基本医疗保险参保长效机制

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四川就健全基本医疗保险参保长效机制公开征求意见 连续参保或将获得更高大病保险支付金额
Si Chuan Ri Bao· 2025-07-21 08:16
Group 1 - The annual cap for serious illness insurance for urban and rural residents in Sichuan Province is set uniformly at 300,000 yuan [1][2] - Starting from 2025, for residents who have participated in the medical insurance for four consecutive years, the maximum payment limit for serious illness insurance will increase by 4,000 yuan for each additional year of continuous participation [1][2] - For residents whose medical insurance fund reimbursement is zero in the current year, the maximum payment limit for serious illness insurance will also increase by 4,000 yuan in the following year [1][2] Group 2 - The incentives for continuous participation and zero reimbursement can be combined, with a total increase not exceeding 20% of the original cap for serious illness insurance [1][2] - For individuals who have interrupted their insurance, the maximum payment limit for serious illness insurance will be reduced by 4,000 yuan for each year of interruption, with a cumulative reduction not exceeding 20% of the original cap [2] - Individuals who re-enroll after a break will have their continuous participation years recalculated, but previously accumulated rewards for continuous participation will be retained [2] Group 3 - A waiting period for benefits will be established for individuals who have interrupted their insurance, with a fixed waiting period of three months for those who do not enroll during the concentrated enrollment period [3] - For each additional year of interruption, the variable waiting period will increase by one month, which can be reduced by paying additional premiums [3] - The total waiting period for those who have interrupted their insurance for four years or more will not be less than six months after restoration [3]
《重庆市健全基本医疗保险参保长效机制实施方案》来了渝府办发〔2025〕35号
蓝色柳林财税室· 2025-06-14 14:29
欢迎扫描下方二维码关注: 重庆市人民政府办公厅 关于印发《重庆市健全基本医疗保险参保 长效机制实施方案》的通知 渝府办发〔2025〕35号 各区县(自治县)人民政府,市政府各部门,有关单位: 《重庆市健全基本医疗保险参保长效机制实施方案》已经市政府同意,现印发给你们,请认真贯彻执行。 重庆市人民政府办公厅 2025年6月3日 (此件公开发布) 重庆市健全基本医疗保险参保 长效机制实施方案 为贯彻落实《国务院办公厅关于健全基本医疗保险参保长效机制的指导意见》(国办发〔2024〕38号)精神,积极应对人口老龄化、就业形态多样化 和人口流动常态化等形势变化,持续巩固拓展全民参保成果,夯实基本医疗保险制度根基,推进超大城市治理,进一步健全我市基本医疗保险参保长效机 制,结合我市实际,制定本方案。 一、完善参保和待遇政策措施 (一)进一步放开放宽户籍限制。 全面落实持居住证参保政策,鼓励灵活就业人员、农民工、新就业形态人员参加基本医疗保险,提升中小学生、 学龄前儿童、高校学生参保覆盖面。市外户籍人员以个人身份参加我市职工医疗保险年龄放宽至男未满63周岁、女未满58周岁。新生儿(出生90天内,下 同)可凭出生医学证明参加 ...