吉林快三

医疗服务---云南省吉林快三高等学校大学生基本医疗保险工作宣传提纲

更新时间: 2009-12-14 15:43:01

云南省吉林快三高等学校大学生基本医疗保险工作宣传提纲

一、建立大学生基本医疗保险工作的目的是什么?

    jianlidaxueshengjibenyiliaobaoxian,shirenzhenguancheluoshi“guofa〔2007〕20hao”he“yunzhengfa〔2007〕130hao”wenjianjingshen,jiejuehaobaokuoxueshengzaineidechengzhenfeicongyejuminnaruyiliaobaozhangfanchoudeshehuiredianwenti,jianlihewanshanquanshengduocengcijibenyiliaobaozhangzhidu。

二、建立大学生基本医疗保险的指导思想是什么?

    yidengxiaopinglilunhe“sangedaibiao”zhongyaosixiangweizhidao,anzhaogoujianshehuizhuyihexieshehuidezongtiyaoqiu,jianchiyirenweiben,luoshikexuefazhanguan,buduanshenhuachengzhenyiliaobaozhangtizhigaige,jianliyidabingtongchouweizhudedaxueshengjibenyiliaobaoxianzhidu,ranggengguangfandechengzhenjuminnenggouxiangyoujibenyiliaobaozhang,tixianshehuigongping,cujinshehuiwending。

三、哪些在校大学生可以参保及在何处参保? 

(yi)shengshuzaikundegaodengxuexiao(hanminbangaoxiao、dulixueyuan)、suoshukeyanyuansuo(yixiajiancheng“gaodengxuexiao”)zhongjieshouputonggaodengxuelijiaoyudequanrizhibenzhuankesheng、feizaizhiyanjiusheng(yixiajiancheng“daxuesheng”),zaiyunnanshengyiliaobaoxianjijinguanlizhongxin(yixiajiancheng“shengyibaozhongxin”)canbao。

(er)qitagaodengxuexiaodaxuesheng,yougaodengxuexiaosuozaiditongchouanpaicanbao。

四、省属在昆大学生基本医疗保险工作的时间目标任务是什么?

    2008nian5yuekaishixuanchuandongyuan、6yuekaishicanbaodengjigongzuo,2008nian9yue1riquanmianqidong,2008nian11yuewanchengquanbuzaikungaoxiaodaxueshengdecanbaorenwu。

wu、daxueshengcanbaodechouzishuipingzenyang?

(yi)shengshuzaikundegaodengxuexiaodaxueshengmeirenmeixuenianjibenyiliaobaoxianchouzishuipingwei80yuan。buzhuhejiaofeibiaozhunwei:

1、yuanxiangshougongfeiyiliaodedaxueshengjibenyiliaobaoxianfeimeixuenianrenjunshengcaizhengbuzhu80yuan,gerenbujiaofei。

2、weixiangshougongfeiyiliaodedaxueshengjibenyiliaobaoxianfeimeixuenianrenjunshengcaizhengbuzhu40yuan,suozaigaodengxuexiaobuzhu30yuan,gerenjiaofei10yuan。

    yuanxiangshougongfeiyiliaodedaxueshengzhi: anyuanxiangshougongfeiyiliaodeguiding,guojiazhengshihezhunshezhideputonggaodengxuexiao(buhanjunshiyuanxiao)jihuaneizhaoshoudeputongbenzhuankezaixiaoxuesheng、yanjiusheng(buhanweituopeiyang、zifei、ganbuzhuanxiuxuesheng)。

liu、daxueshengjibenyiliaobaoxiangongzuozhonggebumendezhizeshishenme?

(yi) laodongbaozhangbumengenjuguojiayouguanzhengceguiding,fuzezhidingjutishishixizehexiangguanzhengcecuoshi,tongchouxiediao,ducu、zhidaoyiliaobaoxianjingbanjigoujilinkuaisanshishi。

(er)yibaozhongxinfuzezhengshoudaxueshengyiliaobaoxianfei、fuzejijinguanli、jiuyiguanliheyiliaodaiyushenhejiyudingdianyiliaojigoufeiyongjiesuandengyewugongzuo;chengdanbuchongyiliaobaoxiantongyixiangshangyebaoxiangongsitoubaogongzuo。

