In order to further improve the medical insurance poverty alleviation system and ensure the safe operation of the health poverty alleviation supplementary insurance fund, on the 25th, the Municipal Medical Insurance Bureau issued a notice starting from January 1, 2020, to adjust the city's health poverty alleviation supplementary insurance subsidy policy.
The supplementary insurance subsidy threshold for health poverty alleviation will be adjusted. The starting line for rural poor people who have filed supplementary insurance policies will be adjusted from 30 thousand to 50 thousand. At the same time, the proportion of the original reimbursement will be adjusted accordingly, that is, the poor will be hospitalized. (Including outpatient special diseases) After the basic medical insurance, critical illness insurance, medical assistance, and superimposed insurance subsidies are provided for the medical expenses, the individual burden part (regardless of inside and outside the policy) will be given an incremental subsidy according to the level of the burden, that is, the personal burden reaches 50 thousand After the yuan, the subsidy of 50 thousand to 10,000 yuan (including 10,000 yuan) will be subsidized by 40%, the subsidy of 10,000 to 30,000 yuan (including 30,000 yuan) will be subsidized by 50%, and the portion of 30,000 to 60,000 yuan (including 6 yuan) will be subsidized. 10,000 yuan) subsidy 60%, 60,000 to 100,000 yuan (including 100,000 yuan) subsidy 70%, 100,000 to 200,000 yuan subsidy 80% (the personal burden of the subsidy during the year does not exceed 200,000 yuan) .
Cancellation of special treatment for serious illness. For patients with 31 major diseases that refer to the provisions of provincial precision poverty alleviation medical superimposed insurance, the medical expenses of centralized treatment at the designated hospitals will be implemented in the designated hospitals. After basic medical insurance, major illness insurance, medical assistance and superimposed insurance subsidies, except for continuing to implement personal burdens (Regardless of policy inside and outside) Except for subsection subsidies, the remaining part will no longer be fully paid.
If the poor people are hospitalized (including outpatients with special diseases) and the settlement time is before January 1, 2020, their subsidy benefits will still be implemented in accordance with the original supplementary insurance for health and poverty alleviation. On or after January 1, 2020, the above provisions shall apply. (Reporter Chen Wei)