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医保信息

jingyangqujiandanglikapinkunqunzhongjiankangfupinzhengcezhishixuanchuanshouce

 dalishishijiankangfupingongcheng,rangpinkunrenkou“kandeqibing、shaodebing、fangxinkanbing、kandehaobing”,fangzhipinkunrenkou“yinchaoshengzhipin”   

       1.duijiandanglikapinkunrenkoukanbingyounaxiebaozhang?

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确保贫困人口100%参加城乡居民基本医疗保险;

quebaopinkunhuanzhexianyuneizhuyuanhemanxingbingmenzhenweichizhiliaoyiliaofeiyonggerenzhifuzhanbijunkongzhizai10%yinei;

环球体育quebaoyoudabiaocunweishengzhan、meigecunweishengzhanjunyouhegexiangcunyisheng。

环球体育     2.ruhecainengrangyinbingzhipinqunzhongbuzaiweizhibingfanchou?

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 yinbingzhipinzaigezhongzhipinyuanyinzhongbilijiaogao,ruguoyinbingsangshilaodongnengli,tuopinjiubukechixu。duipinkunrenquntichuledaijiaopinkunrenkoujibenyibaogerenjiaofei、quanebaoxiaopinkunrenkouxianyuneizhengcefanweineizhuyuanfeiyong,yijiduipinkunrenkoujinxingmianfeijiankangtijiandeng3jianminshengshishi,zheixieminshengshishijihuhangailegerenjiankangdemeigehuanjie,pinkunrenkoumeibingshikeyimianfeitijian,yidanyoubingleyenengdedaoquanmiandeyiliaobaozhang。

      3.jiankangtuopindezhuyaomubiaoshishenme?

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环球体育pinkunchengxiangjuminjibenyibaocanbaolv100%;xianyuneizhuyuanzhengcefanweineiyiliaofeiyongquanebaoxiao;zhuyuanhemanxingbingmenzhenweichizhiliaogerenzhifuzhanbikongzhizai10%yinei;pinkunrenkouyiliaofeiyonggongshilv100%;.gongguyoutuopinrenwucunweishengzhanbiaozhunhuajianshedabiaolv100%;gongguyoutuopinrenwucunhegexiangcunyisheng/zhiye(zhuli)yishidabiaolv100%;pinkunrenkouxianyuneijiuzhenlv≥95%;pinkundiqushilingertongmianyiguihuayimiaobaogaojiezhonglv>95%。

      4. shishijiankangtuopindejucuoyounaxie?

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shishijiankangfupin“wudaxingdong”: dalishishipinkunrenqunyiliaojiuzhufuchixingdong,rangpinkunrenkou“kandeqibing”;dalishishipinkunrenqungonggongweishengbaozhangxingdong,rangpinkunrenkou“shaodebing”;dalishishiyiliaonenglitishengxingdong,rangpinkunrenkou“kandeshangbing”;dalishishiweishengrencaipeizhixingdong,rangpinkunrenkou“kandehaobing”;dalishishishengyuzhixuzhengzhixingdong,fangzhi“yinchaoshengzhipin”。shishi“sangeyipi”xingdongjihua: duiheshihezhundehuanyoudabinghezhangqimanbingdenongcunpinkunrenkou,shishidabingjizhongjiuzhiyipi、manbingqianyuefuwuguanliyipi、zhongbingdoudibaozhangyipi。

       5. ruhejingzhunshibiejiankangtuopinbaozhangduixiang?

环球体育 yijiandanglikashujuweijichu,jianlijiyujibenyibaoxinxixitongdepinkunrenkoushenfenshibiexitong、jiesuanxitong,jingzhunshibie,jingxifuwu。yutuopintuichujizhixiangxianjie,shixingdongtaiguanli。

环球体育      6. kaizhanqianyuefuwudeneirongshishenme?