(san)caizhengbumenfuzejiangyingyoucaizhengfudandedaxueshengjibenyiliaobaoxianbuzhuzijinhemeinianxinzengteshukunnandaxueshengsuoxushehuibaozhangkafeilierucaizhengyusuan;fuzeyiliaobaoxianjijincaizhengzhuanhuguanli;jiaqiangjijinjianduheguanli。

(si)jiaoyubumenfuzeducugaodengxuexiao,anguidingyaoqiudaxueshengcanjiajibenyiliaobaoxian,gulidaxueshengziyuancanjiabuchongyiliaobaoxian。

(wu)gaodengxuexiaofuzejilinkuaisanbenxiaodaxueshengjinxingcanbaodengji、daishoudaxueshenggerenyiliaobaoxianfeijixiezhubanliyiliaobaoxiandaiyuzhifudengxiangguangongzuo;fuzejiangmeinian8yuechubiyeshengshixingtingbaoji9yuedixinshengcanbaojichushujuluruyiliaobaoxianxinxicaijixitong。

七、大学生基本医疗保险费是否计征税费?

    daxueshengjibenyiliaobaoxianfeibujizhengshuifei。

八、如何加强大学生抵御重大疾病风险能力?

    jianyibinggulidaxueshengtongguocanjiabuchongyiliaobaoxian,jitigaoyiliaofeiyongbaoxiaobili,youwujijinzhifudezuigaoxiane,keyijiaodadijiaqiangdiyuzhongdajibingfengxiannengli。

九、大学生如何参保?

(yi)daxueshengchishenfenzheng、xueshengzhengdengyouguanziliao,zaibenxiaotianxie《yunnanshengchengzhenjuminjibenyiliaobaoxian(daxuesheng)canbaoshenqingdengjibiao》,banlicanbaodengjihejiaofeishouxu。

(er)gaodengxuexiaoduiyishangziliaohe《dengjibiao》neirongjinxingshenhe;bingjiangcaijidecanbaoxinxiluruyiliaobaoxianxinxicaijixitong。

(san)yibaozhongxinyijucanbaoxinxishengchengjiaofeiqingce,tongzhigaodengxuexiaoanjiaofeiqingcedaishougerenyingjiaonadejibenyiliaobaoxianfei。

(si)yiliaobaoxianfeijingyibaozhongxinshenhewuwuhou,youkaihuyinxinghuarucaizhengzhuanhu,bingyouyinxingxianggaodengxuexiaochuju《yunnanshengshehuibaoxianfeijiaokuanshouju》。

(wu)shengshehuibaozhangkazhizuofaxingzhongxingenjucanbaoxinxi,zhizuo《zhonghuarenmingongheguoshehuibaozhangka》(yixiajiancheng“shehuibaozhangka”),jiaoyousuozaigaodengxuexiaofafang。

十、大学生参加基本医疗保险后享受怎样的医疗待遇?

    daxueshengjibenyiliaobaoxianjijinanzhao“yishoudingzhi、shouzhipingheng、lveyoujieyu”deyuanzeshiyong,shengshuzaikundegaodengxuexiaozhixingyixiadaiyubiaozhun:

(yi)daxueshengjibenyiliaobaoxianjijinzhuyaoyongyuzhifuzhuyuan、putongmenzhenheteshubingmenzhenyiliaofeiyong;buchongyiliaobaoxianzhuyaoduizhuyuanhemenzhenteshubingyiliaofeiyongjinxingbuzhu。

(er)daxueshengjibenyiliaobaoxiandeyaopinmulu、zhenliaoxiangmujifuwusheshibiaozhunanzhaoyunnanshengchengzhenjuminjibenyiliaobaoxianyouguanguidingzhixing。

(san)canbaohoubanlilexiuxue、tuixueshouxudedaxuesheng,zaicanbaoqixianneifashengdeyiliaofeiyong,renganyouguanguidingbaoxiao。

十一、在昆大学生享受的待遇水平如何?

