Bozhou has fully implemented commercial supplementary medical insurance, raised standards, expanded coverage, and effectively covered difficult groups.

20 18 autonomous prefecture promulgated the measures for the implementation of commercial supplementary medical insurance for urban and rural poor people in autonomous prefecture (Bozhou zhengban made [2018] No.8). On the basis of summarizing the commercial medical insurance work of urban and rural civil affairs key relief objects since 20 12, we will comprehensively promote and expand the commercial supplementary medical insurance standards, and include the rural poor households who have set up files and cards into the scope of commercial supplementary insurance funding. The insurance payment standard will be raised from 20 14 years to 100 yuan per person per year 150 yuan, and efforts will be made to solve the phenomenon of poverty caused by illness and return to poverty due to illness, and enhance the happiness of people in need.

First, strengthen convergence and constantly improve policies and measures. With the implementation of the serious illness insurance for urban and rural residents and the Notice of the General Office of the People's Government of the Autonomous Region on Forwarding the Implementation Opinions of the Civil Affairs Department and other departments on Further Improving the Medical Assistance System and Carrying out Medical Assistance for Serious and Extraordinary Diseases in an All-round Way (New Deal Office [2065438+07] No.54) and the Civil Affairs Department and the Finance Department of the Autonomous Region, the Notice of Ministry of Human Resources and Social Security and other six departments on Printing and Distributing the Implementation Opinions on Further Strengthening the Effective Connection between the Medical Assistance System and the Serious Illness Insurance for Urban and Rural Residents (Xinmin Fa [201 In order to implement the spirit of the document and strengthen the effective connection with the basic medical insurance and serious illness insurance for urban and rural residents, the civil affairs department took the lead in drafting the Measures for the Implementation of Commercial Supplementary Insurance for People with Difficulties in Urban and Rural Areas in Autonomous Prefecture, which was issued by the Office of the Autonomous Prefecture People's Government (Bozhou Zhengban Fa [2018] No.8), further clarifying the insured objects, payment standards and security benefits.

The second is to expand the scope and strive to cover more difficult groups. According to the health poverty alleviation work and Xinmin Fa [2017] No.99 document, we will comprehensively promote the expansion of supplementary commercial insurance for urban and rural residents in accordance with the requirements of bringing the rural poor with a file and a card into the scope of medical assistance, subsidizing their participation, implementing medical assistance for serious and serious diseases, and implementing the policy of inclined payment for serious illness insurance. And on the basis of subsidizing destitute dependents, urban and rural low-income recipients and entitled groups to participate in commercial supplementary medical insurance, the rural poor who have established a file card will be included in commercial supplementary insurance.

The third is to adjust the financing standards in a timely manner and effectively improve the level of medical security. In order to ensure the normal operation of commercial supplementary medical insurance, in view of the small number of participants in our state and the increasing medical expenses year by year, according to the provisions of Bozhou Zhengban [20 12] 1 1 on treatment guarantee, the insurance compensation standard is adjusted according to the actual situation on the basis of consultation for the year with large profit and loss.

The fourth is to help fight poverty and fully implement the tilt policy. Commercial supplementary medical insurance is matched with basic medical insurance and serious illness insurance for urban and rural residents, and the insurance policy is inclined to poor people such as extremely poor people, low-income households and rural poverty-stricken people who have set up files. By lowering the threshold of serious illness insurance, gradually increase the proportion of installment payment of serious illness insurance, implement accurate payment, and improve the benefit level of poor people. The newly launched commercial supplementary medical insurance will adjust the insurance benefits synchronously according to the threshold of serious illness insurance, that is, the threshold of serious illness insurance for destitute dependents, low-income recipients and rural poor people will be adjusted to 7,800 yuan, which will be paid in proportion by stages, so that the proportion of eligible medical expenses of participants in commercial supplementary medical insurance will not be less than 95% through serious illness insurance and commercial supplementary medical insurance, and there is no maximum payment limit.

In 20 18, the civil affairs department invested 5513,400 yuan to help 36,755 people participate in commercial supplementary medical insurance. Among them, there are 6,378 poverty-stricken people in newly-built stalls, with an investment of 956,700 yuan. From 2065438 to 2008, there were 4,284 commercial insurance claims, with a compensation amount of 5,290,900 yuan.