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环球体育pinkunxianweipinkunrenkoumeirenjianli1fendianzijiankangdangan、1zhangjiankangka,weimeigepinkunhuqueding1mingxiangcunyishengqianyue。anzhaoputonghuanzhe、gaoweirenqunheyibanrenqun,duipinkunrenkoushixingfenleijiankangganyu,tigongjibengonggongweisheng、jiankangguanli、jibenyiliaodengfuwu。

       7.jibengonggongweishengxiangmubaokuonaxie?

luoshiguojiajibengonggongweishenghezhongdagonggongweishengfuwuxiangmu。quanmianshishipinkundiquertongyingyanggaishan、xinshengerjibingmianfeishaicha、funv“liangai”mianfeishaicha、yunqianyoushengjiankangmianfeijianchadengzhongdagonggongweishengxiangmu。

      8. ruheshishidabingmanxingbingfenleijiuzhi?

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环球体育duiyicixingnengzhiyudedabing,jizhongliliangjinxingzhiliao;xuyaoweichizhiliaode,youjiujinjubeinenglideyiliaojigoushishizhiliao;xuyaozhangqikangfuzhiliaode,quedingdingdianyiyuanhuojicengyiliaoweishengjigoushishidingqizhiliaohekangfuguanli。

       9.“shimiansibuzhu”yiliaofuchizhengcejutineirongshishenme?

环球体育①shimianfeifuwuxiangmu: pinkunrenkoujiuzhenmianshouyibanzhenliaofei;mianshouyuanneihuizhenfei;mianfeikaizhanbaineizhangfumingshoushuxiangmu;mianfeiaizibingkangbingduyaowuhekangjieheyixianyaowuzhiliao;mianfeitigongjibengonggongweishengfuwu;mianfeitigonghuanqiutiyuguanfangwangzhanjiankangfuwu;mianfeitigongxunhuiyiliaofuwu;mianfeiyaowuzhiliaobaochongbinghuanzhe;mianfeitigongjibenyibaogerenjiaofei;mianfeishishipinkunyunchanfuzhuyuanfenmianfuwu。

环球体育②sibuzhufuwuxiangmu: duishoushuzhiliaobaochongbinghuanzhean2.5wanyuan/renjiyubuzhu;wei0zhi6suipinkuncanjiertongjinxingshoushu、kangfuxunlianhefujushipeianrenjun3wanyuanjiyubuzhu;duifuhezhiliaojiuzhutiaojiandewanqixuexichongbingrenan5000yuan/renjiyubuzhu;duizhongzhengdagujiebingpinkunhuanzhean700yuan/renjiyuduizhengzhiliaobuzhu。

环球体育      10.ruhejianqingjiandanglikapinkunrenkoudeyiliaofeiyongfudan?

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①quebaopinkunrenkouxianyuneizhuyuanyiliaofeiyonggerenzhifuzhanbikongzhizai10%yinei。jiandanglikapinkunrenyuanzaixianyuneidingdianyiyuanzhuyuanfashengdezhengcefanweineifeiyong,zaichengxiangjuminjibenyiliaobaoxian、dabingbaoxianbaoxiaohou,gerenfudanbufenyou“qingxiezhifu”zijinquanebaoxiao。zaiyishangjijinbaoxiao、jiuzhuhou,gerenfudanrengjiaozhongde,anshenlingchengxushenqingweishengfupinjijinjiuzhu,quebaogerenzhifuzhanbikongzhizaidangcizhuyuanfeiyongde10%yinei。

环球体育②quebaomanxingbingmenzhenweichizhiliaogerenzhifuzhanbikongzhizai10%yinei。canbaobingqudechengxiangjuminjibenyiliaobaoxianmenzhenteshujibingrendingzigedejiandanglikapinkunhuanzhe,zaixianyuneimenzhentongchoudingdianyiliaojigoumenzhenweichizhenliaode,baoxiaobiaozhunyineidemenzhenfeiyong,tongguojuminyibaoxinxixitongjishijiebao,yiliaojigoudingqixiangquyibaojushenqingjiesuan。chaoguobiaozhundebufen,youfuzepinkunrenkoumanxingbingweichizhenliaodeyiliaojigouchengdan,queyinbingqingyanzhong,zhiliaofeiyongchaoguoweichizhiliaofeiyongbiaozhunde,youyiliaojigouanguidingshenqingweishengfupinjijinjiuzhu。

