6 expenses such as health checkout are not included in medical insurance
Yesterday, the National Medical Insurance Bureau official website issued an announcement, officially requested opinions to the society on the "Medical Protection Law (Draft for Comment)". Beijing Youth Daily reported that six medical expenses were not included in the scope of medical expenses, including health care, health care costs. The feedback deadline is July 16, 2021. The insured personnel shall not repeat the funding and treatment of medical insurance, fund management, fund management, medical services, public management services, supervision and management, and legal responsibility, and other content. According to the merits, state organs, enterprises, institutions, social organizations, and employees, individual industrial and commercial households, and their employees should participate in the basic medical insurance for employees; the basic medical insurance that does not participate in employees may have other medical security in accordance with the regulations. Personnel participated in the basic medical insurance of urban and rural residents according to law; encourage individual industrial and commercial industrial and commercial industrial households without employed workers, and did not participate in non-full-time practitioners and other flexible employees at the employer and other flexible employees to participate in employee basic medical insurance.
At the same time, it emphasizes that insured personnel must not repeat basic medical insurance. 6 medical expenses are not included in the medical insurance North Youth Daily noted that six medical expenses are not included in the fundamental medical insurance funds in the comments. It includes paying from the work injury insurance fund; should be burdened by a third person; it should be burdened by public health; in the abroad; sports fitness, health care, health checkup; national requirements, the basic medical insurance fund is not Other fees payable. At the same time, when there is a major impact on economic and social development, the basic medical insurance fund does not pay the legal procedures, which can be temporarily adjusted.
In terms of financing, the sake of comment is pointed out that the basic medical insurance premiums of employees should be paid by employers and employees, and the employer is unified to deduct the contract. Basic medical insurance premiums are paid by individual medical insurance premiums by personal identity.
The basic medical insurance premium of urban and rural residents is borne by fiscal and individuals.
People who enjoy the minimum life guarantee, people who are incorporated in the scope of personal rescuers, lost labor capabilities, low-income families, 60 years old, and minors and other individuals and minors to participate in the basic medical insurance required for urban and rural residents. The government gives subsidies.
In addition, people with a variety of identities shall be subsidized according to the highest level of treatment, and shall not be subsidized. Personal fraudulent medical support will also clear the penalty consequences. The medical security funds in the designation of medical institutions are not standardized by the medical security administrative department, and can be exchanged for the relevant person in charge; It is a fine of less than 1 time or more of the lost amount; refusing to correct or cause serious consequences, ordered the resulted medical institution to suspend the relevant responsible departments for 6 months and more than one year of medical services used in the medical security fund.
For the fixed-point medical institution and its staff, the medical security fund expenditure is defined by the medical insurance administrative department to returned, and the penalty of 2 times the amount or more than 5 times or more; ordered the designated medical institution to suspend the relevant responsible department for more than 6 months or more Pharmaceutical services involved in the medical security fund until the service agreement is released by the medical insurance, and there is a qualification, and the relevant competent authorities are revoked according to law. The designated pharmaceutical institution violates the provisions of this Law, causing significant loss of medical security or other serious bad social influences, by the medical security administrative department for its legal representative or the main person in charge of 50% 上海水磨 or more from this unit from this unit. The following fine, prohibiting the management activities of fixed-point pharmaceutical institutions within 5 years, and the relevant departments shall be administered according to law. Personal Implementation of the medical security certificate is to be used by others, and repeatedly enjoy medical insurance treatment, etc., ordered by the medical insurance administrative department 上海闵行油压 to make corrections; resulting in the loss of medical security funds, order to return; belonging to the insurance personnel The networked settlement 3 months to 12 months. At the same time, individuals defrauded the medical security fund expenditure, in addition to the provisions of the preceding paragraph, it should also be fined 2 times or more or more times the amount of 2 times or more by the medical insurance administrative department.