A few days ago, the Dalian Municipal Medical Insurance Bureau, the Municipal Finance Bureau, and the Municipal Taxation Bureau jointly issued a notice to clarify that in 2021, the financial subsidy standard for basic medical insurance for urban and rural residents in Dalian will be increased from 640 yuan to 670 yuan, and the per capita financing standard for major illness insurance will be increased from 90 yuan to 100 yuan.
The circular requires that finances at all levels should arrange subsidy funds in full and in accordance with regulations and disburse them in a timely manner in accordance with regulations. Ensure that the financial subsidy funds for basic medical insurance for urban and rural residents are in place in full and in a timely manner, and ensure the effective implementation of various policies to benefit the people. For non-residents who meet the requirements and hold a residence permit to participate in insurance, they shall pay the same standards as the residents of our city, and the finance of the place of residence shall give general financial subsidies according to the same standards of local residents.
As of October 2021, the number of urban and rural residents in Dalian has reached 2.696 million. The improvement of financing standards means that the anti-risk ability of the medical insurance fund is enhanced, and it has the ability to provide a higher level of reimbursement treatment for the insured.
Taking 2021 as an example, the individual payment standard for adult residents of the basic medical insurance for urban and rural residents in Dalian is 385 yuan / person, the individual payment standard for minors and college students is 295 yuan / person, and after the financial subsidy is increased to 670 yuan / person, the financing standard for adult residents of basic medical insurance for urban and rural residents reaches 1055 yuan / person, and the financing standard for minor residents and college students reaches 965 yuan / person.
According to regulations, all the funds raised by the basic medical insurance of urban and rural residents have entered the pooled fund, and the financing standards have been improved, which has enhanced the fund's ability to resist risks and pay for treatment. The improvement of the annual financing standard of urban and rural residents' medical insurance has enabled the fund to provide a higher level of reimbursement treatment for insured patients. From January 1, 2021, the insured of basic medical insurance for urban and rural residents in Dalian will be hospitalized in all levels of medical institutions in the city, and the proportion of medical insurance reimbursement will be improved. thereinto:
When adult residents are hospitalized in tertiary hospitals, the reimbursement ratio of basic medical insurance for urban and rural residents is uniformly increased from 50% of the original partial reimbursement of 20,000 yuan and below, and 65% of the partial reimbursement of more than 20,000 yuan to 65%; in other tertiary hospitals, the reimbursement ratio of basic medical insurance is increased from 65% to 70%; in hospitalization in secondary hospitals, the reimbursement ratio of basic medical insurance is increased from 75% to 80%; in hospitalization in primary hospitals, the reimbursement ratio of basic medical insurance is increased from 80% to 85%; in primary medical institutions and nursing homes, The reimbursement rate for basic health insurance has increased from 85% to 90%.
When minor residents and college students are hospitalized in tertiary hospitals, the reimbursement ratio of basic medical insurance is increased from 70% to 75%; in secondary hospitals, the reimbursement ratio of basic medical insurance is increased from 80% to 85%; in hospitalizations, the proportion of basic medical insurance reimbursement is increased from 85% to 90%; in primary medical institutions and nursing homes, the proportion of basic medical insurance reimbursement is increased from 90% to 95%.
Peninsula Morning News, 39 degree video reporter Su Lin
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