③luoshipinkunyunchanfuzhuyuanfenmianquanmianfeizhengce。pinkunyunchanfuzaixianyuneiyiyuanyijiweijizhongzhengyunchanfuanguidingzhuanzhendaoshijijiyishangyiliaojigouzhuyuanfenmiande,fashengdezhengcefanweineifeiyong,zaichengxiangjuminjibenyiliaobaoxian、dabingbaoxianbaoxiaohou,gerenfudanbufenyou“qingxiezhifu”zijinquanebaoxiao。zhengcefanweiwaigerenfudanbufen(hanchaochujibenyiliaobaoxianzhifuxianjiabufen),zaikouchunongcunyunchanfuzhuyuanfenmianbuzhuheminzhengyiliaojiuzhuhou、anshenlingchengxu(benrenshenqing→cunjichushen→xiangzhenfushen→xianjiweishengjishengbumenshending→gongshi→fafang)shenqingweishengfupinjijinjiuzhu。

环球体育④luoshipinkunrenkouxianyuwaizhiliaozhengce。pinkunrenkouanguidingchengxuzhuanzhendaodeyangshijijiyishangdingdianyiyuan、xianyuwaidingdianyiyuanfashengdezhuyuanfeiyong,anchengxiangjuminjibenyiliaobaoxian、dabingbaoxian、buchongyiliaobaoxian、minzhengyiliaojiuzhuzhengcebaoxiaojiuzhuhou,youjiandanglikapinkunrenyuananshenlingchengxu(benrenshenqing→cunjichushen→xiangzhenfushen→xianjiweishengjishengbumenshending→gongshi→fafang)shenqingqidongweishengfupinjijinyuyijiuzhu。

环球体育      11.jiandanglikapinkunhuanzhehaikeyixiangshounaxiegengduodeweishengfupinjiuzhu?

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环球体育①jiuzhuduixiangtiaojian:hujizaibenxian(shi、qu)quyunei;jiandanglikapinkunrenkou;xiangshouxianyouyiliaobaozhangzhengcehou,gerenyiliaofeiyongfudanrengranjiaozhongdepinkunhuanzhe。

②jiuzhubiaozhun: yibankongzhizaimeihumeinian500-5000 yuanzhijian。jutizhixingzhong,duiquexuchaoguoshangshujiuzhubiaozhunjiyujiuzhudeteshukunnanhuanzhe,yingbaoxian(shi、qu)renminzhengfupizhunhoushishijiuzhu。

③jiuzhuneirong: zhuyaoshiduixianyuneizhengcefanweiwaidezhuyuanfeiyong、weinarubaoxiaofanweidemenzhenfeiyong、anguidingyidijiuyiweinengwanquanbaoxiaodezhuyuanfeiyongshishijiuzhu。

④baoxiao(jiuzhu) liucheng:pinkunrenkoukanbingjiuyiyouxianluoshiyiliaoweisheng"shimiansibuzhu"zhengce。zaicijichushang,pinkunhuanzheyiliaofeiyonganzhao"jibenyibao→dabingbaoxian→‵qingxiezhifu'→yiliaojiuzhu→jijinjiuzhu"deliuchengjinxingbaoxiao(jiuzhu)。

      12.jiandanglikapinkunhuanzhezenmebanliweishengfupinjiuzhujijin?

jiuzhushenlingchengxu: shenlingchengxuzunxun"benrenshenqing→cunjichushen→xiangzhenfushen→xianjiweishengjishengbumenshending→gongshi→fafang"dejibenguanlichengxu。

环球体育①benrenshenqing:jiandanglikapinkunhujiatingchengyuanhuanzhezaikanbingjiuyihou,genjujibenyibao、dabingbaoxian、qingxiezhifu、yiliaojiuzhudengqudaojiejuehougerenzifufeiyongqingkuang,zaicun(she)lingqushenqingbiao,tianxiexiangguanxinxi。

