Yan 'an Medical Insurance 2023 Latest Medical Insurance Policy

The medical insurance policy of Yan 'an City in 2023 has been adjusted, mainly including the increase of outpatient co-ordination expenses, the increase of reimbursement ratio of outpatient diagnosis and treatment items, the expansion of reimbursement scope of special drugs such as anticancer drugs, and the increase of reimbursement ratio of chronic diseases and special diseases.

In 2023, the adjustment of medical insurance policy in Yan 'an mainly involves the following aspects: First, the overall cost of outpatient service will increase, and the proportion of reimbursement for outpatient treatment items will increase. Outpatient co-ordination costs increased from 400 yuan per person per year to 500 yuan per person per year, and the reimbursement rate of outpatient diagnosis and treatment items increased from 70% to 80%. Second, the scope of reimbursement for special drugs such as anticancer drugs has expanded. For special drugs such as anticancer drugs that meet relevant regulations, the scope of reimbursement will be gradually expanded and the proportion of reimbursement will also be increased. Third, the proportion of outpatient chronic disease reimbursement has increased. The reimbursement rate for chronic diseases in outpatient clinics has increased from 50% to 60%. Fourth, strengthen the management and supervision of medical insurance funds to prevent the abuse and waste of medical insurance funds. And timely adjust the price of medical services and reasonably control the growth of medical expenses. The above is the main content of Yan 'an medical insurance policy in 2023. The implementation of these policies will help to improve the medical security level of urban and rural residents, improve the medical environment and medical service quality of the people.

What is the main source of medical insurance fund in Yan 'an? The main sources of Yan 'an medical insurance fund include unit contributions, individual contributions, government financial subsidies and investment income. Among them, the contributions of units and individuals are one of the main sources of medical insurance funds, and government financial subsidies and investment income are the auxiliary sources of medical insurance funds. In the collection and use of medical insurance funds, strict control and standardization are needed to ensure the effective use and operation of medical insurance funds.

The adjustment of Yan 'an medical insurance policy in 2023 is mainly to improve the medical security level of urban and rural residents and improve the medical environment and medical service quality. The policy adjustment mainly involves the increase of outpatient co-ordination expenses, the increase of reimbursement ratio of outpatient diagnosis and treatment items and the expansion of reimbursement scope of special drugs. The implementation of the policy needs to strengthen the management and supervision of the fund to ensure the effective use and operation of the medical insurance fund.

Legal basis:

Article 23 of the Social Insurance Law of People's Republic of China (PRC), employees shall participate in the basic medical insurance for employees, and the employer and employees shall jointly pay the basic medical insurance premium according to the provisions of the state. Individual industrial and commercial households without employees, part-time employees who have not participated in the basic medical insurance for employees and other flexible employees can participate in the basic medical insurance for employees, and individuals pay the basic medical insurance premium in accordance with state regulations.