(yi)zhuyuanyiliaodaiyu

1、qifubiaozhun

    xuenianneidiyicizhuyuan: yijiyiliaojigou100yuan,erjiyiliaojigou200yuan,sanjiyiliaojigou300yuan;diercizhuyuanqifufeijianban;disanci(han)yishangzhuyuandebuzaijiaonaqifufei。

2、zhuyuanqijianfashengdeteshujiancha、teshuzhiliaoheyileiyaopingerenxianzifu10%;ruoshiyongleyaopinmuluyiwaideqiangjiuyaopinshi,yousuozaidingdianyiliaojigoushenpibeianhoufangkeshiyong,yaopinfeiyougerenxianzifu40%。

3、baoxiaobilihezuigaozhifuxiane

(1)jibenyiliaobaoxian

    xueniannei,fuhejibenyiliaobaoxianbaoxiaofanweineidezhuyuanyiliaofeiyongbaoxiaobiliwei60%;tongchoujijinzuigaozhifuxianewei1.6wanyuan。

(2)buchongyiliaobaoxian

    xueniannei,zaicanjiajibenyiliaobaoxiandetongshi,youcanjialebuchongyiliaobaoxiandedaxuesheng,fuhejibenyiliaobaoxianbaoxiaofanweineidezhuyuanyiliaofeiyongbaoxiaobilitigaodao90%;buchongyiliaobaoxianzuigaozhifuxianeshangbufengding,bingchengdanyiwaishanghaishengu、jibingshengu10000yuandepeifuzeren,chengdanyiwaishangcanandengjizuigao10000yuandepeifuheyiwaishanghaimenzhenfeiyong100yuanyishang5000yuanyinei90%depeifuzeren。

(er)menzhenyiliaodaiyu

1、putongmenzhen

    menzhenyiliaofeitongchoubiaozhunzandingweimeirenmeixuenian30yuan,youshengyibaozhongxinandaxueshengcanbaorenshuhuaruxiaoyiyuan(yiwushi)baoganshiyong。baoganfeiyongjieyuzai10%yineideguixiaoyiyuan(yiwushi),jieyuchaoguo10%defeiyongyoushengyibaozhongxinshouhui;ruoxuenianneifashengchaozhibufenyoushengyibaozhongxinfudan30%,gaodengxuexiaofudan70%。

2、teshubingmenzhen

(1)exingzhongliu(menzhenfang、hualiao)、manxingshengongnengshuaijie(menzhentouxi)、qiguanyizhi(shuhoukangpaiyi)、xitongxinghongbanlangchuang、zaishengzhangaixingpinxueteshubingmenzhenfashengdeyiliaofeiyong,qifubiaozhunwei300yuan,qifubiaozhunbucanyuzhuyuanqifubiaozhunleiji,qifuxianyishangfeiyongbaoxiaobilihezuigaozhifuxianeyuzhuyuandaiyuyizhi。

(2)huanteshubingdedaxuesheng,youbenrenxiangjiuduyuanxiaotichushumianshenqing,jingshengyibaozhongxinanguidingchengxushenhehoufaji《teshubingjiuzhenka》,chiyou《teshubingjiuzhenka》dedaxueshenghuanzhe,fangkexiangshouxiangyingdeteshubingyiliaodaiyu。

(san)qitagaodengxuexiaodaiyushuipingyougetongchoudianxiangguanguidingquedinghuodiaozheng。

十二、大学生有哪些医疗费用,基本医疗保险基金和补充医疗保险资金不予支付:

(yi)jibenyiliaoyaopinmulu、zhenliaoxiangmuhefuwusheshibiaozhunyiwaidefeiyong(jijiuchuwai)。

(er)jiankangtijian、jihuamianyi、yufangbaojian、jiankangjiaoyudenggonggongweishengfuwudefeiyong。

(san)weibanlizhuanzhenzhuanyuanshenpibeianshouxu,zixingwaichujiuyideyiliaofeiyong。

(si)zhengxing、meirong、xujiu、xidu、dajiadouou、zishazican、zifendengweifafanzuixingweisuozhideyiliaofeiyong,yijiyinyiliaoshigusuozengjiadeyiliaofeiyong。

(wu)anyouguanguidingbuyuzhifudeqitafeiyong。

十三、发生重大疫情、灾情时大学生医疗费怎么办?

    yinzhongdayiqing、zaiqinghechuanranxingjibingfashengdejizhen、qiangjiufeiyong,bulierudaxueshengyiliaobaoxianjijindezhifufanwei。

十四、在昆大学生如何实现就医管理和费用结算?

