2019 medical insurance related knowledge, 2019 basic medical insurance role

The meaning of basic medical insurance: It is a social security system in which the state or society provides medical services or economic compensation when people are sick or injured. The following is the role of basic medical insurance, I hope it will be helpful to you.

1. It is conducive to improving labor productivity and promoting the development of production.

Medical insurance is the inevitable result of social progress and production development. In turn, the establishment and improvement of the medical insurance system will further promote social progress and the development of production. On the one hand, medical insurance relieves workers' worries and makes them work with peace of mind, so as to improve labor productivity and promote the development of production; On the other hand, it also ensures the physical and mental health of workers and the normal reproduction of labor.

2. Adjust the income difference and reflect the fairness of the Social God Bank.

Medical insurance adjusts income differences by levying medical insurance premiums and reimbursing medical insurance service fees, which is an important means of income redistribution.

3. An important guarantee for maintaining social stability.

Medical insurance provides economic help to sick workers, and it is an important social mechanism for adjusting social relations and social contradictions.

Fourth, an important means to promote social civilization and progress.

The social system of medical insurance and social mutual assistance, by sharing the risk of disease costs among the insured, embodies a new type of social relationship of "one party is in trouble, all parties support", which is conducive to promoting social civilization and progress.

Fifth, it is an important guarantee for promoting the reform of the economic system, especially the reform of state-owned enterprises.

The basic medical insurance system implements the principle of combining social pooling with individual accounts, organically combines the two modes of social insurance and savings insurance, and realizes the organic combination of "horizontal" social mutual aid security and "vertical" individual self-protection, which is not only conducive to giving full play to the advantages of social pooling and mutual aid, but also conducive to developing the advantages of encouraging and restricting personal accounts, which is more in line with China's national conditions and is easy to accept by the majority of workers. This medical insurance model, in line with China's national conditions, is a social medical insurance system with the best quality.

1. The new policy of medical insurance reimbursement will no longer collect cash for payment this year, and the payment method is divided into three situations: first, the insured residents have received social security cards; Second, the insured residents did not make social security cards; The third is the subsistence allowance target, severely disabled people and low-income families over 60 years old. Insured residents in the first situation need to take their social security cards to the labor guarantee channel of the sub-district office to sign the "Confirmation of Approval of Batch Withholding of Medical Treatment", and after signing, go to the nearest branch of Bank of China to activate the financial account of the social security card, and deposit the full amount of the deduction amount by Bank of China to deduct the amount unanimously to complete the insurance payment.

You can also complete the insurance payment at the self-service terminal of the human resources and social security (deployed in the sub-district offices), the self-service terminal of the Bank of China (distributed in the branches of the Bank of China), the mobile banking of the Bank of China, and the online banking of the Bank of China, without the need to enter the insurance information system in the labor guarantee channel of the sub-district office. 2. Outpatient Medical Insurance Reimbursement Coverage Outpatient medical insurance covers myasthenia gravis, polymyositis and dermatomyositis, systemic lupus erythematosus, psoriasis (pustular psoriasis, arthropathic psoriasis, erythrodermic psoriasis), *dysplastic syndrome, polycythemia vera, Behcet's disease, aplastic anemia, hemophilia, chronic hepatitis B and its caused compensated cirrhosis (antiviral**), chronic hepatitis C (antiviral**), malignant tumor antitumor drugs**.

Article 29 of the Social Insurance Law of the People's Republic of China The part of the medical expenses of the insured persons that should be paid by the basic medical insurance shall be directly settled by the social insurance agency and the medical institution and the drug business unit. The administrative departments of social insurance and health shall establish a system of settlement of medical expenses for medical treatment in other places, so as to facilitate the enjoyment of basic medical insurance benefits by insured persons.

Hello! The 2017 version of the NRDL has not yet been released. The "2017 version of the medical insurance catalog" spread on the Internet is untrue.

1. 2017 is an important year for the in-depth promotion of national medical reform, and the new version of the medical insurance catalogue should be said to be "highly valued and highly anticipated" from the top to the people. Unless it is intentionally leaked in advance, this is obviously not the case with the new version of the medical insurance catalog.

Second, the online catalog basically follows the "style" of the 09 version of the catalog, without any innovation, and most of the varieties are basically the same as the order of arrangement, and the "C" catalog that was rumored before has not been seen. The varieties that have been adjusted by the state in 2009-2016 for generic names and attribution categories have not been updated.

3. Most of the newly added varieties do not have any "remarks to limit the scope of reimbursement", but many of these varieties are currently listed in the list of key monitoring and auxiliary drugs by most provinces. The social security department has previously made it clear that it will strengthen the control of this type of variety.

Fourth, according to the adjustment measures previously announced by the Ministry of Social Security, the online catalogue of "new drugs with high clinical value, as well as drugs for major diseases and children's drugs with high clinical value are transferred to drugs", basically does not reflect this part of the varieties. There is no new drug for major diseases and one of the 3 varieties that the state has successfully negotiated.

To sum up, the "2017 version of the medical insurance catalog" circulated on the Internet is not true, please do not believe it. Thanks for reading!

If the medical insurance policy supports it, it can only be enjoyed after paying for more than three consecutive months, and it can only be enjoyed for life after paying for 25 years and 30 years.

The policy support of medical insurance needs to be publicized in place, and now ordinary people, their cognition is relatively in place, and it is relatively easy to publicize.

Some of the knowledge, mainly the cost of calling a place now, is now around 280.

The basic understanding of medical insurance means that the medical products within the scope of medical insurance are subject to the relevant discount rate.

If you have the knowledge of insurance policy, you must open a medical insurance manual, and you must be familiar with it so that it is more convenient to seek medical treatment.

Well, if the policy supports it, if you have any needs on your side, you can compensate if you can meet the conditions.

You have some property in Medicaid, so this medical insurance can provide a good protection for everyone.

In order to ensure that the car is now particularly good in medical care, welcomed by the masses, and the treatment is also very good.

Medical insurance reimbursement ratio.

In response to the issue of medical insurance policy, in fact, every once in a while, the latest regulations will be announced. At present, health care drugs are not allowed to be included in the basic medical insurance, the latest regulations have been announced, people use medical insurance to buy drugs, need to know that there are eight kinds of drugs are newly included in the non-reimbursable policy.

It contains medicines that play a major tonic role; Medicines containing national precious and endangered wild animals and plants; health care drugs; prophylactic vaccines and contraceptives; Drugs that mainly play the role of enhancing sexual function, hair loss, beauty, smoking cessation, alcohol cessation, etc.; Due to the inclusion of diagnosis and treatment items and other reasons, the drugs that cannot be charged separately have other wine preparations, tea preparations, etc.

There are no specific provisions on the individual payment standards for medical insurance, but there are specific provisions for social security.

Medical insurance refers to the basic medical insurance premiums that should be paid in full and on time by the employer and the individual employee in accordance with the principle of compulsory social insurance through national legislation. If you do not pay in full and on time, regardless of your personal account, the basic medical insurance coordinator will not pay your medical expenses.

Medical insurance individual payment standards:

The basic medical insurance premiums for employees are paid jointly by the employer and the employee. If the employer's contribution ratio is the total salary of the employee, the employee's contribution ratio shall be 2% of the employee's salary income. With the development of the economy, the contribution ratio of employers and employees can be adjusted accordingly.

The total monthly average salary of the employees of the previous year shall be the payment base of the employer, and the average monthly salary of the individual employee in the previous year shall be the monthly payment base.