环球体育②cunjichushen:pinkunhuanzhejiangshenqingbiaoheshenfenzheng、hukoubujiaoyouhujisuozaidicunweihuichushen,zhongdianheshihuanzhedejiatingshijikunnanqingkuang。

环球体育 ③xiangzhenfushen:cunweihuichushenhou,jiangshenqingbiaojiaoyousuozaixiangzhenrenminzhengfuhechashenpi。

环球体育④xianjiweishengjishengbumenshending:xianjiweishengjishengbumengenjujijinzhifunengliheshenqingjiuzhujinejinxingshending。

⑤gongshi:xianweishengjishengbumenjiangshendingdejiuzhuqingkuangjinxinggongshi,gongshineirongbaokuo:jiuzhuduixiangxingming、jiatingzhuzhi、huanbingqingkuang、yiliaofeiyong、jiuzhujinedengxinxi。

环球体育      13.gerenshenqingweishengfupinjiuzhujijinhecishanjuanzengjiuzhujijinsuoxuziliao?

环球体育①gerenshenqingbiaosanzhang(gaizhangyuanjian),baokuocun(she)fuzerenqianzigaizhang、xiangzhenrenminzhengfuzhuyaohuofenguanlingdaoqianzigaizhang;

环球体育②xiangzhenrenminzhengfuzhengmingyizhang(gaizhangyuanjian),zhengmingqixingming、nianling、shenfenzhenghao、jiatingzhuzhiyijiqishenfenshifouweijiandanglikapinkunhu,biaomingshixxxnianjiandanglikapinkunhu,shifoutuopin;

③shenfenzhengfuyinjianyizhang;

④hukoubenfuyinjianyizhang;

⑤xianyuwaizhuyuanyiyuanchuyuanzhengyizhang(gaizhangyuanjian);

⑥yinxingkafuyinjianyizhang(zhumingchikarenxingming、lianxidianhua);

环球体育⑦yiyuanjiesuanfeiyongqingdan(fapiao、chengxiangjuminyiliaobaoxianbaoxiaodanju、minzhengjiuzhudandenggaizhangyuanjian)。

环球体育      14.duijiandanglikapinkunrenkouyibaobaoxiaojiangtigongnaxiefangbian?shixingxianzhenliaohoufufeijutineirongshi?

duipinkunhuanzhexianyuneizhuyuanshixing“xianzhenliaohoufufei”,muqianyibaobaoxiaoyijingjibenshixian“yizhanshi”jishijiesuan。pinkunhuanzhezai“yizhanshi”zonghefuwuchuangkoubanlizhuyuanshouxushi,jiandanglikapinkunrenkouzhixuchushiyibaoka(shebaoka)heshenfenzheng,duifuhetiaojiandehuanzheqianding“xianzhenliaohoufufei”xieyi,wuxujiaonazhuyuanyajin,zhijiezhuyuanzhiliao,yiyuanshoucunpinkunzhengming(zhengjian)heshenfenzheng、hukoubenfuyinjian。huanzhechuyuanshi,zhijiesuangerenchengdanfeiyong。huanzhejieqinggerenyingchengdandefeiyonghou,yiliaojigoujishiguihaihuanzhetijiaodexiangguanzhengjian。

       15.jiandanglikapinkunjiatingqianyuehoukeyixiangshounaxiemianfeitijianxiangmu?

环球体育①7-64suipinkunrenkoumianfeijiankangtijianxiangmu: 7-17zhousuikaizhanyibanchangguijiancha、xuechanggui、gangongxiangmu;18-34zhousuikaizhanzengjiaxuezhi、xuetangxiangmu;35-64zhousuikaizhanzaizengjiashengong、xindiantu、heibaibchaoxiangmu。

②0-6suiji65suiyishanglaonianrenanzhaoguojiajibengonggongweishengfuwuxiangmuzhixing。

③dangdidixiangzhenweishengyuan、shequweishengfuwuzhongxinfuzetijian。

 


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