(yi)gaodengxuexiaoanzhaojiujinjiuyideyuanzexuanzeyizhierjiadingdianyiliaojigou(buhanxiaoyiyuan),zuoweibenxiaodaxueshengxiaowaizhuyuandedingdianyiliaojigou。

(er)gaodengxuexiaoxiaoyiyuan(yiwushi)fuzedaxueshengputongmenzhen,wuxiaoyiyuan(yiwushi)degaodengxuexiaoyouyibaozhongxinzhidinglinjinshequweishengfuwuzhongxinqianshufuwuxieyi,weidaxueshengtigongputongmenjizhenyiliaofuwu。

(san)daxueshengpingshehuibaozhangkahexueshengzhengdaozhidingdedingdianyiliaojigoujiuyi,suofashengdezhuyuanheteshubingmenzhenyiliaofeiyong,anguidingyingyougerenfudandefeiyongyougerenzhifu,yingyoutongchoujijinhuobuchongyiliaobaoxianzhifudefeiyong,youshengyibaozhongxinyudingdianyiliaojigouzhijiejiesuan。

(si)daxueshengzaijiaqi、shixi、xiuxueqijianyinjiweizhongzhengxuyidizhuyuanzhiliaode,yuanzeshangzaidangdiyibaodingdianyiliaojigoujiuyi,bingzaiyizhouneitongguojiuduyuanxiaoxiangshengyibaozhongxinbeian,suofashengdeyiliaofeiyongxianyougerenquanedianfu,yiliaozhongjiehouyoujiuduyuanxiaotongyidaoshengyibaozhongxinanguidingbaoxiao;menzhenfeiyongyoujiuduyuanxiaoyiliaojigouanguidingbaoxiao。

(wu)fashengwuzerenrendeyiwaishanghaishi,qifeiyongkepingdingdianyiliaojigouzhenduanzhengminghejiuduyuanxiaochujudexiangguanzhengminganguidingbaoxiao。

(liu)yinbingqingxuyaojinxingzhuanzhenzhuanyuande,junyouxiaoyiyuan(yiwushi)huoweituodeshequweishengfuwuzhongxinchujuzhuanzhenzhuanyuanzhengming,dingdianyiliaojigoufangkeshouzhizhuyuan(jizhenqiangjiuchuwai)。

     zhuanshengwaijiuyide,xutigongzhishaoersuosanjidingdianyiliaojigouzhurenyishihuizhenyijian,youzhuanchuyiyuangaizhanghousongyibaozhongxinshendingbeian,gerenzifubilizaiyuanjichushangtigaoergebaifendian,feiyongyoujiuduyuanxiaohuoxueshengbenrenquanedianfu。

 十五、如何管理大学生基本医疗保险医疗费用支出?

    genjudaxueshengdeyiliaotedian,caiqujijiyouxiaodejianguancuoshi,buduangaijinhewanshanyiliaobaoxianfeiyongjiesuanbanfa,jianlikexuehelianquandefeiyongjiesuanliucheng,jianshaochengxu,fangbianhuanzhe。daeyiliaofeiyongzhichuyaozaixuexiaogongshi,dusaiguanliloudong。

十六、如何监督大学生基本医疗保险基金?

    daxueshengjibenyiliaobaoxianjijindejianduguanligenju《yunnanshengshehuibaoxianjijinjiandutiaoli》、《yunnanshengshehuibaoxianjijinjiandutiaolishishixize》dengxiangguanguidingzhixing。

十七、大学生基本医疗保险费的结算年度如何计算?

    daxueshengjibenyiliaobaoxiandejiesuannianduweimeixueniande9yue1rizhiciniande8yue31ri,yougaodengxuexiaobanlilebiyetingbaoshouxudedaxueshengzai9yuetingzhixiangshouyiliaobaoxiandaiyu。daxueshengzaiduqijianyinglianxucanbao。

十八、社会保障卡制作费由谁承担?

    yougaodengxuexiaoan《jiaoyubu、caizhengbujilinkuaisanrenzhenzuohaogaodengxuexiaojiatingjingjikunnanxueshengrendinggongzuodezhidaoyijian》(jiaocai〔2007〕8hao)rendingweiteshukunnandedaxuesheng,qishehuibaozhangkagongbenfeizhuyaoyoutongjicaizhengjiyubuzhu;qitadaxueshengdeshehuibaozhangkafeiyougerenchengdan。

十九、吉林快三大学生基本医疗保险与城镇职工基本医疗保险的衔接。

    zaixiaodaxueshengcanjiachengzhenjuminjibenyiliaobaoxian,biyehouwendingjiuyede,yingdangsuitongyongrendanweicanjiachengzhenzhigongjibenyiliaobaoxian;shuyulinghuojiuyede,anlinghuojiuyerenyuanshenfencanjiachengzhenzhigongjibenyiliaobaoxian。

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