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Huangpi district social security payment standard
(1) Continue to raise the financial subsidy standard. In 2020, the per capita financial subsidy standard of basic medical insurance for urban and rural residents (hereinafter referred to as residents' medical insurance) will be increased to 30 yuan, reaching no less than 550 yuan per person per year. The central government shall provide graded subsidies to local governments according to regulations, and local governments at all levels shall arrange financial subsidies in full and timely allocate them. Implement the relevant provisions of the Notice of the State Council on Implementing Some Financial Policies to Support the Urbanization of Agricultural Transfer Population (Guo Fa [2016] No.44) and the Interim Measures for Hong Kong, Macao and Taiwan Residents to Participate in Social Insurance in the Mainland (Order No.41No.of Ministry of Human Resources and Social Security National Health Insurance Bureau). For the insured holding the residence permit, the governments at all levels shall give subsidies according to the same standards of local residents.
(2) Steadily raise the individual payment standard. In principle, the individual payment standard will be raised simultaneously in 30 yuan, reaching 280 yuan per person per year. All overall planning areas should consider the fund balance, the needs of treatment and security, the affordability of all parties and other factors, reasonably determine the specific financing standards, and appropriately increase the proportion of individual contributions. If the level of financial subsidies and individual contributions reaches the national standard, the level of financing can be reasonably determined according to the actual situation. Based on the financing of basic medical insurance and the operation of serious illness insurance, we will improve the financing standard of serious illness insurance as a whole.
(3) Improve the financing mechanism combining individual contributions of residents' medical insurance with government subsidies. All co-ordination areas should adapt to economic and social development, reasonably improve the financial subsidies and individual payment standards for residents' medical insurance, steadily improve the level of financing, gradually optimize the financing structure, and promote the realization of stable and sustainable financing. According to the financial subsidy standard in 2020 and the collection of individual contributions in the new year, scientifically evaluate the financing structure in 2020, pay attention to the balance of responsibilities, structural optimization and institutional sustainability, and study the growth plan of individual contributions in the next two to three years.
Improve the treatment guarantee mechanism
(four) the implementation of medical insurance benefits for residents. Give full play to the system dividend of residents' medical insurance, comprehensively realize urban and rural planning, adhere to fairness and inclusiveness, and strengthen the main guarantee function of basic medical insurance. Consolidate the level of hospitalization treatment, and the proportion of hospitalization expenses paid within the policy scope will reach 70%. Strengthen outpatient economic security, fully implement the drug security mechanism for outpatients with hypertension and diabetes, and standardize and simplify the identification process of outpatient chronic special disease security. Implement the new national medical insurance drug list and promote drug negotiation.
(5) Consolidate the level of serious illness insurance. Fully implement the deductible line to reduce and unify it to half of the per capita disposable income of residents, increase the proportion of payment within the policy to 60%, and encourage qualified areas to explore the cancellation of the ceiling line. Continue to increase preferential treatment for the poor. During the period of poverty alleviation, the deductible line of rural poor people was reduced by half compared with that of ordinary insured residents, and the payment ratio was increased by 5 percentage points. The maximum number of rural poor people will be completely abolished. "
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