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九江市城乡居民基本医疗保险门诊统筹政策十问十答

文章来源:王者荣耀博彩网站_王者荣耀博彩官网|信誉平台 sourcedoc();     文章作者:     发布时间:2018-09-30

  一、问: 我市城乡居民基本医疗保险门诊统筹启动时间?

  DA: 2019NIAN10YUE1RIQIZHENGSHISHISHI。

  二、问: 哪些人可以享受普通门诊统筹待遇?

  DA: CANJIALECHENGXIANGJUMINJIBENYILIAOBAOXIANBINGANGUIDINGJIAONALECHENGXIANGJUMINJIBENYILIAOBAOXIANFEIDECANBAOJUMINJUNKEYIXIANGSHOUPUTONGMENZHENTONGCHOUDAIYU。

  三、问: 正常参保缴费后如何才能享受门诊统筹待遇?

  DA: CHISHEHUIBAOZHANGKAZAININXUANZEDEQIANYUEYIYUANJIUZHENSHI,SUOFASHENGDEZHENGCEFANWEINEIDEMENZHENYILIAOFEIYONG,ZHIJIEANBILITONGCHOUZHIFUJIESUAN。CANBAOJUMINMENZHENBAOXIAOXIANMEIRIYICI,YIBANQINGKUANGXIA3RINEIBUDEZHONGFUMENZHENJIUYI,QUEYINBINGQINGBIANHUAXUYAOMENZHENJIUYIDE,YILIAOJIGOUYINGZUOHAODENGJIBINGLIUCUNBINGLIDENGZILIAOBEICHA。

  四、问: 城乡居民基本医疗保险门诊统筹基金支付范围有哪些?

  DA: 1、QIANYUEYIYUANFASHENGDEZHENGCEFANWEINEIMENZHENYILIAOFEIYONG(BUHANMENZHENTESHUMANXINGBING),XIANZHONGYIYUANMENZHENZHIZHIFUZHENGCEFANWEINEIMENZHENYILIAOFEIYONGZHONGDEZHONGYIYAOZHILIAOFEIYONG。

  2、SHIXINGGUOJIAJIBENYAOWUZHIDUDEJICENGDINGDIANYILIAOJIGOUDEYIBANZHENLIAOFEI。

  3、JIATINGYISHENGQIANYUEWANGZHERONGYAOBOCAIWANGZHANFEI。

  五、问: 门诊统筹基金不可支付范围有哪些?

  DA: 1、BUDECHONGDICHENGXIANGJUMINGERENCANBAOJIAOFEI。

  2、BUDEXIANGCHENGXIANGJUMINFANHAIXIANJIN。

王者荣耀博彩网站  3、BUDEZHIFUZHUYUANQIJIANFASHENGDEMENZHENYILIAOFEIYONG。

  4、ZAIFEIQIANYUEDEYILIAOJIGOUMENZHENJIUYIFEIYONG。

  六、问: 门诊统筹基金支付比例?

王者荣耀博彩网站  DA: FASHENGDEZHENGCEFANWEINEIDEMENZHENYILIAOFEIYONG

王者荣耀博彩网站  1、XIANGZHEN(JIEDAO)WEISHENGYUAN(SHEQUWEISHENGWANGZHERONGYAOBOCAIWANGZHANZHONGXIN)、CUN(SHEQU)WEISHENGSHI(SHEQUWEISHENGWANGZHERONGYAOBOCAIWANGZHANZHAN)DEAN65%BILIZHIFU;

  2、XIANJIZHONGYIYUANDEAN40%BILIZHIFU。

  七、问: 门诊统筹待遇享受年度?

  DA: MENZHENTONGCHOUDAIYUXIANGSHOUNIANDUWEIMEINIAN1YUE1RIZHI12YUE31RI,CANBAOJUMINZIZHENGCHANGCANBAOJIAOFEIDECIRIQIKAISHIXIANGSHOUDAIYU,WEICANBAOJIAOFEIQIJIANBUXIANGSHOUMENZHENTONGCHOUDAIYU。

  八、问: 哪些人群符合门诊医疗救助条件的,门诊医疗救助支付范围及比例?

  DA: 1、FUHETIAOJIANRENQUNWEICHENGXIANGTEKUNGONGYANGRENYUAN、CHENGXIANGZUIDISHENGHUOBAOZHANGDUIXIANGZHONGDECHANGBUDUIXIANG。

  2、ZHIFUFANWEIWEIZHENGCEFANWEINEI、MENZHENTONGCHOUJIJINZHIFUHOUDESHENGYUBUFENANGUIDINGYUYIYILIAOJIUZHU。

  3、JUTIJIUZHUBILIRUXIA:

  (1)TEKUNGONGYANGRENYUANAN100%BILI(QUANNIANWUFENGDING);

  (2)CHENGXIANGZUIDISHENGHUOBAOZHANGDUIXIANGZHONGDECHANGBUDUIXIANGAN50%BILI(QUANNIANFENGDINGXIAN1000YUAN)YOUYILIAOJIUZHUZIJINZHIFU,

  九、问: 门诊统筹定点医疗机构如何选定(签约)?

  DA: 2019NIANWEIMENZHENTONGCHOUSHISHISHOUNIAN,CANBAOJUMINDEMENZHENTONGCHOUDINGDIANYILIAOJIGOUYUANZESHANGMORENWEIBENRENHUJISUOZAIDIDEXIAN(SHI、QU)ZHONGYIYUAN,XIANGZHEN(JIEDAO)WEISHENGYUAN(SHEQUWEISHENGWANGZHERONGYAOBOCAIWANGZHANZHONGXIN)JIGAIXIANGZHENSUOXIADEXINGZHENGCUN(SHEQU)DINGDIANWEISHENGSHI(SHEQUWEISHENGWANGZHERONGYAOBOCAIWANGZHANZHAN)。YIHOUGENIANDU,CANBAOJUMINZAIGUIDINGSHIJIANNEIWEIZUOXUANZEDE,MORENWEISHANGNIANDUDEMENZHENTONGCHOUDINGDIANYILIAOJIGOU。

  CANBAOJUMINZAIMEINIAN10YUE1RIZHI12YUE31RILAIBANLIXIAYINIANDUCANBAOJIAOFEISHI,KEJIUJINXUANZECANBAODIDEXIANJIZHONGYIYUAN,1JIAXIANGZHEN(JIEDAO)WEISHENGYUAN(SHEQUWEISHENGWANGZHERONGYAOBOCAIWANGZHANZHONGXIN)JIGAIXIANGZHENSUOXIADEXINGZHENGCUN(SHEQU)DINGDIANWEISHENGSHI(SHEQUWEISHENGWANGZHERONGYAOBOCAIWANGZHANZHAN)ZUOWEIBENRENXIAYINIANDUDEMENZHENTONGCHOUDINGDIANYILIAOJIGOU。

王者荣耀博彩网站  ZHONGTUBUDEBIANGENGDINGDIANYILIAOJIGOU。

  十、问: 个人帐户上有结存的还能继续使用吗?

王者荣耀博彩网站  DA: YUANGERENZHANGHUYOUJIECUNDEKEJIXUSHIYONG。

 
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