730 000 university of Nanjing university students include in resident's medical insurance Giving birth to the child can submit an expense account

730,000 university of Nanjing university students include in resident's medical insurance Giving birth to the child can submit an expense account
730,000, until would rather the intersection of university and university student include the intersection of resident and medical insurance in, head effect an insurance every year at most can wipe out 150,000
Yesterday, issue " about the intersection of urban residents and basic implementation suggestion of medical insurance until would rather the intersection of university and university student participate in ", clear 730,000 university students in Nanjing will all enter resident's medical insurance soon, they will hold in the future " The card of citizen in Nanjing " Pay by credit card, see the doctor, clinic, in hospital can submit an expense account, born children but also may enjoy, wipe out.
Need to remind, the execution time of policy is to begin from September 1 of this year, so the hospitalization cost happening after the new term begins in September of this year can be mended and submitted an expense account.
[Target of effecting an insurance ]
The students of adult's university can effect an insurance
Until would rather all kinds of full-time ordinary higher learning school and non-governmental university, independent institute, the intersection of adult and university, scientific research institutions ' Hereinafter referred to as " The university " )China accept ordinary higher full-time the intersection of universities and colleges and student, graduate student of education with record of formal schooling ' Hereinafter referred to as " University students " ),Can participate in the basic medical insurance of the urban residents in Nanjing.
[Standard of raising funds ]
Individual draws 100, the government draws 120
University students participate in the standard of raising funds of resident's medical insurance and participate in resident's medical insurance and raise funds according to the student of Nanjing city children the standard is carried out, shared together by individual and government. The standard will be 220 yuan for each person to raise funds on September 1 of 2009 - August 31, 2010, among them the government subsidizes 120 yuan, individual pays 100 yuan. Individual pay the fees part, bear by university student and family in principle among them, the conditional university can pay the fees to subsidize to it appropriately. To the university students who enjoy the lowest living guarantee, its individual pays the fees subsidized partly by the finance.
But a original one allow socialized medicine continue, keep, to under the province state-run daily the intersection of medical treatment and necessary fund, university student of university, that enjoy public health services originally, by its actual number of participants in university student of resident's medical insurance that year of the foundation of provincial finance, arrange the subsidy fund according to the standard of 30 yuan for each person of every year. The central department belongs to universities and colleges and city the universities and colleges carry out according to relevant regulations.
[Ensure the treatment ]
Bearing the expenses can submit an expense account
"The university students at school got married ' the prohibition ' has already been cancelled, so we are while making the policy, consider that grows child's question, because the university students here are a great concept, including graduate students such as master, doctor,etc., some people have already got married in the school. " Troubled the department head to introduce, among them checked the expense fund and paid 300 yuan at most before production in Nanjing yesterday. Bear the expenses to pay according to the expense standard in hospital.
First annual can offer 150,000 at most
Clinic: The intersection of university student and the intersection of resident and medical insurance, the intersection of clinic and treatment have get up one pair of standards, expense between 0 to 300 yuan, the fund is paid the expenses of more than 40%, 300 yuan are paid by individual. This means a university student can submit an expense account in one year 300* 40% = 120Yuan. University students fall ill, generally arrive school in the hospital (the hospital of school of every university of Nanjing will link with medical insurance centre of the city soon) first Or the community hygiene service organization goes to look, need to change the place of examination, it is responsible for changing the place of examination examining the medical organization for the first time. Rescuing is not limited by this.
Serious disease of clinic: Suffer from seven major number, for example the malignant tumour, uremic blood of serious disease are dialysed (dialyse including the peritoneum) Resisting and arranging different treatment, hemophilia, regenerated obstacle anaemia, systemic lupus erythematosus, psychosis after treatment, organ transplant, can submit an expense account. Have, get up, pay standard, hospitalization cost fund pay 75%.
In hospital: One pair of standards is 500 yuan of tertiary medical organization to get up, 400 yuan of second medical organization, first grade and the following medical organization are 300 yuan. University students settle account in one in year many times in hospital to effect an insurance, one pair of standards arises to reduce one by one, get up, pay, 50% standard calculate in hospital according to regulation in hospital two times or more, is most lower than 150 yuan. Above one pair of standards arises, pay the below-norm expenses at most, went to a doctor in tertiary, second, first grade and the following medical organization, it is 80%, 85%, 90% respectively that the fund is paid the proportion. Suppose university student suffer from appendicitis in hospital ' Tertiary hospital) ,Cost 3000 yuan altogether, the personal part at one's own expense is 500 yuan among them, as for the expenses of 2500 yuan left, remove, get up behind the pairs of 500 of standard, yuan of expenseses, fund can wipe out 80%, namely 2000* 80% = 1600Yuan.
Personal unexpected injury: The expenses are paid the proportion and paid according to the fund in hospital, does not have one pair of standards.
Person in charge this introduce, whom university student enjoy wipe out competence, wipe out competence, 70,000 more yuan than the intersection of Nanjing and resident all kinds of. The hospitalization cost that university students happen within one term of guaranteed service, it is 150,000 yuan that the fund is paid the limit at most totally, pay the fees for one year for every increase continuously, the fund is paid the limit and increased by 10,000 yuan at most, do not exceed 220,000 yuan.
Can also submit an expense account to see the doctor in the other places
This person in charge says, practise in university student's strange land and during winter vacation and summer vacation, the emergency call of the reason is in hospital and can seek medical advice in the locality nearby, take place in hospital the expenses are paid first by individual first. Leave hospital, " the card, citizen of Nanjing, ", the intersection of case history and copy, the receipt, detail of expense in hospital, leave hospital materials such as the brief summary,etc. are handed over to to the university in unison, submitted to the medical insurance of university student of the city and handles the organization and handles checking that submits an expense account in unison by the university.
In addition, effect an insurance university students leave school or handle and suspend schooling due to illness, can continue enjoying the medical insurance treatment of current period until ensuring a issue of end. University students participated in urban worker's basic medical insurance of Nanjing in the capacity of flexible employee promptly in a month after graduating to effect an insurance, do not have for 6 months and wait for one, can enjoy the treatment of medical insurance immediately; Accord with the intersection of resident and medical insurance effect an insurance terms wish, participate in the intersection of resident and medical insurance still, can other the intersection of resident and identity continue, join the intersection of resident and medical insurance.
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