialysis, chemotherapy and radiotherapy for malignant tumors, and anti-rejection drugs after organ transplantation** shall be paid by the resident medical insurance ** at a rate of 90% within 100,000 yuan; (2) The expenses incurred by severe mental illness in the outpatient use of the prescribed ** psychiatric drugs shall be paid by the domestic medical insurance ** at a rate of 90% within 1,000 yuan. Article 21 The part of the hospitalization expenses incurred by the insured residents in the designated hospitals that meet the requirements shall be paid by the resident medical insurance** and the insured residents according to the following proportions above the minimum payment standard and within the maximum payment limit

1) The minimum payment standard for hospitalization of insured residents shall be implemented according to the standard of employee medical insurance for in-service employees; If the minimum payment standard exceeds the minimum payment standard and is less than 20,000 yuan (including 20,000 yuan), the domestic medical insurance** will be paid at a rate of 60%; For the part of more than 20,000 yuan to 40,000 yuan (including 40,000 yuan), the domestic medical insurance** shall be paid at a rate of 70%; For the part between 40,000 yuan and 100,000 yuan (including 100,000 yuan), the domestic medical insurance** will be paid at a rate of 80%. (2) The cumulative medical expenses of insured residents for specific items of hospitalization and outpatient in the settlement year shall be capped at 100,000 yuan, and the medical expenses above the cap line shall not be paid by the resident medical insurance**.

A lot, go to the bookstore and check it out.

You can find documents related to medical insurance on the Internet, including documents from local and labor and social security departments, and on the local social insurance institutions.

Summary. Medical insurance refers to social medical insurance. Social medical insurance is a social insurance system established by the state and society in accordance with certain laws and regulations to provide basic medical needs for workers within the scope of protection.

Hello! We're glad to answer your questions! The books that medical insurance majors need to read are:

The medical insurance clinical practical manual, the medical insurance clinical practical manual is compiled on the basis of the editors of the medical insurance management industry and travel socks for many years, and strives to highlight the theory, practice, practical and guidance of medical insurance work.

Medical surge therapy insurance refers to social medical insurance. Social medical insurance is a social insurance system established by the national branch and the society in accordance with certain laws and regulations of the world, and provides basic medical needs for workers within the scope of protection.